HomeMy WebLinkAbout1.00 ApplicationGarfield County
Community Development Department
108 8tn street, Suite 401
Glenwood Springs, CO 81601
l970le4s-8212
www. garfi eld-cou ntv.com
SMATL 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 Itilorrntain llC Phone:
Mailing Address:PO Box 285
City:Houston state: TX Zip Code:770,0-1
E-mail
Operator's Compliance Offi cer
Name:Kavlee Mclntosh TEP Rockv Mountain, LLC Phone:1 970 1
623-9452
Mailing Address: PO Box 370
City:Parachute state: co zip Code:81635
E-mail Kmnintnc,htA)m
PROJECT NAME AND LOCATION
Location of Housing Site (Section/Township/Range): S 28 T55 Rizl^t_
Wel tpad Numben TR 34-16-597 Pad Assessoy'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 Removal:Date of lnstallation:
24-Hour Emergency Contact (1):
24-Hour Emergency Contact (2):
Phone Number:
Phone Number:
tn
Dustin Welsh 970-216-4556
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 L year or as othenruise specified, for workers
wlto are engaged irt cotttrttelcial, ilrdusLrial, rlrirreral exIractiurr, ur lriglrway uperaIiults arrrl wlru ale
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:
Com Y
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
Yes
with the itti Permitted Site); 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,
Yes
extraction, or h n.
SUBMITTAL MENTS.
The application submitted to the County shall contain the following information:
t. 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 t"=2OOO' or
equivalent, with a topography depicted at a minimum of 40' interuals.
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 Sheriff's Office dispatch
location and responsible fire district headquarters to each Small Facility, along each roadway.
h
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 com removed; and
L. Small Facilities sha!! cornp!.r, with a!! applicable Federal, State (i.e. Building Codes and electrica!
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 su ed to a site is from an roved source and that wastewater is
STANDARDS
BUILDING INFORMATION (per unit)
OWTS PERMIT
I hereby attest that I am the designated Compliance Officer for the aforementioned SmallTemporary
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 State of Colorado and that I have
conducted a visual inspection of the installed Small Temporary Housing Facility identified in this
apptication. 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.
OFFICIAT USE ONIY
Serial Number/Unit lD #:
30-3322t20535Ameri@n
Unit 1
Make:
Square feet of unit:
910
Division of Housing lnsignia (provide copy)
Unit 2
Serial Number/Unit lD #:
31 -1 00 1 50/201 56
Make:
Ameican Building Systems
Square feet of unit:Division of Housing Insignia (provide copy)
Serial Number/Unit lD #:
Advanced Modular A}.JV-1465-4213t23726
840
Unit 3
Make:
Square feet of unit:
9'10
Division of Housing Insignia (provide copy)
Permit #:
SEPT-9084
PE Certification Num ber:
52113
Date of lnspection
3t10t2025
PE Stamp
E:J
s0
.A 5 2
Name and Title:
Sterling Wal$er;f .E. /./ li
trSignature
File Num Fee Paid: $_
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
corrtanrinaLiun llrusI be discluserl tu tJre Cuunty Public HealtJr DeparLlrrelrl..
lll. Wotcr systcms facilities permitted by the CDt'llE 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 Onerator can demonstrate and clrarantFp an a!.rAncFment fnr harrling sr\ r2np.v ! r. vb!,
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 requesu
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 by the 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 Faeility 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:
4.
5
6
7
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 uirements of this section.
,t{ttTJINTAH
85 South 200 East
Vernal, Utah 84078
o: 435.789.1017.
x:435.789.1813
www. uintahgroup.com
TR 34-16-597 Support Pad - SmallTemporary Employee Housing
Terra Energy Partners
Section 16, T5S, R97W, 6th P.M.
Sterling Walker, P.E.
March LL,2025
Etotna€qtf,c r rai! 3uivEYllo
lnspection Report for:
Prepared for:
Location:
Conducted By:
Date Conducted:
Paragraph ArticleT-707 Land Use and Development Code (7/I5lBl
Reference CharacteristicorStandardDescription
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.
Inspection Comments
Not subject to visual inspection and certification by third party
Professional Engineer.
B. Generallnformationrequirements Not subject to visual inspection and certification by third parW
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 Rig Crew
trailer, Unit lD. 30-3322 with Certification No. 20535
manufactured by American Building System in 2008; Crew Rig
trailer, Unit lD. 31-100150 with Certification No. 20156
manufactured by American Building System in 2008; Terra trailer,
Unit lD. AAJV-1465-4213 with Certification No. 23726
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 7-705.8.
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. LL. 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.
1
E.Wastewater systems shall comply with standards set forth in
section 7-705.C.
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.
Wastewater disposal at the permitted site will be a vault-and-haul
system. Four 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 10
days (6000 gallons / 600 gallons per day). Wastewater vaults
equipped with overflow alarm device.
Site appeared to be maintained in clean, safe and sanitary
condition, free of weeds and refuse.
F.
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 offire 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.
Domestic animals are prohibited No domestic animals observed on-site
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
thir saction.
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 lhe Land Use and
Development Code (I/a/B), as amended, that are subject to
visual inspcction.
2
Professional Engineer's Attestation
t hereby attest that I am a Licensed Professional Engineer in the State of Colorado. I ottest that I or my agent
have conducted a visuol inspection of the Smoll Focility identified in this Checklist, as instolled, and, based on
information from thot inspection I certify that the Small Facility complies with the standards, subiect to ond
limited to visual inspection items as identified obove; set forth in Article 7-707 of the Land Use ond
Development Code (Effective 1/5/23), for Garfield County, Colorado.
PE Certification Number: No. 5211-3 (Colorado)PE Stamp
Date of lnspection:MARCH LO,2025
Print Name and Title:Sterling Walker, P.E
Signature:tl-/t
J
TEP Rocky Mountain LLC TEiRPTR 34.16.597 SUP?ORT PAD SITE PLANI
Notes:
Ttre well pod site is locoted ir te Swl/4 of the SE 1/4
o'Seclion 16. T5S, R97W.6th P.M.
The site will temporori.y fbuse ond hove office spoce for
up to o moximLm of eigft indivduols during loturol gos
drillinq oclivities ond is e>pected to be completed in one
veor 6r less. The individ-cls will occuov three indivduol
troiler houses l@oted on lhe wdl poil. T'oier houses hove
Colorodo Divisior of Housi-9 complionce togs.
Aboveqround sewoqe holci-g torks with oggregote storogeof 6000 oollons cdoocitv :re orsite. Sewoo: flows
estimoled to be 600 gdl c'ns pe- doy (8 iridrviduols x 75
gpcd). Sewoge l-olding tcrks neEd to be.enptied
opproximotely every 10 dqys (6000 9ol / 600 gpd).
Wostewoter voults eqJ ppea with over{low olorm devices.
Terro ulilizes the services of o I censed controctor lo
remove ond houl the wcslewote- to o slote-certi{ied
treotment,/disposol focilit).
Potoble oboveqround wot- tonk: wiih oggregote storogeof 6720 oolrons cooocitv :re orsite. Potob 3 woter demond
is estimo{ed to be 600-q:llons/'loy (8 indiJidJols/75
qpcd). Required minimJr- =ire suppression cemond is 2500
qollons. 10,000 lollons of woter ore stored orsite for fire
Suppression octiiities. Dr7 hydro-ts ond woter melers were
on potoble wote. tonks.
Rood occess to the site k mointoined yeor-rtund through
the services of )rivote rood montenonce ond conslruction
controctors.
Bose mopping by Uintoh Erginec"jng & Lond Surveying.
Site feotures inCludi.q holslnq 'roilers, doter ond
wosteworer tonks, po{oble toiiets ond dumpsters we.e field
locoled. Pleose lote thcl [his is o construction site ond
the locotions of drill eq! pment ond other items ore
subject to chonge.
Foctory-buill hes:ng stMtures (living quorte's) hcve o
minimum seporqtion distorce of 20 feet.
TR 34-16-597 SUPPDRT PAD
SITE PLAN
t!Eponry
EEploFc liouhS
A#tc PMtbffiUC
Dot.: Morch 11. 2025
D.diicd: S-C.T. Ch.ck.d: S.B
UELS. LLC
coipo..a€ ofr ce' 85 Soufr 2m, rxt
Verhol. UT 8407E '(435) 789-ld:'urffi.H
34-I6-597 STIPPORT P.4.
(rP.)
I
9t7 IDrire Over
o
*)/
I )(rm.)st'.t\LJ= -:--\ r[\ --/l |Lxtsrng\l ' \'^r2:**
t t \Exislinq
I I Catlte Grard
-_*-^ ---
->' ;x-!--- -Eri"tirg
I
N
I
Emergency Contact List Identification & Iocation Key
1. wost.woid Aboqround Tonk (S0 9ol)2. Potobl. {otd Abo€ground Tonk (5S0 9ol)
24 Hour R:g sit€ sotcllito Phone (970) 698-1949
Ddlllng & Compl.tlon3 $podnt.ndmtDustln wcl* (970) 215-1556
Compl.tlons vonoqer: Kye Kohl (970) 250-75SJ Coll
SfctI Lou.o Glb$o (970) 644-12ss C.ll
spill Response: Mike Gordncr (970) 62F1875 Cdl
J
5
6
7
E
9
10.
1r,
TEP Moin olfice AB'ering Scrv'ca (970) 28s-9377
Gorfield Cou^ty Dispotch: (970) 62s-E095
St. Mory's Corcnight H"li@pts: (970) 332-4923
Polson Control Hotlket (4O, 222-1222
oHEMnEC: (EOO) 424-9300
De BequeFL. Prot.ctlon Drslrlct: (97o) 283-8632
Wldlife-tr@f Dumpster
Living tuoders
ECD
Coner noiler Pump
Directions to Site:
BEGINnING AT BE qW OF P^RACHm EXT (EXIT 75) HEAD NORB !N COUNil ROAD 215
APPRCXMAELY 7,28 ilIfs, DRN LEFT (*ffi) oNTo GASI}EN GULCH RoAD (LEASE RoAD) AND
PRffiD APPROXIMAELY 6.1; ilI[S TO ffE Y INERSEfiON SB TIE GARDEN GULCH ROAO
EXEN]il ROAD (LEASE ROAD). PRCCEED NffiNERLY NORNMSELY, AND THEN ESTERLY
FOR PPROXIMAELY 12.62 MILES TO NE Y N THE GRAE- ROAD (LEASE ROAD). ruRN RIGHT
il ru ffiAWL LEASE ROAD IN A rcRfrMSERLY DIRECI]ON FOR PPROXIMAELY 4.23 MIIS
TO fr: INTERSECION AT BE TOP f BUCr RIDGE NEAR BE TR 3.-16-597 PAD. :URN R|GHT
TO G$ rc THE TR J4_15_59 PAD.
TIIIS INSICNIA IS TTIE PROPERTY OF THE
STATE OF COLORADO
TIIIS T{OI{RESIDEiITIAL STFUCTUFE COSPLISS WITH THE FA9TORY 8U'I.T
ROINESIDEilTIAL CONSIRUCTIOiI STAT{DARDS OF THE STAT€ OF COLOFAOO
IIANUFACTURER CEHTIFIES THE FOLLOWING;
qaoF Dc8lai toAD
DIVISION OF HOUSING
utt? tla
P3f
HPII
P6F
HN
Hi
Hf,
tiqo g?3rn
A
w,
$aHustclwHii
-rr:ry
c€FlnFhlTlor{ xo. FBilB
!TIE BInl
FLAN
nocnorrur.ib ..-.
F,Ri Rr?E Er.Ehl{ti XITT!
nn: ialllo Ftooe
:,i.:_ nq!:l* c8[hc
flEcllafilc.0r
€r,iEct*tc{t
FlUra8trtc
SUtLDr*c
ldECl'{AliiCitL
-. :,T;JRER CEBTIFIES THE FOLLOWING
P5F
:;.r
hfl
ll tl.mE
FAilIBCER'IFICATION NO'
G
n ccLo'?A! c
&Y BUILT
ADO
'itla
97wfiH lHE ?hcio
lAe
OLOR
piaclPEi4TY OF
USING
DS OF THA
PLIgS
OF HO
Ru6TURE coln
iiit:lt"lllA l$ IllE
STAN DAF
ffioF
I.JS?R UCTI ON
r.:;liTiiL sT
fvlslor{
' -:. i: .i-llL co
nf
J4 I
UNIT ID{
'., Yp.t':*il"'tzt:;;
',
THIS INSIGNIA IS THE PROPEBTYOF T},E
STATE OF COLORADO
THIS NONRESIOE}ITlAL STRUCTURE COI{PLIES WITH THE FACTORY AU'LT
NONRESIOET.ITIAL CONSTRbCTTOT STANDART}S OF rHE S'.A'E OF COLOBAOO
I,ttANUFA,CTUBER CERTIFI ES THE FOLLOV/ING :
DIVISION OF HOUSTNG
riAlluf rctuRER(sT XAWTE
ufltr rD$tr-slt AP9RO\|
CERTFICA'ION IIO. FBilRba.rEt\llL.t
HR
HR
PSF
MPH
PSf
RSF BESTG$LOAb
YIT$D SPEID
fLOOR DESTGH Lt}AT'
occugaHcY
rrR€ RAlrrG arERlo{t
fwulxqeEtuxc
-M',cua*ea,-
-ELEct",eL
-PL.r#a,x6
-outr".t*c
i_
Kaylee Mclntosh
From:
Sent:
To:
Cc:
Subject:
Attachments:
Kaylee Mclntosh
Wednesday, March 12, 202514:10
'cborrrlroldt@garcoslreriff.conr'; 'srrritlrc@garcu911.cottt'; 'firechief@debequefire.org'
Tyler Gillam; l(yle l(ohl; Dr.rstin WFlsh; lnttrn fiihsnn; Mike finrdner; Bryan Hntnrd
TEP Rocky Mountain, LLC ***TR 34-16-597 Pad**'i STEH Notification
TR 34-16-597 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 34-16-597 pad (Sec 16 - T5S R97W). ). Please see the attached STEH Application
which includes emergency response information, site layout and directions to location.
Location Coordinates
Latitude: 39. 60941 Longitude : -L08.27 925
TEP Rocky Mountain LLC will soon commence drilling operations that will continue for approximately 125 days
(71t412025). 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 lSr. Engineering Specialist ITEP Rocky Mountain LLC i 1058 County_Road 215 I Parachute. CO 81635
E (Ofiice) e70.26J.2731 14 (Mobiie) e7u.623.e452 r,r kmcintosh(aterraep.com
TE B"R