HomeMy WebLinkAbout1.00 ApplicationGørfield County SMALL TEMPORARY
EMPTOYEE HOUSING
APPLICATION FORM
Community Development Department
108 8th street, suite 401
Glenwood Springs, CO 81601
ls7ol94s-82t2
www.garfield-countv.com
This Application form must be completed and received by the Garfield County Community Development
Department within 48 hours following occupancy of the Small Facility. ln addition, documents shall be
provided to the Sherriff's Office and relevant fire protection district(s) that demonstrate and certifiT
compliance with the following standards. Notice shall also be provided to these entities within 48-hours
following removal of a Small Facility. lt 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 OWnef Name: TEP RockY Mountain LLC Phone: ( e7o )285-9377
Mailing Address PO Box 370
City:Parachute state: CO Zip code:81 635
E-mait: BHotard@terraep.com
Operator's Compliance Officer
Name: Kaylee Mclntosh Phone . r 970 t285-9377
Mailing Address:PO Box 370
City:Parachute state: CO Zip code:81 635
E-mail kmci ntosh @terrae p. com
PROJECÍ NAME AND TOCATION
Location of Housing Site (Section/Township/Range):c '19 T75 R 93w
Well Pad Number:Honea 19-05 Pad Assessor,s parcel Number: 2403'192-00-028
Zone District:Rural Maximum Number of Permitted Occupants . less than I
Number of Days the Facility will be at Location:127
State or Federal Permitting Agency Overseeing Reclamation, Restoration and Revegetation (Name):
(Name):State (Relevant Permit Number):APt # 05-045-24553
Date of lnstallation:0110412023 Date of Removat: 511112023
24-Hour Emergency Contact (1):KOCKy lvountaln LLU phone Number: VIU ¿öC-Vó( I
24-Hour Emergency Contact (2); Jayson Boebert Phone Number: 970 274-2569
ETIGBITITY
During times of housing shortage or in remote locations, the use of Factory Built Nonresidential
Structures (as defined under C.R.S. |i 24-32-3301, as amended, and Resolution #35 of the Colorado State
Housing Board) utilized for a period of time not longer than l" 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
L. 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
Yes
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
Yes
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.
Yes
SUBMITTAT REqUIREMENTS.
The application submitted to the County shall contain the follow¡ng 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 municlpallties withln 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. ldentification 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 Sheriffs Office dispatch
location and responsible fire district headquarters to each Small Facility, along each roadway.
STANDARDS
t. 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 7-705.8. 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.
¡¡. 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.
¡¡¡. 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 alltimes during operation.
d. ln 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;
¡¡. The Operator can demonstrate and guarantee an arrangement for hauling sewage;
¡¡¡. 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 reques!
v. The facility will not exceed a cumulative of l 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. lf 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 act¡v¡t¡es:
2500 gallons
8. Domestic animals are prohibited.
9. The Operator shall obtain a certification inspection conducted by å qualified professional engineer.
The certification shall verify that at the time of inspection the identified Small Facility meets or
exceeds the uirements of this section.
BUILDING INFORMATION (per unitf
Unlt I
Make:
Advanced Modular 2010 (Sk¡d ti13) Direct¡onal Housing
Serial Number/Unit lD *:
AAJU-'1465-4'185 / 23718
Division of Housing lnsignia (provide copy)Square feet of unit:
840
Unit 2
Make:
DBI Welding & Fabrication 2009 H&P Rig Manag€r Housing
Serial Number/Unit lD #:
RM200329 / 5628
Division of Housing lnsignia (provide copy)Square feet of unit:
690
Unit 3
Make:Serial Number/Un¡t lD #:
PTI lîc2012 D1460120005/ 25364
Division of Housing Insignia (provide copy)Square feet of unit:
840
OWTS PERMIT
Permit #:
sEPT-7930
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.
lL*)* lL lh^l^l-)-r ' ouo6/2o23
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 ¡nstalled 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 lnspection:
Name and Title:
Signature
OFFICIATUSE ONLY
Fee Paid: SFile Number:
Unit4
Serial Number/Un¡t lD #:
Dt460t20005 I 22332
Make: Advanced Modular 2009 Air Driller/Mud Engineer
Squarc feet of unit:
840
Division of Housing lnsignia {provide copy}
Unit 5
serial Number/unit lD #:Make:
Square feet of unit:Division of Housing lnsignie (provide copyl
un¡t 6
Serial Number/un¡t lD f:Make:
Square fect of unit:Division of Housing lnsignia {provide copy)
,itrIJIN'TAH
lnspection Report for:
Prepared for:
Location:
Conducted By:
Date Conducted:
85 Sor¡lh 2fl) East
Vemal, utah 81078
o, 435-789-'t0't7.
n 435.789.1813
r,$,w.ulntahgrþup.com
Honea 19-05 Pad - SmallTemporary Employee Hous¡ng
Terra Energy Partners
Lot 2, Section L9,T7S, R93W, 6th P.M.
Sterling Walker, P.E.
January 5,2023
Paragraph
Reference
ArticleT-7O7 Land Use and Development Code (71t5/731
Characteristic or Standard Description lnspection Comments
Not subject to visual inspection and certification by third party
Professional Engineer.
A.Within 48 hours following occupation of the Small Facilit¡
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 w¡thin 48-hours following removal
of a Small Facility.
B. Generallnformat¡onrequirements 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 certif¡cations noted on Company
Man Housing trailer, Unit lD. D1460120005 with Certification No.
25364 manufactured by PTI Group USA Manufacturing LLC in
2012; Driller's trailer, Unit lD D1460120005 with Certification No.
22332 manuÍactured by Advanced Modular in 2009; Directional
Office Trailer, Unit lD. AAJU-1465-4185 with Certification No.
23718 manufactured by Advanced Modular in 2OtO; Rig Manager's
trailer, Unit lD. RM200329 with Certification No.5628
manufactured by DBI Welding & Fabrication in 2009. 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 7-705.8.
The water system at this location is not a public water system, ãs
defined by the Colorado Department of Public Health &
Env¡ronment - WQCC Regulation No. 11. lt is not subject to State
permitting requirements. Three potable water tanks with a
capacity of approximately 3360 gallon each and equipped with
water meters were located at the permitted site.
E.Wastewater systems shall comply w¡th standards set forth in
section 7-705.C.
Wastewater d¡sposal at the permitted site will be a vault-and-haul
system. Six 1500-gallon sewage holding tanks onsite. Sewage flows
est¡mated to be 600 gallons/day (8 individuals x 75 gpcd). Sewage
holding tanks need to be emptied approximately every 13 days
(7500 gallons / 600 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 ofweeds 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.
One wildlife-proof trash recepacle with a capacity of
approximately 28 cubic yards onsite. lndividual refuse containers
in each office/housing structure.
H.1 Provisions for giving alarm in case of fire and fire suppress¡on
must be installed per fire codes and as required by the fire
protection distr¡ct.
Smoke detectors and fire extinguishers (ABC-rated) located in all
factory built non-residential structures living quarters.
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.
l. Domestic animals are prohibited.No domestic animals observed on-site.
J The Operator shall obtain a certif¡cat¡on inspection
conducted by a qualified professional engineer. The
certif¡cation 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 0/alß\, as amended, that are subject to
visual inspection.
2
Professional Engineer's Attestation
I hereby attest thqt I om o Licensed Professionol Engineer in the State of Colorodo. I attest that I or my øgent
have canducted a visual inspection of the Smctil Focility identified in this Checklist, as installed, and, based an
information from that inspection I certify that the Small Focility complies with the standards, subject to and
limited to visual inspection items as identiÍied above; set Íorth in Article 7-707 of the Land Use ond
Develapment Code (EÍfective 1/5/23), for Garfield County, Colorado.
PE Certification Number: No. 52113 (Colorado)PE Stamp
Date of lnspection January 5,2023
Print Name and Title:Sterling Walker, P.E.
Signature:f /-¿?
3
From
To:
Cc:
Kaylee Mclntosh
cbornholdt@oarcosheriff.com; smithc(ôoarco9 1 l.com
Tyler Gillam (TGillam(ôterraeo.com); Kyle Kohl: Dustin Childers Jayson Boebet Laura Låncästeç Kevin
McDermott Delbert D. Dowl¡no: Shawn Brennan: M¡ke Gardner (Mcardner@teraep.com): Bryan Hotard
Terra Energy Partners **xHonea 19-05 Pad*** Rig Move On Not¡fication
Fr¡day, January 06, 2023 07:00:00
Subject:
Date!
Attachments:imaoe00l.pno
Honea 19-05 Pad Rig Move Notice Emergencv Response 20230105.pdf
Greetings,
This notification is in accordance with Garfield County Community Development to inform you of the
smalltemporaryemployeehous¡nglocatedontheHonea19-05pad(Sec 19-T7SR93W). Please
see the attached emergency response information, site layout and directions to location.
TEP Rocky Mountain LLC will soon commence drilling operations that will continue for approximately
1,27 days (05/1,I/23). 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 Mclntosh ì Sr. Engineering specialist l TEP RocÇ Mountarn LLC l l05S Countv Road 2l5 l Parachute, CO
81635
Ê (Offfce) 970.263.273I ¡ I (Mobile) 970.623.9452 | E kmcintosh@terraeo.com
TER,MP
Frcm:Kaylee Mdntosh
"orrin.moon@cdr.us"
Tyler Gillam (Tcillam@terraep.com); Kyle Koh[ Dust¡n Childers; Javson Boebert Laura LancasteE Kevin
McDermotL Delbet D. Dowling; Shawn Brennan; Mike Gardner (Mcardner(ôterraep.com): Bryan Hotard
Terra Energy Partners xxx Honea 19-05 Pad *t<* Rig Move On Notification
Friday, January 06, 2023 07:00:00
imaoe001.pno
Honea 19-05 Pad Rio Move Notice Emeroencv Response 20230105.odf
To:
Cc:
Subject:
Date:
Attachments:
Greetings,
This notification is in accordance with Garfield County Community Development to inform you of the
smalltemporary employee housing located on the Honea 19-05 pad (Sec 19-T7S R93W). Please
see the attached emergency response information, site layout and directions to location.
TEP Rocky Mountain LLC will soon commence drilling operations that will continue for approximately
I27 days (05/1,1,/231. At which time we will notify you of the removal of the employee housing.
Should you have any quest¡ons or concerns regarding this notification please feel free to contact me
Thank you,
Kaylee Mclntosh I Sr. Engineering Specialist I TEP RocÇ Mountain LLC | 1058 CounW Road 215 | Parachute, CO
81635
8 (Office) 970.263.273I I E (Mob¡le) 970.623.9452 | E kmcintosh@terraep.com
TER,R
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EHONEA 19_05 PADSITE FLAN/løtut: Etu/UùlùUDotc: Joñùory 5. 2O2JDrolt.d: s.G.a Chèckèd: S.W-IIELS, LLCCotpllb trfrr. ' ts hñ:w E¡dæ-10t7E &O7ETemponryEmpolyee l-iousiraNotes:The wefl Dcd s¡te is ocoted in Lot 2 o'Sectir 19, T75,R93w, 6tiì P.V. (NAD 83 N39.Á32742 W107.821E64)The site wil teepororily offiæ r¡o horse lp t) omoxiñLm cf eqlir i¡di'duols dJrirq nolLrc qcs drillingoctivities ord ìs e>:Þected to be cdnpretel ir )1e yeor o'less. The ird:viduols will occupy 'our 'ndildrcl t_oilerl'ouses locoted on the úell pod T't¡er houses loveColorodo Diision of Hcus¡ng cmplionce:f,¡s.Aboveqrounl sewoge holding torks with cggreg¡1e storogeof 9.0OO oolons c¡oocit? ore cnsite. Serr¡e fowsestimoted-lo oe 6fb cofons per d¡r (8 iñãìvicLols x 75oocd). Sewooe noldino lonks n€ed tc be em!:iedóþpróxrorel-y every 1j ooys (7500 çol / 600 cpd).Wostewater voJlts equiÞÞed wìth overfiow olorr devices.Terro util¡zes the services of o lìcssed aaltroattr toremove onc houl the wostew¡ter to ! st:te-c:_iÌfiedtreotment/iìsposol foc lily.Potoble oboveqround woter ton<s çìt_ og9'eco:e storogeof'0,080 qollo-s:opocty ore onste. Pctoblg wote'demoid is -esti¡oi.ed ro 6e 600 gal ors/'loy (8iñdividuolsrs gpcd). Required m¡ñiTJm'ir: sLÊpressiondemond is 2500 gollons.Rood ôcces to tle siie is ñoatciaed yâJ--rcLñd rhroughthe services rf p-'vote 'ooo mointenrñce cnd :]lstruc:ioncontroctorsBose mopp nq by Uìñlch Engin€ering & L:rd SJrvelng.Site feotures inCludinq housinq trolers, rcler ondwostewoter tonks, potcble to¡le:s øo d-rps:e-s were íieldlocoted. Pleose nore thot Ih_6 s o consfLatioi site ordthe locotioñs of drill equipment ond othq items oresubject to cho¡ge.Identification & location Key1. wostewoler Aboreqrouñd lo¡k (1500 qol)2. Potobe woter Aboqrouñd Tonk (3S0 goi)4. Wldlife-prool Duñpstert Compoñy Mon tsous¡¡g6. Olfice7. Drillcr's OlfcêlHousìngEo, Dir.ctioñol offce11. Rig Moñıger's offcc^ousiñsIIIII,ÃlxistingtiJII/I/sâ--o' ,z/owelt Oß.rZ-.;:<.f\,/IIIPi9IITIEdge afV¿xbths\/4t'vtEmergency Contact List24 Hor Riq Sit€ Coñtoct: (970) s49-3691DrillÌñg Foremon: JoFo¡ Boèbed (91o) 274-2569Dr¡lliñg & Completio¡s Sup.riñtendent: Kte Korl (970) 2sr7595 cellOr¡lliñE & ComÞletions Moñdqer: Tter Gillôñ (9J6) 520-84J4 Cellsôrêtf Kêvin McDermoit (970) 3æ-119s c.llSÞill R€sÞonse: Mike krdner (970) 623-4875 CdlEP Mcin offlce Answãring Sêrvice: (970) 285-9377corfield couñly D¡spotch: (970) 62s-8095St. Mo.y's corên¡ght Hdicopter: (970) J32-a923Pôboñ côñkd Hotllîe: (æo, 222-1222CHEMTEEC: (Eoo) 424-9500Colod Èv.rFiÈ R€øc: (970) 625-1243H19-05 PADD LOCATION:"lDirections to Site:FROCEED IN A SOUTHERLY trREC¡ON ffiW RIFIE, COLOR¡DO ÊLCNG CO-13 APPROXIMAELY 0.9þILES TO TIE ]RAFFIC CIËLE. TAKE TIE FIRST EXIT ONTO Uh SI S AND PROCEED IN AÆSTERLY DRECTION APFRO<IHATELY 0.2 MILES TO NE JUNC-IO{ OF THIS ROAD AND CARDENüNE; IURN LFT AND FROCEED lN A SCIIHERLY DIRECDN æPROXIMATLY 0.J MILES fO frEùNCTION OÊ ÊlS ROAD ANI ó RD 52C TO ÊE SOUff{ESTi TJRN RIGHT AND PRoCEED N A$uTHffiSTæLY DIRECTIC4 ÀPPROXIVa]ELY 2.7 IILES To frE JU{C¡ON OF THIS ROAD aND coFD J17 TO TNE SOUBWSER-Yi ruRN SLlGll LEFÍ AND PRoCEED IN A SOUfrESTERLY, THENSOUTHERLY DìECTION PPÐXIMÄTELY 5.3 MIE TO IIE JUN]¡ON CF THIS ROAD AND ANqISTNG ROÂD TO THÊ ÊA5I, ruRN IEFT ÀN] PROCEED ]N A NOPNEÀSTERLY, HEN SUBERLYCIRECIION PPROXMATELY A1 MILES IO üE "LNCTION CF THS ROAD AND THE BEGINNING fffE ACCES5 POAD TO üE Sluni FOLLOW THE ROAo tr  ÐfrEELY, THEN NffiIHEASERLY'frEN SOUHRLY DIRECÎON APPROXIMÀEY 0.9 MILES TC THE EXISNNG LOCAIION.FROM ìIFE, COLORÐO fO IHE EXISTIIG WELL TO:ANON IS APPROXIMA1ELYTEP Rocþ Mountain LLCHONEA I9-C5 PAD SITE PI-AN