HomeMy WebLinkAbout1.00 ApplicationGarfteld County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81501
(970194s-82t2
www. ga rfi eld-cou ntv.com
SMALL TEMPORARY
EMPTOYEE 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. ln 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. 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:Chevron USA lnc / TEP Rockv Mountain,LLC Phone: (-)
PO BoxMailing Address:
City:Houston State: TX Zip Code:77n,n,1
E-mail:
Operator's Compliance Offi cer
Name Kavlee Mclntosh TEP Rocky Mountain, LLC Phone: ( 970 )623-9452
PO Box 370Mailing Address
City:Parachute State: CO Zip Code: 81635
E-mail Kme nfos hd)terraen eom
PROJECT NAME AND LOCATION
Location of Housing Site (Section/Township/Range): S 28 r5S__ R e7w
Well Pad Number:TR 32-28-597 Pad Assessol's Parcel Number 2137-153-00-009
Zone District Maximum Number of Permitted Occupa nts: 8
Number of Days the Facility will be at Location:125
State or Federal Permitting Agency Overseeing Reclamation, Restoration and Revegetation (Name):
(Name): (Relevant Permit Number):
Date of lnstallation:Date of Removal:
Phone Number:
Phone Number:24-Hour Emergency Contact (2): Dustin Welsh
24-Hour Emergency Contact (1):
970-216-4556
ELIGBILITY
During times of h ousing shortage or in remote locations, the use of Factory Built Nonresidential
Structures (as defined under C.R,S. $ 24-32-330L, 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:
res
t. The small Facility and arry 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 permitti ng agency (Permitted Site); and
2. The Small Facility is iocated 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 com removed; and
3. The Small Facility shall have an occupancy of 8 or fewer people who are Yesemployees, contractors, or subcontractors of the operator of the small facility
and are needed for on-site safety of the related commercial, industrial,
extra or hig rationo
SUBMITTAL REQUIREMENTS.
Yes
Yes
The application submitted to the County shall contain the fo!lowing inforrnation:
L. 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 Fae ility; 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 af I"=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, Rearest Garfield County Sheriff's Office dispateh
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 eomply 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 supp lied to a site is from a wastewater is
3.
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 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,
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
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.
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.
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.
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 activities:
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 irements of this section.
4
5
5.
7.
BUILDING INFORMATION (per unit|
Unit 1
Make:Serial Number/Unit 1D #:
Advanced Modular AJHV-7457-5524t19725
Division of Housing Insignia (provide copy)Square feet of unit:
910
Unit 2
Make:Serial Number/Unit lD #:
Advancerl Mudular MBV- t465-4516/24385
Division of Housing lnsignia (provide copy)Square feet of unit:
910
Unit 3
Make:Serial Number/Unit tO #:
Advanced Modular AJEV 1234 3302/15818
|.li..iai^^ ^f lJ^..-i-^ l--i--i^ r^-^..:J^ -^-.,1srurJrsrr sr rrvuJrrrS rrrttErttrq [Plwutut lvl,y,Square feet of unit:
300
OWTS PERMIT
Permit #: SEPT-9085
I hereby attest that I am the designated Compliance Officer for the aforementioned Small Temporary
Emplovee llousing Faeility. 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.
A 3t12t2025
Signature of Compliance Officer Date
I hereby attest that I am a Licensed Professiona! Engineer in the State of Colorado and that ! 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.
OFFICIAL USE ONLY
PE Certification Nu mber:
52113
Date of lnspection
March 10,2025
Name and Title:
Sterling Walker, P.E I
PE Stamp
t-u\
Signature
Fi r;NilG''$tLS Fee Paid: $
Serial Number/Unit lD f :
RM200329t22497
BUIIDING INFORMATION (Per unitl
Unit 4
Make:
DRT Welding & Fabricalion
Square feet of unit:
690
Division of Housing Insignia (provide copy)
Serial Number/Unit lD #:
Square feet of unit:
Serial Number/Unit lD #:
Division of Housing lnsignia (provide copy)
Unit 6
Make:
Square feet of unit:Division of Housing lnsignia (provide copy)
Unit 5
Make:
OWTS PERMIT
Permit #: SEPT-9085
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.
/L 3t12t2025
Signature of Compliance Officer Date
I hereby attest that I am a Licensed Professional Engineer in the Staie 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.
OFFICIAL USE ONLY
PE Certification Number
52113
PE Stamp
Date of lnspection
March 10,2025
Name and Title:
Sterling Walker, P.E i ,t
Signatu re I
f,-,
tI
File Number: $oIsJ Fee Paid: $ SO.OO
,t{\IJINTAH
85 South 2fi) East
Vemal, Lnah &4078
O: ,135.789.1017.
Ii ,135.789-1813
wiu/lr.uinlahgroup.com
TR 32-28-597 Support Pad - SmallTemporary Employee Housing
Terra Energy Partners
Section 28, T5S, R97W, 6th P.M.
Sterling Walker, P.E.
March tL,2025
lnspection Report for:
Prepared for:
Location:
Conducted By:
Date Conducted:
Paragraph
Reference
Article 7-707 Land Use and Development Code (7/75/t3l
Characteristic or Standard Description Inspection Comments
Not subject to visual inspection and certification by third party
Professional Engineer.
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.
B. Generallnformationrequirements Not subject to visual inspection and certification by third party
Professional Engineer.
c.Small Facllltles shall comply wlth all appllcable 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 lD. AJHV-7457-5524 with Certification
No. 19725 manufactured by Advanced Modular Manufacturing in
2008; Directional Drilling Living Quarters, Unit lD. AABV-L465-
45L6 with Certification No. 24385 manufactured by Advanced
Modular in 2011; Driller's trailer, Unit lD. AiEV-1234-3302 with
Certitication No. 15818 manutactured by Advanced Modular in
2005; Rig Manager Housing, Unit lD. RM200329 with Certification
No.22497 manufactured by DBT 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, as
defined by the Colorado Department of Public Health &
Environment - WQCC Regulation No. 11. lt is not subject to State
permitting requirements. Two potable water tanks with a
capacity of approximately 3360 gallon each and equipped with
water meters were located at the permitted site.
I
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. Three 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 7
days (4500 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. lndividual 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 RecreationalVehicle 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 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 .7O7 of the Land Use and
Development Code $/a/n), as amended, that are subject to
visual inspection.
2
Professional Engineer's Attestation
I hereby ottest 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, os installed, ond, based on
information from that inspection I certify thot the Small Facility complies with the standards, subject to ond
limited to visual inspection items os identified obove; set forth in Article 7-707 of the Land Use and
Development Code (Effective 1/5/23), for Gorfield County, Colorado.
PE Certification Number: No. 52113 (Colorado)PE Stamp
Date of lnspection:March L0,2025
Print Name and Title:Sterling Walker, P.E.
Signature:t1",4 u{r/-
aJ
TEP Rocky Mountain LLC rEiRTR 32-28-597 WELL PAD SITE PLAN
Notes:
ttre rett pod site is locoted in the SW1/4 of the NE 1/4of Section 28, T5S, R97W,6th P.M.
The site will tempororiiy house ond hove office spoce for
up to o moximum of eighl individuols during noturol gos
drilling octivities ond is expecled to be completed in one
)€o. or less. The individ.ols will occupy three individuol
troiler houses locoted on the well pod. Troiler houses hove
Colorodo Division of Housing complionce togs.
Aboveground sewoge holdinq tonks wifh oggregote storogeof 4500 gol ons copocity ore onsite. Sewoge flows
estimoted to be 600 gollors per doy (8 individJols x 75
gpcd), Sewoge holdinq tonks need to be emplied
opproximotely every 7 doys (4500 qol ,/ 600 qpd).
Wostewoter voulls equipped with overflow olorm devices.
Terro ulilizes the services of o licensed controctor lo
remove ond houl the wostewoler to o stote-certified
treotment/disposol focility.
Potoble oboveqround woter tonks wilh ogqregote storoqeof 6720 qollons copocity ore onsite. Pot-ob'e-woter deriond
is esJinoled to be 600-gollons/doy (8 individ"ols/75
gpcd). Required rlnhuq {ire suppression demond is 2500
gollons, 10,000 gollo"s ol woter ore stored onsile for fire
suppression octivities. Dry hydronts ond wqter meters were
on potoble woter tonks.
Rood occess to the site is mointoined yeor-round through
the services of privote rood mointenonce ond construciion
controctors.
Bose mopping by Uintoh Engineering & [ond Survefng.
Site feotures includina housinq troilers, woter ond
wostewoter tonks, potoble toilets ond oumpsters were feld
locoted. Pleose note thot this is o construction sile ond
the locotio.s of drill equipment ond other items ore
subject to chonge.
Foclory-ouilt housinq structures (livinq quorters) hove o
minimum seporotion distonce of 20 feet.
TR32-28-597 WELL PAD
SITE PLAN
ffitu1'M
T.mpgnry
EmploF6 Hourirg
,t*al. EMttuffiUC
Dota Morch 11, 2025
Droft.d: S.G.r Ch€cked: S.W.
UELS, LLC
Co.!!r.tu Ofr(e'85 Soutr200 f,ast
vern.r, rlT 84078' (435) ?Er-ro17 UI($\H
It-=\I Existing
I Access Rood
t_t_/6 -.l
EE
:_ _t
t.._
l
I
N
I
/ l.-.'.--r**,,0
I t
Access Rood
I
,i
Emergency Contact List
24 Hour Riq Site Soteltite Phoner (970) 696-1949
Drllllng & completlons $pdlntendentDuslln w.sh (970) 216-4556
Ope6lions ilonoger: Ky€ Kohl (970) 250-7593 Ce[
SoLty Louro crbson (970) 6#-1259 C.ll
Spill Responsc: Mir! eordner (970) 62Fs75 cdr
EP Moin olfice Ansf,ding S.rvic.: (970) 28s-9J77
&rfidd County Dbpotch: (970) 625-8095
St. Mory'B csreniqht Helicopts: (970) 332-4923
Polen contrd Botttne: (No\ 222-1222
CHEMnEC: (EoO) 424-9J00
De Beque Flre Prot€dlon Dlsuct: (970)283-8632
Identification & location Kev
1. kst6,ot6r Abovqround Tonk (1500 9oD2. Potobls woter Abowground Tonk (J360 9ol)
4. Wldllfe-proof Dumpster5. Llvlng Ouodss6. Offfce
GUCLH ROAD
WELL PAD
96
.1 .
fa
Directions to Site:
BEONNTNG AT nE qry OF PARACHUE EX|T (EX|T 75) HEAD NORff ON CilNn ROAD 215
APPROXMATELY 7.28 MILES, ruRN LEFT (WEs' ONTO GARDEN GULCH ROAD (LEASE ROAD) AND
PRWEED APPROXIMAELY 6.17 MILES TO THE Y INTERSECTION WB BE GARDEN GULCH ROAD
EXENSIS ROAD (LEASE ROAD). PROCEED NORNERLY NORBESERLY AND THEN WEffiRLY
FOR APPROXIMAELY 12.52 MILES TO THE Y IN BE GRAWL ROAD (LEASE ROAD), TURN RIGHTd AE SAEL LEASE ROAD IN A NORffffiSERLY DIRECION FOR APPROX]VAELY 4.23 MIES
TO ffE INERSECNON AT THE TOP OF BUCK RIDGE NEAR BE TR J4-]6*597 PAD. TURN LETTil frE MAEL LEN€ ROAD IN A $UftERLY DIRECTION FOR APPROXIMAELY 1.55 MILES MfrE R J2-2a-597 PAD.
f\
:r""Y
'(
b
--g
f,
c
f"fi\;'j
h.n'
n
ra*'
iraF
STATE OF COLORADO
f''ANUFACTUFER CERTtFI=S THE FOLLOWTNG
-
EErEcrRrcA!
EpluMBrNG
Eaur,-orxc
TI{IS INSIGNIA IS THE PROPERTY OF THE
CERTIFIc,q'roN rro. FaNR
NAI'IE
oF HOUSttuc
H F c o r.' p L r Es w,tRtifrffffifrlE"urr_r
RDS OF THE STATE C,E COL9EADORUCTION S*ANO^
TFIS {ONR:SIOENTIAL STFUCTU
DlVtStOtrl
NON'BESIDENTIAL CONST
OATE BUILT
UIr,lT lDt
PSF
IIIPH
PSF
HR
HR
ROOF DESIGX LOA!
YIIN! $PEEO
FLOOR OESIGN LOAD
OCC UPANCY
FIRE RATINO EXIERIOq WALLS
FIRE RATIITG CEILITIC
MAt€JFACTURER(S).
PLAH APPROVAL ]IO-
f
Kaylee Mclntosh
From:
Sent:
To:
Cc:
Subject:
Attachments:
Kaylee Mclntosh
Wednesday, March 12, 2025 14:10
'cbornholdt@garcosheriff.com'; 'smithc@garco91 1.com'; firechief@debequefire.org
Tyler Gillam; Kyle Kohl; Dustin Welsh; Laura Gibson; Mike Gardner; Bryan Hotard
TEP Rocky Mountain, LLC ***TR 32-28-597 Pad*** STEH Notification
TR 32-28-597 Pad - STEH Permit Application (03-12-2025) [Submitted].pdf
Greetings,
This notification is in accordance with Garfield County Community Development to inform you of the small temporary
employee housing located on the TR 32-28-597 drilling pad (Sec 28 - T5S R97W). Please see the attached STEH
Application which includes emergency response information, site layout and directions to location.
Location Coordinates
Lat it u de : 39.587 13 4 6 Lo ngitu d e : - LO8.282023 4
TEP Rocky Mountain LLC will soon commence drilling operations that will continue for approximately L25 days
(7 /t4/2O25). 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 lSr. Englneering Specialist;TEP Rocky Mountain LLC l!018 JsunU Sqall-215_lParaqhute-CO 81635
Tsryml
1