HomeMy WebLinkAboutSTEH-7266.pdf) r , CJ 7 -o'3A GARFIELD COUNTY Building and Planning Department 108 8th Street, Suite 401 RECEIVED Glenwood Springs, Colorado 81601 IAAY 1 7 20 /2 Telephone: (970) 945-8212 Facsimile:
(970) 384-3470 www.garfield-county.com GARFIELD COUNTY BUIWING & PLANNING -:71 ~I-\--'5 -I;;L. -I;;;' Ie, t.c, Small Temporary Employee Housing Administrative Checklist GENERAL INFORMATION
-Submit 1 paper & 1 CD copy olthe completed applicalion 10 Planning Depanmenl wfln 48 hours following occupation (To be completed by the Small Facility Operator-e.g. well pad operator)
. . . .. Well Pad Number: 797-03A SectlonfTownshlp/Range Location of HOUSing Site: Tct 71 Seclion 3 T7S R97W 6th PM Tax Parcel Number for Parcel Containing Housing Site: 241110100015
GPS and/or Lat-Long Coordinates of Housing Facility Site (Often included in APD): 39.479610 -108.202060 Zone District: RL: Genlle Slopes I Maximum Number of Occupants at Permitted Site
(e.g. well pad): 8 Cumulative Amount of Time (in Days) The Facility Will be at Location: less than 365 days State or Federal Permitting Agency Overseeing Reclamation, Restoration and
Revegetation and Relevant Permit Number: COGCC Localion ID# 427315 Date of Installation: 5/15/2012 I Date of Removal: 8/112012 Name of Landowner: Shell Fronlier Oil and Gas Street Address:
Telephone: Email: 4582 S. Ulsler SI. Room 503. craig_richardson@oxy.cp 970-263-3668 m City: Denver State: CO Zip Code: 80237 Name of Operator's Compliance Officer: Craig Richardson Street
Address: Telephone: Email: 760 Horizon Drive. Suite 101 970.2633668 praig_richardson@oxy.cc m City: Grand Junction State: CO Zip Code: 81506 Company 24-Hour Emergency Contact: Alonzo
Hernandez I Phone Number: 970.985.60p 5 This Administrative Checklist must be received by the Garfield County Planning Department within 48 hours following occuQancl!: of the Small Facilitl!:.
A copy of this completed Administrative Checklist and all associated submittals shall be delivered to the Garfield County Sheriffs Office and relevant Fire Protection District (if applicable)
within 48 hours following occupancy of the Small Facility. Additionally, the Garfield County Sheriff's Office and relevant Fire Protection District (if applicable) must be notified in
writing (return receipt) or verified email (return receipt) within 48 hours following removal of the Small Facility. It is the Operator's responsibility to confirm and obtain verification
that the Administrative Checklist has been received by the Sheriff's Office and Fire Protection District.
Fire Suppression Requirements (Per Performance Standard Ll "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: 2,500 gallons A. Outline of Process.
The Small Temporary Housing Facility(ies) Review process shall consist of the following procedures as more fully outlined in Section 4-109 of Article IV of the Unified Land Use Resolution
of 2008. 1. Application to relevant protection districts and the Garfield County Sheriffs Office. 2. Application to the County B. Review Process. Prior to submittal of any forms to the
Planning Department, the applicant shall submit all documents to the relevant fire protection district(s) and the Garfield County Sheriffs Office. All forms shall be accurately completed,
signed, dated and submitted to the Garfield County Planning Department within 48 hours following occupation of the Small Facility. C. Submittal Requirements. The application submitted
to the County shall contain the following information: i. 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.
ii. 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. (See Section 4-502 (C )(3) for site plan definition) iii. 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 Sheriffs Office dispatch location and responsible fire district headquarters to each Small Facility, along
each roadway. iv. Name, address and phone number of surface owner of the subject lot. v. Name, address and phone number, including a 24-hour emergency response number of at least two
persons responsible for Operator's emergency field operations; contact numbers for local hospitals, emergency response, fire protection 2
RECEIPT Fee Name Small Temporary Employee HOl ~vv I '---;l Date Pay Type 05/17/2012 Credit Card Thursday, May 17, 2012 Garfield County 108 8th Street Suite 401 Glenwood Springs, CO 81601-Phone:
(970)945-8212 Fax: (970)384-3470 Invoice Number: INV-5-12-21888 Invoice Date: 17/2012 12:00:00AM Plan Case: mall Temporary Employee Ho Fee Type Fee Amount Fixed $50.00 Total Fees Due:
$50.00 Check Number Amount Paid Change -1 $50.00 $0.00 I Total Paid: $50.00 I Total Due: $0.00 I
printReceipt ) SALE REF NUM: 213822418836 MASTERCARD ************9355 INV NUM: STEH-5-12-7266 DATE: 5/17/2012 AUTH NO: 017052 AVS: Y PO NUMBER: TOTAL: BLDG & Planning GWD 108 8th Street
Suite 401 Glenwood Springs, CO 81601 MERCHANT # 941000097881 Customer #: CRichardson Customer Name: Craig Richardson EXP.: **** TIME: 4:37:22 PM CVV: Tax: $ 50.00 CUSTOMER ACKNOWLEDGES
RECEIPT OF GOODS AND/OR SERVICES IN THE AMOUNT OF THE TOTAL SHOWN HEREON AND AGREES TO PERFORM THE OBLIGATIONS SET FORTH 8Y THE CUSTOMERS AGREEMENT WITH THE ISSUER. https:/Iwww.payeverywhere.com/T
ransactioniprintRecei pt.aspx ?transactionID= 18595083 Page 1 of 1 SIl7/2012
districts, Garfield County Sheriffs Office, Life/Care Flight, and applicable regulatory agencies; site safety/evacuation plan; and any other written response plan for potential emergencies
at the Permitted Site. vi. Identification of the anticipated dates of installation and removal of the Small Facility. The site plan shall include a notation of the total cumulative length
of time (number of days) that the Small Facility will be installed at the Permitted Site. ELIGIBILITY Requirement (Section 7-808 (0)(3) -All Requirements Applicant Planning Must be Satisfied
to be Eligible as a Small Facility Department Complies (YIN) Complies (YIN) The Small Facility and any associated infrastructure must be completely contained within a state or federally
permitted parcel (such as a Colorado Oil and Gas Conservation Commission (COGCC) approved oil/gas x well pad) in which reclamation and revegetation are secured with the permitting agency
(Permitted Site); and, The Small Facility is located at the Permitted Site for less than a cumulative of one (1) year and at the end of the utilization period, all structures, foundations
and x associated infrastructure are completely removed; and, The Small Facility shall have an occupancy of eight (8) or fewer people within a Permitted Site (e.g. well pad) who are employees,
contractors or sub-contractors of the operator of the small facility and are needed for onsite safety of the related commercial, industrial, extraction or highway operation. x Temporary
employee housing facilities that do not have the three characteristics listed above, or consist wholly or in part of Recreational Vehicles as defined above, are subject to the administrative
permit requirements or the Major Impact Permit process, standards and requirements contained in this document. 3
Building Information (Per Unit) . Unit 1 Make: ATCO Serial Number or Unit ID Number: 19042 Manufacture Year: 2008 Size of Unit (Square Feet): 754 Unit 2 . Make: ATCO Serial Number or
Unit ID Number: 23700 Manufacture Year: 2010 Size of Unit (Square Feet): 780 . Unit 3 '" ... . '. ' . . ". .. ' Make: Serial Number or Unit ID Number: Manufacture Year: Size of Unit
(Square Feet): . ..... Unit4 ... •• .' ' '., .. ' .. '. ". Make: Serial Number or Unit ID Number: Manufacture Year: Size of Unit (Square Feet): Unit5 Make: Serial Number or Unit ID Number:
Manufacture Year: Size of Unit (Square Feet): I . .' ISDS Permit . ISDS Permit Number: 2411 Signature .,?~era~'s Compliance Officer: ~ ( By signing this form, I verify that all information
provided in this checklist is correct and accurate to the best of my knowledge) Print Name: Craig Richardson Title: Senior Re9ulato~ Anal~st 4
Eligibility, Submittal and Performance Standards Certification Section 7-808(D)(3) -Small Temporary Employee Housing Facilities (Small Facility(ies)) in Article VII -Standards, requires
the that the following performance standards be met with each facility: Small Facilities, in the nature of Factory Built Nonresidential Structures [as defined under C.R.S. 24-32-3302(a))
but NOT recreational vehicles [as defined under C.R.S. 42-1-102 (61), including truck, truck tractor, motor home or camper trailer], may be utilized for housing of workers on projects
related to commercial, industrial, mineral extraction or highway operations, pursuant to the standards for Small Facilities contained in subsection (2), below. Such facilities are not
subject to Garfield County building and fire codes (building code, fire code). However, Small Facilities are subject to all pertinent state (i.e. electrical permits), federal permits
and relevant fire protection district(s) code requirements. Small Facilities shall have all of the following basic characteristics: A. The Small Facility and any associated infrastructure
must be completely contained within a state or federally permitted parcel (such as a Colorado Oil and Gas Conservation Commission (COGCC) approved oil/gas well pad) in which reclamation
and revegetation are secured with the permitting agency (Permitted Site); and, B. The Small Facility is located at the Permitted Site for less than a cumulative of one (1) year and at
the end of the utilization period, all structures, foundations and associated infrastructure are completely removed; and, C. The Small Facility shall have an occupancy of eight (8) or
fewer people who are employees, contractors or sub-contractors of the operator of the small facility and are needed for onsite safety of the related commercial, industrial, extraction
or highway operation. Temporary employee housing facilities that do not have the three characteristics listed above, or consist wholly or in part of Recreational Vehicles as defined
above, are subject to the administrative permit requirements or the Major Impact permit process, standards and requirements contained in this document. The Small Facility shall adhere
to the following Standards: All required submittals (as outlined in (2), above) shall be submitted to the Planning Department within 48 hours following occupation of the Small Facility.
Enforcement shall be in accordance with this Resolution. The Small Facility shall demonstrate and certify compliance with the following standards: A. Small Facility must comply with
all applicable federal, state and local laws and regulations. B. The Small Facility shall NOT contain recreational vehicles as defined in Section 7-808 (D). 5
C. In no case shall unsafe water be used for drinking nor shall raw sewage or contaminated water be discharged on the ground surface. The operator shall conduct monthly tests (or quarterly
if an on-site disinfection system is installed) and maintain records of stored potable water samples specific for coli form bacteria. Any tests indicating coli form contamination must
be disclosed to the Garfield County Board of Health or designee within 72 hours from the time the contaminated water was tested. D. 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. E. At least one thirty (30) galion (4 cubic feet) wildlife-proof refuse container shall be provided for
each Factory Built Non-Residential Structure unit. Said container(s) must be durable, washable, non-absorbent metal or plastic with tight-fitting lids. F. Refuse shall be disposed of
weekly, at a minimum. Operators must keep appropriate records, to be provided to the County or any interested third party upon request, to demonstrate that refuse is collected in a timely
fashion and disposed of at a licensed facility. G. Outdoor food storage is prohibited. H. Factory Built Non-Residential Structures equipped by the manufacturer with a fire sprinkler
system, fire detection system, and/or alarm system shall be inspected, tested, and maintained in accordance with the requirements of the relevant fire protection district( s) and the
Colorado Division of Housing. I. Single-station carbon monoxide alarms shall be placed in each Factory Built NonResidential Structure. J. One (1) or more approved fire extinguisher(s)
of a type suitable for flammable liquids, combustible materials and electrical fires (Class ABC), or dry chemical, shall be located in each Factory Built Non-Residential Structure and
placed in accordance with applicable fire protection district and/or Colorado Division of Housing codes. K. Domestic animals are prohibited at all Small Facilities. L. 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 within each Permitted
Site for a Small Facility. M. The operator shall document all emergency situations requiring action by any government agency or fire protection district, in writing, and such documentation
shall be presented to the Planning Department within 24 hours of the occurrence. N. All required Access Permits shall be obtained from the Garfield County Road and Bridge Department
or the Colorado Department of Transportation. 6
O. The Garfield County Sheriff's Office and relevant fire protection district(s) shall be notified and provided with all documentation as outlined in these regulations, within 48 hours
following occupation of each Small Facility. In addition, the Garfield County Sheriff's Office and relevant fire protection district(s) shall be notified either by hard-copy or electronically
within 48 hours following removal of all Small Facilities. The Planning Department shall be copied on all such notification, whether hard copy or electronic. P. The Operator shall maintain
records identifying workers, whether employees, contractors or sub-contractors, and document the dates that each worker is housed at the Small Facility. Such records shall be provided
to the County or any additional third party upon request. Q. The Operator shall obtain a certification inspection conducted by a third-party Professional Engineer Licensed in the State
of Colorado. The certification shall verify that at the time of inspection the identified Small FacJ!ity.meets or exceeds the standards set forth in Article 7.808 D. 2. of the Garfield.'Co~mty
Land Use Code of 2008, as amended. This certification shall be on forms provided by the Garfield County Planning Department. The certification shall be provided to the Garfield County
Planning Department within 48 hours following occupation of the Small Facility. R. The Operator shall accurately complete all required forms provided by the Garfield County Planning
Department identifying the location of the facility (SectioniTownship/Range, relevant Tax Parcel Number, and GPS coordinates or Latitude/Longitude coordinates); relevant zone district;
maximum number of occupants; cumulative amount of time (in days) that the Small Facility will be at the specified location; identification of the State or Federal permitting agency overseeing
reclamation, rehabilitation and revegetation of the Permitted Site and relevant permit number; date of installation; date of removal; name and contact information of the landowner; name
and contact information of the Operator's Compliance Officer; 24-hour emergency contact information for the Operator; building information (make, manufacture year, serial number, size
(square feet)); signature and contact information of the Operator's Compliance Officer. S. Wastewater Disposal: 1) Vault System: All vault systems shall be designed and installed to
accommodate the maximum number of persons (eight or less individuals), who will inhabit the Small Facility. In addition, all vault systems shall be equipped with an overfiow alarm device.
Vault systems shall be designed to accommodate a minimum of 75 gallons of wastewater per person per day. If a vault system is proposed or has been approved, the Operator must: a. Demonstrate
that year-round vehicular access is available and maintained for safe and regular access for sewage hauling vehicles. b. Maintain all sewage disposal records including but not limited
to trip logs/reports and landfill receipts as public records, available to the County and/or any other interested third party upon request. c. (b) Individual Sewage Disposal System (ISDS):
If an ISDS is proposed, then it shall be designed, installed and operated to accommodate the maximum number of persons who will inhabit the Small 7
Facility (eight or less individuals) and shall otherwise be permitted and operated in accordance with the Garfield County ISDS regulations as contained in BaCC Resolution Number 1994H-136.
I hereby attest that I am the designated Compliance Officer for the aforementioned Small Temporary Employee Housing Facility(ies). I attest that I have read and understand the standards
to which the Facility(ies) shall be installed and operated. I attest that the Facility(ies) will be constructed and maintained in accordance with all applicable Garfield County, State
of Colorado and Federal regulations and standards. In addition, I attest that I have read and understand the enforcement provisions as described in Article 12 of the Garfield County
Unified Land Use Resolution of 2008. Further, I understand that non-compliance with any of the provisions as outlined in Article 7-808 (0) (3) of the Garfield County Unified Land Use
Resolution of 2008 shall be enforced in accordance with Article 12. Signature of Operator's Compliance Officer:-,~=.__:"'_-::_:::_:: _________ Print Name: Craig Richardson Title: Senior
Regulatory Analyst Phone Number' 970.263.3668 ~=-------= Email: craig_richardson@oxy.com I hereby attest that I am a Licensed Professional Engineer in the State of Colorado. I attest
that I have conducted a visual inspection of the Small Facility identified in this Administrative Checklist, as installed, and, based on information from that inspection I certify that
the Small Facility complies with the standards set forth in Article 7-808 (0) (3) of the Unified Land Use Resolution of 2008. PE Certification Number 36228 Date of Inspection 5/15/2012
Print Name and Title Dion Pisek. PE sign~=ur=e=:---.._~ _:_---___ ------------.... , ) ------.--..:". PE Stamp 8
GARFIELD COUNTY BUILDING AND PLANNING DEPARTMENT PAYMENT AGREEMENT FORM (Shall be submitted with application) GARFIELD COUNTY (hereinafter COUNTY) and _O_X_Y_US_A_WT_P_L_P _______ _
____ Property Owner (hereinafter OWNER) agree as follows: 1. OWNER has submitted to COUNTY an application for ________ _ Small TEH 797-03A (hereinafter, THE PROJECT). 2. OWNER understands
and agrees that Garfield County Resolution No. 98-09, as amended, establishes a fee schedule for each type of subdivision or land use review applications, and the guidelines for the
administration of the fee structure. 3. OWNER and COUNTY agree that because of the size, nature or scope of the proposed project, it is not possible at this time to ascertain the full
extent of the costs involved in processing the application. OWNER agrees to make payment of the Base Fee, established for the PROJECT, and to thereafter permit additional costs to be
billed to OWNER. OWNER agrees to make additional payments upon notification by the COUNTY when they are necessary as costs are incurred. 4. The Base Fee shall be in addition to and exclusive
of any cost for publication or cost of consulting service determined necessary by the Board of County Commissioners for the consideration of an application or additional COUNTY staff
time or expense not covered by the Base Fee. If actual recorded costs exceed the initial Base Fee, OWNER shall pay additional billings to COUNTY to reimburse the COUNTY for the processing
of the PROJECT mentioned above. OWNER acknowledges that all billing shall be paid prior to the final consideration by the COUNTY of any land use permit, zoning amendment, or subdivision
plan. PROPERTY OWNER (OR AUTHORIZED REPRESENTATIVE) ~----Signature Date Craig Richardson Print Name Mailing Address: 760 Horizon Drive. #101 Grand Junction. CO 81506 Page 4
The following guidelines shall be used for the administration of the fee structure set forth above: 1. All applications shall be submitted with a signed Agreement for Payment form set
forth below. 2. County staff shall keep accurate record of actual time required for the processing of each land use application, zoning amendment, or subdivision application. Any additional
billing will occur commensurate with the additional costs incurred by the County as a result of having to take more time that that covered by the base fee. 3. Any billings shall be paid
prior to final consideration of any land use permit, zoning amendment, or subdivision plan. All additional costs shall be paid to the execution of the written resolution confirming action
on the application. 4. Final Plats, Amended or Corrected Plats, Exemption Plats or Permits will not be recorded or issued until all fees have been paid. 5. In the event that the Board
determines that special expertise is needed to assist them in the review of a land use permit, zoning amendment, or subdivision application, such costs will be borne by the applicant
and paid prior to the final consideration of the application. All additional costs shall be paid prior to the execution of the written resolution confirming action on the application.
6. If an application involves multiple reviews, the Applicant shall be charged the highest Base Fee listed above. 7. Types of "Procedures" not listed in the above chart will be charged
at an hourly rate based on the pertinent planning staff rate listed above. 8. The Planning Director shall establish appropriate guidelines for the collection of Additional Billings as
required. Page 3
1III ~oIof:nIpv'I,I'4V.~t~I;. 1\:~I.rr'II"'I.~ ~I~ 1IIII Reception": 809928 10/27/2011 03:00:04 PM Jean Alberico 1 of 1 Ree Fee:$11.00 Doc Fee:0.00 GARFIELD COUNTY CD STATEMENT OF AUTHORITY
Craig Richardson, as Regulatory Specialist for OXY USA WTP LP, a Delaware limited partnership (Oxy), is authorized to act on behalf of, and represent Oxy in all matters related to applications
for land use change permits (and may execute such applications) submitted to Garfield County, Colorado until such time as Oxy files of record a statement that Mr. Richardson no longer
has such authority. Oxy acknowledges that when any such permits are issued by Garfield County, Colorado, the County may choose to file them of record and such permits may contain certain
covenants that run with the particular lands identified in such permits. STATE OF COLORADO COUNTY OF MESA OXY USA WTP LP By: OX SA WTP LP, Attorney in Fact Name: Douglas Weaver Title:
Attorney in Fact OXY USA WTP LP ~YN 1\J. 760 Horizon Drive, Suite 101 Grand Junction, CO 81506 This instrument was acknowledged before me on this diP -e day of !2srJ;:( 2011, by Doug
Weaver, Attorney in Fact, OXY USA WTP LP, a Delaware corporation, on behalf of OXY USA WTP LP, a Delaware limited partnership. Witness my hand and official seal. My commission expires
<f -:1&-/!1.. Notary Publ7,State of Colorado . 04I2BI2012
Garfield County Building & Planning Department 108 8th Street Suite 401 Glenwood Springs, CO 81601-Phone: (970)945-8212 Fax: (970)384-3470 W€II P~() Permi/NO. SEPT-3-12-2411 Petmi/Type:
Septic Permit Work Classifica/ion: New Petmi/Status: Issue Date: 3/26/2012 Expires: 03/26/2013 Project Address J:cq-'--t'--_-..O.:::..~..:=ft_ __p a_rc_e_' NO_ ____SU b_d_'V_'S_,O_"
__________S_ ec_tl_O" __T;O ...W_"--S,_h,.:p.. __R_ a."..9:ce._--.. Sec3, T7S, R97W DEBEQUE, CO 81630· oW ner Informatlo " Shell Frontier Oil & Gas Inc Contractor!s) OXY USA WTP LP Proposed
Construction I Details Temporary employee housing FEES DUE Fee Septic Fee -New Total: Monday, March 26, 2012 241110100015 Address Phone po box 4854 Houston TX 77010 Phone Primary Contractor
(970)263-3637 Yes Valuation: $ 0.00 Total Sq Feet: o FEES PAID Amount Inv Total Pay type Amt Paid Amt Due $73.00 $73.00 Inv # SEPT-3-12-21763 $ 73.00 Credit Card $73.00 $ 0.00 C• I I
Required Inspections: Fo, '"p.cUo" "II , 1 (888)868·5306 Inspection IVR See Permit Reco rd Building Department Copy 2
.4 GARFIELD COUNTY SEPTIC PERMIT APPLICA nON 1088'" Street, Sui •• 401, Glenwood Springs, Co 81601 Phon.: 970-94S-82121 Fax: 970-384-3470 1 Inspection Line: 188-868·S306 f ~) , f! 197'()3A
(Oxy Pad) h.,of boon 0IIipd. pIoooopooidoer.1toy 0( __ & CIty) 0( lflii IogII ~ 3 T7S R97W 6th PM s. u ... , Sl Room 603. Den_ co 10237 _'Ground~ _ lo% ( )AIfI1Ion PlII1' • )VoUt ( )VauIt
PrIvy ( )Con1>osU"ll ToI8I ( )Rec)'ding.""eruso ()PI1Pt1vy (~nc:iI1lf8lionT"" ()Chemic:alToiIeI ( )lMdor1Joood [JspeM ( )Abow Ground Ilspersal ( x)01her-_Town 01 New Carie. CO WWTF Into_
upon may local h8ll1h 10 be "AlII"" or by lheloclllloolih daplrlmenl for purposad of !he OYII_ of ... oppIIcaUon; and Ihe issUlllCO of ... penn" Is sut!ocIlo suchlonns and conci1ions
as deemed .-sery to I...,,, oornpillloo. nAos and regulations modo, Information and I8flO!IS submitted ~ II1d roquied 10 be sulxnitlod by !he applcant ... or vAtt be IIpl8Sll1ted to
be true and ClCIIWd to'" .... t 01 my IaIaModgo and botiol and ... das9Iod to be retied on by Ihe local dopIrbnont of h .. 1h In lY8Iuatlng !he .... lor purpooas of issuing the permit
applied for herein. t fur1h« undorstand 11111 mlsrepr-.taUon may IlSUn in the donlll 01 the appIlcaIIon or nIVOCIIIon of lilY permit ~ed besed upon said ap(lIcatIon bylaw. "'12.... ~-=~------------~
AFFUSEONLY L PennUr": B.IId .... P_I.M: Issue Date: APP OV DATE
N ,.t ...... ...H. " ,S.C,,A0lI0!':' SMALL TEMPORARY EMPWYEE HOUSING DRIVING DIRECTIONS fROM ruE TOWN Of PfBf9!J[' BECINNING AT THE INTERSECTION OF ROAN CREEK ROAD ( ~ ESA COUNTY ROAD
45) AND INTERSTATE HIGHWAY NO. 70 AT (XIT NO. 62 SOUTH OF THE TOWN or DE8EOUE. ~ ESA COUNTY, COLORADO: TRAVEL NQRrnERlY ON ROAN CREEK RO"O (r.tESA COUNTY ROAD 45) fOR 4.0 r.tILES TO
THE MESA-GABriELD COUNTY LlHE. CONTINUE ON ROliN CREEK RO""O (CARflELD COUNTY ROAD 204) FOR 4.J5 '-! ILES TO CONN CREEK ROAD (GARfIELD COUNTY ROAD 213). TURN RIGHT AND TRAVEL [ AST(RLY
AND NORTHERLY FOR J.9 WILES TO THE QXY ROAD ENTRANCE AND GUARD SHACK. END TR flyn ON PUB! Ie ROADS ANp BEGIN TBA'ff' ON PRIVATE ROAPS ruRN RIGHT TRA'<'EUNG EASTERLY AHO TRAVEL J.O MILES
10 THE PROPOSED ACCESS ROAD TO THE Sl'ELL 797-03,1, PAD. mEN TURN LEn AND TRAVEL HORHTEASTERLY rOR 0.2 MILES TO mE LOCATION. SURFAC SI1ELL fRONT C/O $I1ELl C PO BOX "65' HUSTON. IX INSTALl
1. INSTALLATI RE~ OVAl I J. CUMUlATII
Account Account: R290592 Location Parcel Number 2411-101-00-015 Situs Address City Debeque ZipCode 81630 Tax Area 029 -J-49HBDF -029 Legal Summary Section: 10 Township: 6 Range: 97 SEC
34 LOT 1, 2.7-97 SEC 3 TR 71 , TR 72, TR 75, LOTS 5, 6, 7 SESE. SEC 4 SUB-TR 77F. SEC 9 TR 92, TR 93, TR 95 SUB-TR 94A, 94B, 94F. SEC 10 E2, E2W2 LOTS 1, 2, 3, 4. SEC II S2S2, S2S2N2S2,
S2N2S2N2S2 SEC 12 S2S2, S2S2N2S2, S2N2S2N2S2. SEC 14 NE, E2NW, NWNW. SEC 15 NE,E2NW, SWNW, LOT I AKAA.O.S.P.15, 16,& 17 DENVER 37, 53-56 PT 40 CRESTONE 2,3,4 VICTOR 3,7,8 WOODY 3,4 DRYLAND
1,2 BOV 5,6 RUTH 2 SEC 21 TR 114B, 112A, 113,115A.SEC 22 TRI16, TR 117, 118, 119, SEC27TR 123A, 123B, 121C, 12IB,I22, 120A SEC 28 TR 124A I AKA PLACER ECHO # 1-4 & 6 TEXAS #30,41,46-49
RANSOM #5 & 6 SEC 14 LOT 1,2,3, TR 105A TR 105B E2SW. Transfers Owner Information Owner Name SHELL FRONTIER OIL & GAS INC In Care Of Name SHELL OIL COMPANY Owner Address PO BOX 4854
HOUSTON, TX 77010 Sale Price Sale Date 08/02/2006 08/02/2006 0312312007 12/1512003 Doc Type AGR ROW AGR AGR Tax History Tax Year Taxes 2011 $422.76 2010 $489.88 Images • GIS Page 1 of2
Assessment History Actual (2011) $50,300 Primary Taxable $14,590 Tax Area: 029 Mill Levy: 28.9760 Type Actual Assessed Acres SQFT Units Land $50,300 $14,5904760.610 0.0000.000 Book Page
B: 1950 P: 476 B: 1555 P: 775 https:llact.garfield-county .com! assessor/taxwe bl account.j Sp ?accountN um= R2 90 5 92 3/26/2012
Account Page 2 of2 https:llact.garfield-county.comlassessor/taxweb/account.jsp?accountNum=R290592 3/2612012