HomeMy WebLinkAboutApplicationGørfield County ONSITE WASTEWATER
TREATMENT SYSTEM
(owrs)
PERMIT APPLICATION
--Qommunity Development DepartmentRECEIVED l0Bgrh Street, Suite 401
AUo 2 4 zot$ u'""*Ëloìä?ï'r::81601
GARFIELDCOUNT@
COMMUNITY DEVELOPMENT
WPE OF CONSTRUCTION
X New lnstallation
WASTE TYPE
tl Alterat¡on itr
X Dwell E Transient Use
tr other Describe
:tr Comm/lnd ustrial Non-Domestic
INVOLVED PARTIES
Property Owner:US Naval OilShale fUS Deot of Enersvl Phone:
Mailing Address: 1000 lndependence Ave SW Washineton, DC 20585
contractor:TFP Rockv Mountãin LLC
Mailing Address P0 Box 370.ute. CC) 81635
Phone: ß70l'285-9377
Engineer: David Fox Phone : l07llì ?q0-qq0q
Mailing Address: PO Box 370. Parachute. CO 81635
PROJECT NAME AND TOCATION
Job Address: RWF 13-19 Pad
Assessor's Parcel Number: 217508200953 Sub.- Lot
Building or Servlce Type: Temporarv offiçe & house #Bedrooms: 4 Garbage Grinder No
Distance to Nearest Community Sewer System:NA
Was an effort made to connect to the Communlty Sewer System:NA
Final Disposalby E Absorptlon Íench, Bed or Plt E Above Ground olspersal
E Evapotransplration E Sand Fllter
X Other Jauled bv Civeo to Garfield and Mesa Countv Landfillt
Water Source & Type U Well E Sprlng U streamoi¿ieet E Cistern
X Communlty Water System Name Cttv of Rlfle & Ute Wâtêr - Flarrlad hv Clvaa
Block
X Other
ì
n chemlcal Tollet
tr Compostlng ToiletE Aeratlon Plant X Vault E Vault Prlv,ytr SeptlcTank
El Recycllng, Potable Use E Recyclin8 tr P¡t Prlvy E lnclneratlonTollet
Type of OWTS
Percent Ground Slope NADepth to 13r Ground water tableGround Conditions
E Underground Dlspersal
Effluent Will Effluent be dlscharged directly lnto waters of the State? D Yes X No
CERTIFICATION
I hereby acknowledge that I
have provided the req
rty Owner Print and Sign
read and understand the Notice and Certification above as well as
ation which is correct and accurate to the best of my knowledge.
pLo/rp
Date / /
oFFrcrAL usE oNly\Polìd elegltg s\L s75. oo
Special Condltlons:
si:{ ó Perk Fee:
Þ\\G 9HAå/
û'g'f5 Fees Paid:szs.Òô
Butldlng Permlt Septlc Permit:
,açp¡7$.tr22
lssue Date:q/Ll/rß t''H7"'"o
BLDG DIV¡
APPROVAL DATE
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Ø711â12ø16 @2;18:46 Pl'l Jc¡n Êlbêrico1 of 2 Rec Fee:$16.ØØ Doc Fee,Ø.Ø@ GÊRFIELD OOUNïY C0
POÌYI1R ()F ATTORNEY
K}TOWÂLL PERSONS DY TIIESI PRNSENTS:
üOÊdF$RffiËD
üûFV
THAT TtrP ROCKY MOIJNTAIN LLC, a Dclawarç limited liability company, hereby nominates,
constitutes, and appoints Bryan S. Ilotard" as its true and lawfirl Attorney-in-Fact to execute and deliver
in thc name and on behalf of TEP ROCI(Y TVIOUNTAIN 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 claimãd by the
United Statcs, any state or political subdivision thereof, any person, corporation, parfirership 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 tansferring leases, offers to lease, permits, applications for permits, or subleasesr or an interest
in any ofthese (ineluding æsignments 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) insfruments in connection with the acquisition
or maintenance of prospecting seismic, or exploration permits.
D. Instruments withdrawing applícations for leases or permits.
E' (l) Requests for rights-oÊway and surface use permits; (2) acceptance of grants of rights-of-way
and surface use permits, including any stþulation or condition in the grants; (3) any statements that may be
required in connection with applications for rights-of-way ând surface use permits.
F. Requests for extension oftime in which to drill wells.
Principal agrees to be bound by all representations the Attomey-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 contes! negate, or disaffirm the actions of its Attorney-in-Èact under
this Power of Attomey.
This Power of Attorney is effçctive July 1, 2016, and shall continue in full force and effect until rcvoked 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 fo¡ each and
every such instrument or document so executed and delivered.
EXECUTED by Principal on this 13ù day of July, 2016.
Terra Energr Partners LLC as sole member of
TEPRocþ Mountain LLC
AGREED TO A¡[I} ACCEPTED
BY:
BY:S. Lând S.
4
ITS: President and CEO Attomey-in-Fact
ACKNOWLEDGEMENT
State of T'exas
County ofHarris
This inskument was acknowledged before me on
me to be the President and CEO of Tena Enerry
corporation.
(Notary Seal)
I L ß .2016 by Michael s. Land, known to
Parhefs LLC,aDelaware corporation, on behalf of the
N
IIFTANY GEEEI.I POTTOCI(
Notory Public, Slole of ¡exös
My Commission Explres
April 2ó, 20t I
RWF 13-19 PadVault System DescriptionThe site will temporarily office and house up to a maximum of eightindividuals during natural gas drilling activities and is expected to becompleted in one year or less. The individuals will occupy up to fourindividual units located on the well pad. Office/houses have ColoradoDivision of Housing compliance tags.Four above ground sewage holding tanks with 1500-gallon (6000-9allon total) capacity on-site.The Vault System is displayed in the pictures. Sewage flow is estimated to be 600 gaLlons perday (8 individuals x 75 gpcd). Sewage holding tanks need to be emptied approximately everyl0 days (6000 gallons/ 600 gallons per day). Wastewater vault is equipped with overflow alarmdevice. Terra Energy Partners utilizes the services of a licensed contractor to remove and haulthe wastewater to a state certified treatmenVdisposal 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 be600 gallons per day (8 individuals x 75 gpcd). Required minimum fire suppression demand is2500 gallons.Road access to the site is maintainedyear round through the services of aprivate road maintenance andconstruction contractor.
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Sectíon 19
T.65.,R94W
-----\-.-
S¡ri4¡¡
t:i :r
1000 2000
GRAPHIC SCALE IN FEET
I INCH = 2000 FEET
ACCESS DESCRIPTION:
FROM THE TNTERSECTTON OF STATE HTGHWAY 6 AT THE RULTSON EX|T (t-70 EX|T NO. B1), PROCEED ALONG
STATE HIGHWAY 6 IN AN EASTERLY DIRECTION 11.9 TO AN INTERSECTION WITH A DIRT/GRAVEL ROAD,
PROCEED LEFT ALONG COUNTY ROAD 246 (Anvil Points Road) lN A NORTHERLY DIRECTION rl.3 MILES TO AN
INTERSECTION WITH A DIRT/GRAVEL ROAD, PROCEED LEFT IN A SOUTH WESTERLY DIRECTION T1.3 MILES TO
THE EXISTING RWF 13-19 DRILL PAD LOCATION, AS SHOWN HEREON.
SCALÐ:
DATE:TE TEP Rocky Mountain LLC
(97O) 62s-272O PLAT: 5 of7 RWF 13-19 Drill Pad - Plat 5
ACCESS ROAD & TOPO ]IIAP
Itø (97O) 625-2773 PROJECT: TEP Valleu
DFT, CS