HomeMy WebLinkAboutApplicationGurfield County SMAtt TEMPORARY
EMPLOYEE HOUSING
APPTICATION FORM
Community Development Department
1oB 8tn street, Suite 401
Glenwood Springs, CO 81601
(e7ol94s-82L2
www.ga rfield-cou ntv.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 cert¡fy
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 Owner Name:GORDMAN LEVERICH, LLLP Phone: (_)
Mailing Address:555 E. Durant, Suite 5A
C¡ty . Aspen state: CO Zip code:81611
E-ma
Operator's Com pliance Officer
Name:TEP Rocky Mountain LLC p¡ron".1970 t285-9377
Mailing Address:PO Box 370
City:Parachute state: co Zip code:81 635
E-mail kmci ntosh @terrae p. com
PROJECT NAME AND LOCATION
Location of Housing Site (Section/Township/Range):c 13 T73 R 94W
Well Pad Number:South Leverich 13-09 Pad Assessoy's parcetNumber: 2403-184-00-014
Zone District:Rural Maximum Number of Permitted Occupants:less than I
Number of Days the Fac¡l¡ty will be at Location: 1 55
State or Federal Permitting Agency Overseeing Reclamation, Restoration and Revegetation (Name):
(Name):State (Relevant Perm¡t Number):APt #05-045-24569
Date of lnstallation:05t2512023 Date of Removat: 1012712023
24-Hour Emergency Contact (1):
24-Hour Emergency Contact (2):
KOCKy MOUnIaln LLU phone Number: VIV ¿ö5-Vól I
Kyle Kohl Phone Number: 970 250-7593
ELIGBITIW
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 otherurrise 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
assoclated lnfrastructure 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
SUBMITTAL REqU¡REMENTS.
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 l-"=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
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 7-705.8. 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 perm¡tted 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 all times 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 7-7O5.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 request;
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 bythe 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. F¡re 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 a qualified professional engineer.
The certification shall verify that at the time of inspection the identified Small Facility meets or
exceeds the requirements of th¡s section.
Unlt I
Make:
DBI Welding & Fabrication 2009
Serial Number/Un¡t lO *:
rm2003291æ497
Division of Housing Insignia (provide copy)Square feet of unit:
654
Unit 2
Advancsd Modular 2007 Dir€ct¡onal Livino OuarlÊß
Make:Serial Number/Unit lD #:
AJGV-1453.37ô3 /'t892'l
Division of Housing lnsignia (provide copyf Square feet of unit:
760
Unit 3
PTI Group lnc 2012 Company L¡v¡ng Traìlsr
Make:Serial Number/Unit lD #:
D1460120005/ 25364
Division of Housing lnsignia (provide copy)Square feet of unit:
877
Permit #:
sEPT-04-23-8086
I hereby attest that I am the designated Compliance Officer for the aforementioned Small Temporary
Employee llousing 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 Counry 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.
l/-a/* n n*¿**/ ost26tzozg
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 SmallTemporary 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
File Number rfl-E y - 6"1-øY.OOFee Paid:
Advanced Modular 2010 Air Driller/Mud Engineer AAJU-1465-4185/ 23718
840
85 South 200 East
Vernal, Utah 84078
o: 435.789.1017.
x: 435.789.1813
www.uintahgroup.com
1
Inspection Report for: South Leverich 13-09 Pad – Small Temporary Employee Housing
Prepared for: Terra Energy Partners
Location: Lot 3 & Lot 4, Section 13, T7S, R94W, 6th P.M.
Conducted By: Sterling Walker, P.E.
Date Conducted: MAY 25, 2023
Paragraph Article 7-707 Land Use and 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 Company
Man Housing trailer, Unit ID. AJGV-1453-3763 with Certification
No. 18921 manufactured by Advanced Modular Manufacturing in
2007; Man Housing trailer, Unit ID. D1460120005 with
Certification No. 25364 manufactured by PTI USA Manufacturing
LLC in 2012;Driller’s trailer, Unit ID rm200329 with Certification
No. 22497 manufactured by DBI Welding & Fabrication in 2009;
Mud Engineer Living Quarters, Unit ID. AAJU-1465-4185 with
Certification No. 23718 manufactured by Advanced Modular in
2010. 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. Three potable water tanks with a
capacity of approximately 3360 gallon each and equipped with
water meters were located at the permitted site.
2
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. Six 1500-gallon sewage holding tanks onsite. Sewage flows
estimated 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 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.
One wildlife-proof trash receptacle with a capacity of
approximately 28 cubic yards onsite. Individual refuse containers
in each office/housing structure.
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.
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 (1/4/23), as amended, that are subject to
visual inspection.
3
Professional Engineer’s Attestation
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 inspection items as identified above; set forth in Article 7-707 of the Land Use and
Development Code (Effective 1/5/23), for Garfield County, Colorado.
PE Certification Number: No. 52113 (Colorado) PE Stamp
Date of Inspection: MAY 25, 2023
Print Name and Title: Sterling Walker, P.E.
Signature:
TEP Rocky Mountain LLC
SOUTH LEVERICH 13-09 PAD SITE PLAN
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Directions to Site:
BEGINNING AT THE CITY OF RIFLE EXIT (EXIT 90) HEAD SOUTH ON COLORADO HIGHWAY 13 APPROXIMATELY 0.19 MILES TO THE INTERSECTION WITH AIRPORT ROAD, USE THE TRAFFIC CIRCLE TO HEAD EAST ON AIRPORT ROAD APPROXIMATELY 0.24 MILES TO THE INTERSECTION WITH
MEGAN AVENUE, TURN RIGHT (SOUTH) ON MEGAN AVENUE AND PROCEED FOR APPROXIMATELY
0.26 MILES TO THE INTERSECTION WITH LAST CHANCE DRIVE, TURN RIGHT (WEST) ON LAST CHANCE DRIVE AND PROCEED FOR APPROXIMATELY 0.41 MILES TO THE INTERSECTION WITH GARFIELD COUNTY ROAD 320, PROCEED WESTERLY ON COUNTY ROAD 320 FOR APPROXIMATELY 2.49 MILES TO THE INTERSECTION WITH GARFIELD COUNTY ROAD 317, TURN LEFT ON COUNTY ROAD 317 AND PROCEED SOUTHERLY FOR APPROXIMATELY 5.85 MILES TO THE INTERSECTION
WITH A DIRT/GRAVEL ROAD (LEASE ROAD) EAST OF BEAVER CREEK, PROCEED RIGHT ON THE LEASE ROAD IN A NORTHERLY, THEN SOUTHERLY DIRECTION FOR APPROXIMATELY 0.65 MILES TO THE SOUTH LEVERICH 13-09 PAD
Emer�ency Contact List
24 Hour Rig Site Contoct: (970) 549-3691
Drilling & Completions Superintendent: Kyle Kohl (970) 250-7593 Cell
Drilling & Completions Manager: Tyler Gillam (936) 520-8434 Cell
Sofety: Kevin McDermott (970) 309-1195 Cell
Spill Response: Mike Gardner (970) 623-4875 Cell
TEP Moin Office Answering Service: (970) 285-9377
Gorfield County Dispotch: (970) 625-8095
St. Mary's CareFllght Helicopter: (970) 332-4923
Poison Control Hotline: (800) 222-1222
CHEMTREC: (800) 424-9300
Colorado River Fire Protection District: (970) 625-1243
j N I
Identification & Location Key
1. Wastewater Aboveground Tank (1500 gal)
2. Potable Water Aboveground Tank (3360 gal) 3. Potable Toilets 4. Wildlife-proof Dumpster 5. Directional Living Quarters 6. Mud Engineer Living Quarters
7. Driller's Office/Housing 8. MWD Office 9. Company Man Living Quarters 9a. Directional Office 10. Shed 11. Change House 12. Flare Unit
Notes: The well pad site is located in Lot 3 & Lot 4 of Section 13, T7S, R94W, 6th P.M.
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 six individual trailer houses located on the well pad. Trailer houses have Colorado Division of Housing compliance tags.
Aboveground sewage holding tanks with aggregate storage of 7500 gallons capacity are onsite. Sewage flows estimated to be 600 gallons per day (8 individuals x 75 gpcd). Sewage holding tanks need to be emptied approximately every 13 days (7500 gal / 600 gpd). Wastewater vaults equipped with overflow alarm devices. Terra utilizes the services of a licensed contractor to remove and haul the wastewater to a state-certified treatment/disposal facility.
Potable aboveground water tanks with aggregate storage of 6720 gallons capacity are onsite. Potable water demand is estimated to be 600 gallons/day (8 individuals/75 gpcd). Required minimum fire suppression demand is 2500 gallons. 10,000 gallons of water are stored on site for fire suppression activities. 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 by Uintah Engineering & Land Surveying. Site features including housing trailers, water and wastewater tanks, potable toilets and dumpsters were field located. Please note that this is a construction site and the locations of drill equipment and other items are subject to change.
Factory-built housing structures (living quarters) have a minimum separation distance of 20 feet.
SOUTH LEVERICH 13-09 PAD
SITE PLAN
Garfle/d Count.Yi Co/orodo
Temporary
Empolyee Housing
Applicant: TEP Rocky Mountan LLC
Date: May 26, 2023 Drafted: J.I. Checked: S. W.
Verision: 001
UELS,LLC
Corporate Office * 85 South 200 East Vernal, UT 84078 * (435) 789-1017
� UINTA.H ENGINEERING & LAND SURVEYING
From:Kaylee McIntosh
To:"orrin.moon@crfr.us"
Cc:Tyler Gillam; Kyle Kohl; Dustin Childers; Laura Lancaster; Kevin McDermott; Delbert D. Dowling; Shawn Brennan;
Mike Gardner (MGardner@terraep.com); Bryan Hotard
Subject:Terra Energy Partners ***South Leverich 13-09 Pad*** Rig Move On Notification
Date:Friday, May 26, 2023 13:31:00
Attachments:image001.png
South Leverich 13-09 Pad_Rig Move Notice_Emergency Response_20230526.pdf
Greetings,
This notification is in accordance with Garfield County Community Development to inform you of the
small temporary employee housing located on the South Leverich 13-09 pad (Sec 13 – T7S R94W).
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
155 days (10/27/23). 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 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:cbornholdt@garcosheriff.com; smithc@garco911.com
Cc:Tyler Gillam; Kyle Kohl; Dustin Childers; Laura Lancaster; Kevin McDermott; Delbert D. Dowling; Shawn Brennan;
Mike Gardner (MGardner@terraep.com); Bryan Hotard
Subject:Terra Energy Partners ***South Leverich 13-09 Pad*** Rig Move On Notification
Date:Friday, May 26, 2023 13:30:00
Attachments:image001.png
South Leverich 13-09 Pad_Rig Move Notice_Emergency Response_20230526.pdf
Greetings,
This notification is in accordance with Garfield County Community Development to inform you of the
small temporary employee housing located on the South Leverich 13-09 pad (Sec 13 – T7S R94W).
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
155 days (10/27/23). 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 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