HomeMy WebLinkAbout1.0 Application
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.garfield-county.com
SMALL TEMPORARY
EMPLOYEE HOUSING
APPLICATION FORM
This Application form must be completed and received by the Garfield County Community Development
Department within 48 hours following occupancy of the Small Facility. In addition, documents shall be
provided to the Sherriff’s Office and relevant fire protection district(s) that demonstrate and certify
compliance with the following standards. Notice shall also be provided to these entities within 48-hours
following removal of a Small Facility. It is the Operator’s responsibility to confirm and obtain verification
that this Application has been received by the Sheriff’s Office and Fire Protection District.
INVOLVED PARTIES
Property Owner Name: ____________________________________ Phone: (______)_______________
Mailing Address: ______________________________________________________________________
City: _______________________________________ State: _______ Zip Code: ____________________
E-mail:_______________________________________________________________________________
Operator’s Compliance Officer
Name: ________________________________________________ Phone: (______)_________________
Mailing Address: ______________________________________________________________________
City: _______________________________________ State: _______ Zip Code: ____________________
E-mail:_______________________________________________________________________________
PROJECT NAME AND LOCATION
Location of Housing Site (Section/Township/Range): S____________ T____________ R___________
Well Pad Number: _________________________ Assessor’s Parcel Number: __________________
Zone District: _____________ Maximum Number of Permitted Occupants: ______________________
Number of Days the Facility will be at Location: ____________________
State or Federal Permitting Agency Overseeing Reclamation, Restoration and Revegetation (Name):
(Name): __________________ (Relevant Permit Number): ___________________________________
Date of Installation: ___________________ Date of Removal: _______________________
24-Hour Emergency Contact (1): ______________________________ Phone Number: _______________
24-Hour Emergency Contact (2): ______________________________ Phone Number: _______________
ELIGBILITY
During times of housing shortage or in remote locations, the use of Factory Built Nonresidential
Structures (as defined under C.R.S. § 24-32-3301, as amended, and Resolution #35 of the Colorado State
Housing Board) utilized for a period of time not longer than 1 year or as otherwise specified, for workers
who are engaged in commercial, industrial, mineral extraction, or highway operations and who are
needed to support the proper execution and safety of the related operations. Temporary Employee
Housing, shall not include Recreational Vehicles, except in a Small Facility. A Small Temporary Housing
Facility shall have all of the following basic characteristics:
Complies Y/N
1. The Small Facility and any associated infrastructure must be completely
contained within a State or Federally-permitted parcel (such as a COGCC-
approved oil/gas well pad) in which reclamation and revegetation are secured
with the permitting agency (Permitted Site); and
2. The Small Facility is located at the Permitted Site for less than a cumulative of 1
year and at the end of the utilization period, all structures, foundations, and
associated infrastructure are completely removed; and
3. The Small Facility shall have an occupancy of 8 or fewer people who are
employees, contractors, or subcontractors of the operator of the small facility
and are needed for on-site safety of the related commercial, industrial,
extraction, or highway operation.
SUBMITTAL REQUIREMENTS.
The application submitted to the County shall contain the following information:
1. A vicinity map indicating the section, township, and range of the subject lot and the location of Small
Facility within the subject lot and the Permitted Site; general relation to surrounding public roads,
private roads, adjacent utility systems, residential development, other actively permitted Small, Minor
and Major Facilities, natural drainage courses and municipalities within one (1) mile of the proposed
Small Facility; north arrow and scale; GPS coordinates and current surface ownership of the subject lot.
The vicinity map shall be presented on a USGS 7.5 minute series quadrangle at a scale of 1”=2000’ or
equivalent, with a topography depicted at a minimum of 40’ intervals.
2. Surveyed layout of the proposed Small Facility within the surveyed boundaries of the Permitted Site,
including at a minimum: sewage and wastewater disposal, trash receptacles, potable water storage, all
other associated infrastructure and all other equipment located within the Permitted Site.
3. Identification of the private and public roadways accessing each Small Facility. Roadways shall be
marked as open, gated, and/or locked (include combinations). Detailed directions, with mileage, shall
be given from the nearest town within Garfield County, nearest Garfield County Sheriff’s Office dispatch
location and responsible fire district headquarters to each Small Facility, along each roadway.
STANDARDS
1. Small Facilities shall comply with all applicable Federal, State (i.e. Building Codes and electrical
permits), and local laws and regulations (i.e. fire code), but are not subject to County Building
Permit.
2. Water Systems.
a. Water systems shall comply with standards set forth in section 7-705.B. Water systems must
comply with all applicable State and local laws and regulations.
b. All potable water systems must include a meter and the Operator must keep a record of the
daily usage.
c. For sites to which potable water is hauled, Operators shall:
i. Keep appropriate records, to be provided to the County upon request, to demonstrate
that water supplied to a site is from an approved source and that wastewater is
disposed at an approved facility.
ii. For water facilities not permitted by the CDPHE, the Operator must conduct monthly
tests (or quarterly if an on-site disinfection system is installed) and maintain records of
potable water samples specific for coli form. Any tests indicating coli form
contamination must be disclosed to the County Public Health Department.
iii. Water systems facilities permitted by the CDPHE must obtain all necessary State permits
or demonstrate that applications for any necessary permits have been submitted prior
to a determination by the County that an application is complete.
iv. Maintain compliance with State regulations at all times during operation.
d. In no case shall unsafe water be used for drinking nor shall raw sewage or used water be
discharged onto the ground surface.
3. Wastewater Systems.
a. Wastewater systems shall comply with standards set forth in section 7-705.C. Wastewater
systems must comply with all applicable State and local laws and regulations.
b. Wastewater may be disposed of using either an OWTS or a vault-and-haul system. A vault-
and-haul system must demonstrate the following:
i. Year-round access is available and maintained for safe and regular access for sewage
hauling vehicles;
ii. The Operator can demonstrate and guarantee an arrangement for hauling sewage;
iii. The Operator will maintain all records, including but not limited to, trip logs/reports and
landfill receipts;
iv. The sewage disposal records will be maintained as public records to be available to the
County upon request;
v. The facility will not exceed a cumulative of 1 year at the approved location; and
4. The facility has been designed to accommodate 75 gallons of wastewater per person per day or an
amount derived from engineered calculations taken from metered usage rates at a similar facility
that has been reviewed and approved by the County.
5. Each Small Facility shall be maintained in a clean, safe, and sanitary condition, free of weeds and
refuse. Any hazardous or noxious materials that must be stored at the Small Facility for operational
or security reasons must be managed in accordance with all applicable Federal, State, and local laws
and regulations.
6. Wildlife-proof refuse containers must be provided for trash. Outdoor food storage is prohibited
unless facilities are provided that prevent the attraction of animals to the Major Facility site.
7. Fire Protection and Suppression.
a. Provisions for giving alarm in case of fire and fire suppression must be installed per fire codes
and as required by the fire protection district.
b. Single-station carbon monoxide alarms must be placed in each Manufactured Home or
Recreational Vehicle unit.
c. A water storage tank is required to provide water to the sprinkler system (if applicable) and
initial suppression activities. The size of the water tank shall be determined based on sprinkler
calculations and initial suppression demands. The relevant fire protection district shall be
responsible for determining the size of the water storage tank. If the Small Facility is not
within a fire protection district, the Operator shall provide at least 2500 gallons of water
dedicated to initial fire suppression which is accessible with a dry hydrant. Required Size of
water storage tank for sprinkler system and initial suppression activities:
________________________ gallons
8. Domestic animals are prohibited.
9. The Operator shall obtain a certification inspection conducted by a qualified professional engineer.
The certification shall verify that at the time of inspection the identified Small Facility meets or
exceeds the requirements of this section.
BUILDING INFORMATION (per unit)
Unit 1
Make: Serial Number/Unit ID #:
Division of Housing Insignia (provide copy) Square feet of unit:
Unit 2
Make: Serial Number/Unit ID #:
Division of Housing Insignia (provide copy) Square feet of unit:
Unit 3
Make: Serial Number/Unit ID #:
Division of Housing Insignia (provide copy) Square feet of unit:
OWTS PERMIT
Permit #:
I hereby attest that I am the designated Compliance Officer for the aforementioned Small Temporary
Employee Housing Facility. I attest that I have read and understand the standards to which the Facility
shall be installed and operated and that the Facility shall be constructed and maintained in
accordance with all applicable Garfield County, State of Colorado and Federal Regulations and
standards. I have read the statements above and have provided the required attached information
which is correct and accurate to the best of my knowledge.
______________________________________________________ __________________________
Signature of Compliance Officer Date
I hereby attest that I am a Licensed Professional Engineer in the State of Colorado and that I have
conducted a visual inspection of the installed Small Temporary Housing Facility identified in this
application. Based upon my inspection, I certify that the Small Temporary Housing Facility complies
with the standards as forth above and as codified in the Garfield County Land Use and Development
Code.
PE Certification Number: PE Stamp
Date of Inspection:
Name and Title:
Signature
OFFICIAL USE ONLY
File Number: __ __ __ __ - __ __ __ __ Fee Paid: $_ n/a________________________
Fox Engineering Solutions, Inc.
P.O. Box 413, Fruita CO 81521
Ph: (970) 250-5505
Email: david.fox.fes@gmail.com
Inspection Report for: GR 14-28 Well Pad - Small Temporary Employee Housing
Prepare for: TEP Rocky Mountain LLC
Location: SW 1/4 SW 1/4 of Section 28, T6S, R96W, 6th P.M. Garfield County
Conducted By: David Fox, P.E.
Date Conducted: September 23, 2021
Garfield County
Paragraph Article 7-707 Land Use& Development Code (7/15/13)
Reference Characteristic or Standard Description Inspection Comments
A.Within 48 hours following occupation of the Small Facility,
documentation shall be provided to the Community
Development Department, Sheriff’s Office, and relevant fire
protection district(s) that demonstrates and certifies
compliance with the following standards. Notice shall also be
provided to these entities within 48-hours following removal
of a Small Facility.
Not subject to visual inspection and certification by third party
Professional Engineer.
B.General Information requirements Not subject to visual inspection and certification by third party
Professional Engineer.
C.Small Facilities shall comply with all applicable Federal, State
(i.e. Building Codes and electrical permits), and local laws and
regulations (i.e. fire code), but are not subject to County
Building Permit.
Colorado Division of Housing certifications noted on Mud
Engineer's trailer, Unit ID AAJU-1465-4185 with Certification No.
23718 manufactured by Advanced Modular in 2010 and
Directional Engineer's trailer, Unit ID AABU-1465-4531 with
Certification No. 24893 , manufactured by Advanced Modular
Mfg. in 2012. All other aspects not subject to visual inspection and
certification by third party Professional Engineer.
D Water systems shall comply with standards set forth in
section 7-705.B.
The water system at this location is not a public water system, as
defined by the Colorado Department of Public Health &
Environment - WQCC Regulation No. 11. It is not subject to State
permitting requirements. One potable water tanks with a
capacity of approximately 3360 gallon each and equipped with
water meters were located at the permitted site.
Page 1 of 3
GR 14-28 Well Pad Inspection
TEP Rocky Mountain LLC
Fox Engineering Solutions, Inc.
September 23, 2021
E.Wastewater systems shall comply with standards set forth in
section 7-705.C.
Wastewater disposal at the permitted site will be a vault-and-haul
system. One 1500-gallon sewage holding tank onsite. Sewage
flows estimated to be 300 gallons/day (4 individuals x 75 gpcd).
Sewage holding tanks need to be emptied approximately every 5
days (1500 gallons / 300 gallons per day). Wastewater vaults
equipped with overflow alarm device.
F.Each Small Facility shall be maintained in a clean, safe, and
sanitary condition, free of weeds and refuse. Any hazardous
or noxious materials that must be stored at the Small Facility
for operational or security reasons must be managed in
accordance with all applicable Federal, State, and local laws
and regulations.
Site appeared to be maintained in clean, safe and sanitary
condition, free of weeds and refuse.
G.Wildlife-proof refuse containers must be provided for trash.
Outdoor food storage is prohibited unless facilities are
provided that prevent the attraction of animals to the Major
Facility site.
Individual refuse containers in each housing structure. No trash or
outdoor food storage.
H.1 Provisions for giving alarm in case of fire and fire suppression
must be installed per fire codes and as required by the fire
protection district.
Smoke detectors and fire extinguishers (ABC-rated) located in all
factory built non-residential structures living quarters. Mancamp
living quarters trailers have a minimum separation distance of 20
ft. 3360 gallons of water stored onsite. Required fire suppression
demand is 2500 gallons. Water meter and dry hydrant
connections observed on water tank.
H.2 Single-station carbon monoxide alarms must be placed in
each Manufactured Home or Recreational Vehicle unit.
Single-station carbon monoxide detectors located in factory built
non-residential structures sleeping trailers.
I.Domestic animals are prohibited. No domestic animals observed on-site.
J.The Operator shall obtain a certification inspection
conducted by a qualified professional engineer. The
certification shall verify that at the time of inspection the
identified Small Facility meets or exceeds the requirements of
this section.
This inspection was conducted by a qualified Professional
Engineer licensed in Colorado and certifies compliance with
applicable standards set forth in Article 7.707 of the Land Use and
Development Code (7/15/13), as amended, that are subject to
visual inspection.
Page 2 of 3
GR 14-28 Well Pad Inspection
TEP Rocky Mountain LLC
Fox Engineering Solutions, Inc.
September 23, 2021
Professional Engineer's Attestation
PE Certification Number: No. 25420 (Colorado)PE Stamp
Date of Inspection: September 23, 2021
Print Name and Title: David J. Fox, Principal Engineer
Signature:
I hereby attest that I am a Licensed Professional Engineer in the State of Colorado. I attest that I or my
agent have conducted a visual inspection of the Small Facility identified in this Checklist, as installed, and,
based on information from that inspection I certify that the Small Facility complies with the standards,
subject to and limited to visual inspections items as identified above; set forth in Article 7-707 of the Land
Use& Development Code (Effective 7/15/13), for Garfield County, Colorado.
Page 3 of 3
Notes:
The well pad site is located in the SW 1/4 SW 1/4 Section 28,T6S,
R96W ,6th P.M. (NAD83N39.4894oW108.1217o)
The site will temporarily office and house up to a maximum of four
individuals during natural gas drilling activities and is expected to be
completed in one year or less. The individuals will occupy two
individual trailer houses located on the well pad. Trailer houses have
Colorado Division of Housing compliance tags.
Aboveground sewage holding tank with aggregate storage of 1500
gallons capacity on-site. Sewage flows estimated to be 300
gallons/day (4 individuals x 75gpcd). Sewage holding tank needs to
be emptied approximately every 5 days (1500 gallons / 300 gallons per
day). Wastewater vault equipped with overflow alarm device.
Terra utilizes the services of a licensed contractor to remove and haul
the wastewater to a State certified treatment/disposal facility.
Potable aboveground water tank with aggregate storage of 3360
gallons capacity on-site. Potable water demand is estimated to be
300 gallons/day (4 individuals x 75gpcd). Required minimum fire
suppression demand is 2500 gallons. Dry hydrants and water meters
were on potable water tanks.
Road access to the site is maintained year-round through the services
of private road maintenance and construction contractors.
Base mapping byBookcliff Survey Services. Site features including
housing trailers, water and wastewater tanks, portable toilets and
dumpster were field located. Please note that this is a construction
site and that the locations of drill equipment and other items are
subject to change.
Factory-Built Nonresidential Structures (/Housing) have a minimum
separation distance of 20 ft.
TEP Rocky Mountain LLC
GR 14-28 Well Pad
GR 14-28 Site Plan
Garfield County, Colorado
Small Temporary Employee Housing and
Septic Permit Application
Applicant:TEP Rocky MountainLLC
Date: September 23, 2021 Checked:DJF Version: 001
Fox Engineering Solutions, Inc.
P.O. Box 413,Fruita, CO 81521
Ph: (970) 250-5505
Email:david.fox.fes@gmail.com
Directions to Site:
Emergency Contact List:
Main Office: (970) 285-9377 answered 24 Hours
Rig Site: (970) 549-3691 Satellite Phone
JaysonBoebert: Drilling (970) 274-2569 Cell
Kyle Kohl: Drilling & Completions Manager (970) 250-7593 Cell
TylerGilliam: Drilling (936) 520-8434
Kevin McDermott: Safety (970) 309-1195 Cell
Mike Gardner: Spill Response (970) 263-4875 Cell
Identification & Location Key*
1. Wastewater Aboveground Tank (1500 gal.)
2. Potable Water Aboveground Tank 3320 gal)
3.Portable Toilets
4.Wildlife-proof dumpster
5. Company Man Housing
6. Office
7. Driller's Office/Housing
8. Directional
9. Mud Engineer 10. Shed
* Subject to relocation for construction activities.
21 ft.
8
9
2
1
From:Kaylee McIntosh
To:cbornholdt@garcosheriff.com
Cc:Tyler Gillam (TGillam@terraep.com); Kyle Kohl; Jayson Boebert; Shawn Brennan; Kevin McDermott; Delbert D.
Dowling; Mike Gardner (MGardner@terraep.com); Bryan Hotard
Subject:Terra Energy Partners *** GR 12-29 Pad *** Rig Move On Notification
Date:Friday, September 24, 2021 16:00:00
Attachments:image001.png
GR 12-29 Pad_Move on Notice_Emergency Response_GCSO.pdf
Greetings,
This notification is in accordance with Garfield County Community Development to inform you of the
small temporary employee housing located on the GR 12-29 pad (Sec 29 – T6S R96W). Additional
housing has been placed on support pad GR 14-28 (Sec 28 – T6S R96W). Please see the attached
emergency response information.
TEP Rocky Mountain LLC has commenced drilling operations that will continue for approximately 54
days (11/16/2021). At which time we will notify you of the removal of the employee housing.
Should you have any questions or concerns regarding this notification please feel free to contact me.
Thank you,
Kaylee McIntosh | Sr. Engineering Specialist | TEP Rocky Mountain LLC | 1058 County Road 215 | Parachute, CO
81635
( (Office) 970.263.2731 | ( (Mobile) 970.623.9452 | * kmcintosh@terraep.com
From:Kaylee McIntosh
To:opschief@gvfpd.org
Cc:Tyler Gillam (TGillam@terraep.com); Kyle Kohl; Jayson Boebert; Shawn Brennan; Kevin McDermott; Delbert D.
Dowling; Mike Gardner (MGardner@terraep.com); Bryan Hotard
Subject:Terra Energy Partners *** GR 12-29 Pad *** Rig Move On Notification
Date:Friday, September 24, 2021 16:00:00
Attachments:image001.png
GR 12-29 Pad_Move on Notice_Emergency Response_GVFPD.pdf
Greetings,
This notification is in accordance with Garfield County Community Development to inform you of the
small temporary employee housing located on the GR 12-29 pad (Sec 29 – T6S R96W). Additional
housing has been placed on support pad GR 14-28 (Sec 28 – T6S R96W). Please see the attached
emergency response information.
TEP Rocky Mountain LLC has commenced drilling operations that will continue for approximately 54
days (11/16/2021). At which time we will notify you of the removal of the employee housing.
Should you have any questions or concerns regarding this notification please feel free to contact me.
Thank you,
Kaylee McIntosh | Sr. Engineering Specialist | TEP Rocky Mountain LLC | 1058 County Road 215 | Parachute, CO
81635
( (Office) 970.263.2731 | ( (Mobile) 970.623.9452 | * kmcintosh@terraep.com