HomeMy WebLinkAboutApplicationf�
,N
Gay field County
Community Development Department
1088 th Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.garfield-county.com
TYPE OF CONSTRUCTION
-- — -- -- --- --
X New Installation To Alteration ❑ Repair
WASTE TYPE
X Dwelling ❑ Transient Use1 ❑ Comm/Industrial 1 ❑ Non -Domestic
- - -- -
❑ Other Describe
INVOLVED PARTIES _
Property Owner: Bureau of Land Management Phone: (970) 876-9000
Mailing Address: 2300 River Frontage Road Silt, 81652 CO
Contractor: TEP Rocky Mountain LLC Phone: (970) 285-9377
Mailing Address: PO Box 370, Parachute, CO 81635
Engineer: David Fox Phone: (97 0) 250-5505
Mailing Address: PO Box 370, Parachute, CO 81635
PROJECT NAME AND LOCATION
Job Address: MV 60-81) 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 ❑ Septic Tank ❑ Aeration Plant X Vault ❑ Vault Privy ❑ Composting Toilet
❑ Recycling, Potable Use ❑ Recycling ❑ Pit Privy ❑ Incineration Toilet
i
❑ Chemical Toilet JXOther Hauled by Civeo to Garfield and Mesa County Landfills
Ground Conditions Depth to 15' Ground water table NA Percent Ground Slope NA
Final Disposal by ❑ Absorption trench, Bed or Pit ❑ Underground Dispersal ❑ Above Ground Dispersal
❑ Evapotranspiration ❑Wast Wastewater Pond l ❑ Sand Filter
X Other Hauled by Civeo to Garfield and Mesa County Landfills
Water Source & Type ❑ Well ❑ Spring 0 Stream or Creek ❑ Cistern
X Community Water System Name City of Rifle & Ute Water– Hauled b -M-0 1
Effluent Will Effluent be discharged directly into waters of the State? 0 Yes X No
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 requ' ed 'n ormation which is correct and accurate to the best of my knowledge.
Pr erty Own r Print and Sign Date
OFFICIAL USE ONLY ra(J \4P -Ca` I&
VfJ(2J 47c'S- d6
Special Conditions:
Permit Fee: Perk Fee:
Total Fees:
�$ q 1 \1 t CNJ`cps
Fees Paid:
I
mi
Building Permit Septic Pert:
Issue Date:
Balance Due:
BLDG DIV:
APPR VAL
DATE
0,111 F01111W WIV'd M11AIMUF
�Recept i pan# : 879861
07116/2016 02:18:46 PM Jean Aiberico
1 of 2 Rec Fee;$16.00 poo Fee:0.00 GARFICLD COUNTY CO
POWER OF ATTORNEY CONFORMED
COPY
KNOW ALL PERSONS BY THESE PRESENTS:
THAT TEP ROCKY MOUNTAIN LLC, a Delaware limited liability company, hereby nominates,
constitutes, and appoints Dryan S. Retard, as its true and Iawful Attoracy-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, or. agreements in 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 disaffirin 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 fiill 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 13' 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
Attorney -in -Fact
N
ACKNOWLEDGEMENT
State of Texas
County of Harms
This instrument was acknowledged before me on, 2016 by Michael S. Land, known to
me to be the President and CEO of Terra Energy Partners LLC, a Delaware corporation, on behalf of the
corporation.
(Notary Seal)
1�,17Y R
a�a Ls'o, TIFFANY CEBELL POl40CK
Notary Ppblic, State of Texas N blic
y 4�}rz My Commisslon Expires
April 26, 2019
High level Alarm
If 19111 or Alarm
Is Presenl
Tank 15 Full
MV 60-8D 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.
N
Winds
Prevailing
SWMP LEGEND Topsoil Windrow
ST = Sediment Trap N
No TE.
Apply surface roughening /.
to all cut/fill slopes &
th d 1'r�
o er areas as require .
C-32.8 8
E/. 207.3'
NOTE:
EXCESS MATERIAL
TO BE HAULED TO
THE MV 15-8 PAD.
Edge of
r__11 -1111 -
Sed
' t'
Approx.
Top of
/Cut Slope
N 0-25.1 ' 7
a El. 199.6'
"o
C 42 8' Se
Exist)
iq Fence
N I(TVD.
E/ 217.X 6 Wellhead De
o o
lIllJ•.�'.i
e
F—.35.1
2
139.4
I 1
12 :.
Existing
I
300 bbl.
,•'
Tanks
1,111111 1\^
Existing, `�
I
\ Metol
N
Top Bank /0�°
of Existing5
DDrr(((ainage
Sed. Trap #1
.L= 40. W=20; D=1.7'
ed. Trop #2
= 60; W=10; D=3.2'
xis ing IIIIIII I I III I I Containment �TIle of e
Slide l • o Wall
— Edge of / � r 1 P
Existing Pod 1 i o of I I 1 a F-17.3")�
» / rn �� • �X - El. 157.2") „
B 144 0 0 95 `V 1'If'
.l1 F-11.8
O '/
Existing 1 E/. 162. T
C-20.0'
m 5 Radius=90' � MV 60-80 I I IIII
1�a� El. 194.5' 1111111 \ 1 I I J Wel/head Existing Centerline of
\ Separator Area.�/� Pond Existing
AREA OF MAX. (4 /Quads) / f Drainage
DISTURBANCE i ��. I I�IIIIII
1.13 �' / Cu t/Fill
Transition Line
1 0 /nstall 24" Culvert I V
tl��
/
Proposed Access Road "B" _5B° _ 55
\ „III ting Road � - 3 F-0.8
I I���Existing 2
Existing Buried / o 4 — — 1� El. 173.7' �° . NOTE:
N o a � C-3.3' (0 �� 1:1 FILL SLOPE IS SHOWN, BUT
Pipeline (Typ.) �� C-8.3'
(To be Re -Routed � - El. 177.8' MUST BE ACCORDING TO THE
Sed. Trop #3
El. 182.8' GEOTECHNICAL ENGINEER'S
L= 25, W=15; D=1.4'
11111N11111111111111 /� Needed) RECOMMENDATIONS. A
Sed. Trap #4 RETAINING STRUCTURE MAY
FINISHED SUB GRADE ELEVATION = 6174.5' L= 25, W=15; D=1.4' BE REQUIRED.
FINISHED TOP OF GRAVEL GRADE ELEVATION = 6175.3' REV: 4 06-21-18 M.D. (PAD, STORMWATER CHANGES)
NOTE: Earthwork calculations require a fill ® the location stakes for balance. All fill is to be
compacted to a minimum of 95% of the maximum dry density obtained by AASHTO method t-99.
NOTES:
• Flare unit is to be located a min. of 100' from the wellhead.
• Round comers at 35' radius or as needed.
• Construct diversion ditches as needed.
• Contours shown at 2' intervals.
• Cut/Fill slopes 1:1 (Typ.).
00"k
UINTWH
ENOINEERINO & LAND SURVEYING
UELS, LLC
Corporate Office * 85 South 200 East
Vernal, UT 84078 * (435) 789-1017
MV 60-81) PAD
SW 1/4 NE 1/4, SECTION 8, T7S, R96W, 6th P.M.
GARFIELD COUNTY, COLORADO
SURVEYED BY JOEL LEFEVRE 106-05-181 SCALE
DRAWN BY T.L.L. 03-06-18 l" = 80'CONSTRUCTION LAYOUT PLAT #2
N
Approx.'
Top of ,
,Cut Slope
FA
IEdge of
Existing
Slide
i
Topsoil Windrow.
Proposed Access Rood
—6190
t 9p soil 11
y
0 1��q• / / Stockpile,
Win dro'w/oma
1 TO soll
/J
Stockpile
/ �/ �/� �'` 5g.\\ ✓ Tope
1 : Existing 8j' �\\\\� IDroinoge
o�r,�NIM MIN
jlj�l� I Centerline of
N
l/ l/ " �I'~' Existt/9
a
N / N I I l���l��ll���l , ge
00
STEAM 9 EER r
gGEN TN«,
1y� '""6
PUVP HdUff I II I �III� III I
GNSE
E�TfIR I;§ I I
NTER
I I I III IIII m
V -DOOR PIPE 800Y7µ � I N I IIII I II III O
0 0I I = I III III I Approx.
�°D I IIII I II II I Fill lof
Slope
KNOCKLE I I I IIJI I II p,D 0 L/
ROOM CRA - 1
144' 1195' N �r1 ON
10'
Separator Area ����/ 06—
(4 Qucos) �` l l s; •••••••• S
ANAL LCu t1R,
ANO
Transition Line
/ o
r�
24" Culvert
))NINAM � ( / d . ,
Existing Buried
�P (l'P•) I o
Pi eline T In
(To be Re—Routed Pr000sed Access Road 'B" ,.
,as Needed) / \
'1////////////////�C
Existing /
Rood
NOTES:
• Flare unit is to be located a min. of 100' from the wellhead
• Contours shown at 2' intervals.
UELS, LLC
U 1 NTAH Corporate Office * 85 South 200 East
Vernal, UT 84078 * (435) 789-1017
ENGINEERING & LAND SURVEYING
REV: 1 06-21-18 M.D. (PAD, STORMWATER CHANGES)
MV 60-8D PAD
SW 1/4 NE 1/4, SECTION 8, T7S, R96W, 6th P.M.
GARFIELD COUNTY, COLORADO
SURVEYED BY I JOEL LEFEVRE 106-05-181 SCALE
DRAWN BY I T.L.L. 06-11-18 I"=80'1
TYPICAL RIG LAYOUT PLAT #4
TW -A > _ = R R _ ,fir„ �y, . �' , R R '3 T6S
96 95, `, v V.i
tt /r„ ✓ 1 t
�`` f I ���`-�'' lii I�n %f r I��(fr��l rr•`• � ��� •l 1 I � v)(`r{`/��
_� r � � I ' I�\.\,fit.. ✓ r'' r 1�. _%-1 ! !" l i ��`-"-� 'Y
`;.�� /i '( �r'C-' l rl =l7 ;r� 5 - ;�� ) I��r• fl / � f�/ y111, -/. il. '%• �`.•.• ~��.
97 96
(r s� •, _ z nGd- -/ 1 aa_ -5 `� � cp � � - �i,Y' •1��:. s.,�;r, )r � --�r'� ryj �( � '_ ?
W1
14
i5 ti�S
MI +/-�T6S
i..
-f-
/
2.1 MI. T7S
J c �x� COUNTY ROAD 215ro
-
1•• fly I y� { (J �/ ;��/ ,
E TOPO "B"0.5 MI. +/-
� \ �� 1 � i �•„ `' ' h —""� Gravel ,' �
PARACHUTE PII
Ill `��
. EXISTING LOCATION:(_
MV 60-8D PAD
nio
`^ PROCEED IN A NORTHWESTERLY DIRECTION FROM PARACHUTE,
- COLORADO ALONG COUNTY ROAD 215 APPROXIMATELY 2.1 MILES TO THE.
ti JUNCTION OF THIS ROAD AND AN EXISTING ROAD TO THE SOUTHWEST, -
Vy TURN LEFT AND PROCEED IN A SOUTHWESTERLY, THEN WESTERLY, THEN`
SOUTHERLY DIRECTION APPROXIMATELY 0.5 MILES TO THE JUNCTION OF
T7S > ' THIS ROAD AND AN EXISTING ROAD TO THE SOUTHWEST; TURN RIGHT AND fN�
c PROCEED IN A SOUTHWESTERLY, THEN NORTHWESTERLY, THEN i; : T7S .
Tgs .f`,�' SOUTHWESTERLY DIRECTION APPROXIMATELY 1.2 MILES TO THE JUNCTION �,"' •-
'�'_ OF THIS ROAD AND AN EXISTING ROAD TO THE SOUTHWEST; TURN LEFT -r Tgs
AND PROCEED IN A SOUTHWESTERLY DIRECTION APPROXIMATELY 1.6
MILES TO THE JUNCTION OF THIS ROAD AND AN EXISTING ROAD TO THE r,,•�'
_-' - NORTHWEST; TURN RIGHT AND PROCEED IN A NORTHWESTERLY, THEN
SOUTHWESTERLY DIRECTION APPROXIMATELY 0.8 MILES TO THE EXISTING F`' •,I$ -
(v=,• - LOCATION._r.^ y,;f
TOTAL DISTANCE FROM PARACHUTE, COLORADO TO THE EXISTING WELL;;
LOCATION IS APPROXIMATELY 6.2 MILES.
REV: 1 06-21-18 M.D. (NAME CHANGE)
LEGEND: N TEP Rocky Mountain LLC
O EXISTING LOCATION
MV 60-8D PAD
SW 1/4 NE 1/4, SECTION 8, T7S, R96W, 6th P.M.
GARFIELD COUNTY, COLORADO
UELS, LLC SURVEYED BY I BART HUNTING 1 02-28-18 1 SCALE
U 1 NTAH Corporate Office * 85 South 200 East DRAWN BY Z.T. 06-12-18 1 : 100,0
Vernal, UT 84078 * (435) 789-1017 ACCESS ROAD MAP P"T #5A
ENGINEERING & LAND SURVEYING