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HomeMy WebLinkAboutApplication-Permit.pdfGarfield County Building & Planning Department 108 8th Street Suite 401 Glenwood Springs, CO 81601-Phone: (970)945-8212 Fax: (970)384-3470 Project Address PARACHUTE, CO Owner Information Williams Production RMT Parcel No. Subdivision 217133200019 Address PO Box 370 Parachute CO 81635 Section Township Range 33 6 96 Phone Cell 970-683-2288 Contractor!s) Phone Primary Contractor Required Inspections: PVCMI (970)625-5350 Yes Proposed Construction I Details CE called Phil on 8/25/09 with bal. due $139.25 & rcady for PU Valuation: FEES DUE Fee Commercial Building Fee Plan Check Fee Total: VVednesday, August 26, 2009 AmoUlli $139.25 $90.51 $229.76 Total Sq Feet: FEES PAID Inv # BLCO-8-09-19685 $ 229.76 Check # 5929 Check # 5927 $ 7,000.00 320 $139.25 $90.51 $ 0.00 Fodn'pootion, ,,", 1 (970)384-5003 Inspection IVR See Permit Record Building Department Copy 2 I 2 3 4 5 6 7 8 GARFIELD COUNTY BUILDING PERMIT APPLICATION 108 Slh Street, Suito 401, Glenwood Springs, Co 81601 Phone: 970-945-8212/Fax: 970-384-3470/Inspection Line: 970-384-5003 www.garfield~county.com Parcel No: (this infonnatiol1 is available at the assessors office 970-945-9134) 2171-332-00-019 Job Address: (if an address bas not been assigned, please provide Cr, Hwy or Street Name & City) or and legal description T6S, R96W,Section 33-4289 County Road 215 Parachute, CO 81635 LotNa: Block No: Subd.! Exemption: Owner: (Prope~ owner) Mailing Address: Ph: Williams Pro uction RMT Co. P.O. Box 370 Parachute, CO 81635 970-683-2288 ~ilntractor: Mailin~ Address: Ph: illiams Field Services Co. LLC POB 6 5 Tulsa, OK 74172 918-573-3268 Architect I Engineer: Mailing Address: Ph: NA s~ Ft. of Building: 32 lineal feet of 8' fencing S~ Ft. or Acres of Lot: 13 3.33 acre parcel Height: 8' lN~e of Building: "'lOP 0.~ Alt Ph; AltPh: Ait Ph: No. of Floors: NA 9 Describe Work: (j)\ (1)...\\ '\\, "~,,, Installation of a 320 feet long x 8' high perimeter security fence . ~'" J(!<. c,.,\\ \ ",,,,. .\. .,,,,. . ,S:,~-.r-JSl:l '" ("\~\ 10 Class of Work: EjNcw o Alteration o Addition 11 Garage: Septic: o Attached 0 Detached o ISDS o Community 12 Driveway Permit: Owners valuation of Work: $ 7,000 NOTICE Authority. This application for a Building Permit must be signed by the Owner of the propelty, described above, or an authori7.cd agent. If tIle signature below is not that of the Owner, a separate letter of autllority, signed by the Owner, mllSt be provided witll this Application, Legal Access, A Building Pennit cannot be issued without proof of legal and adequate access to the propelty for pUlpOSCS of inspections by the Building Department. Other Permits. Multiple separate pcnnits may be required: (I) State Electrical Permit, (2) County rSDS Permit, (3) another permit required for use on the property identified above, e.g. State or County Highway/Road Access or a State Wastewater Discharge Pennit Void Permit. A Building Pennit becomes null and void if the work authorized is not commenced within 180 days of tIle date of issuance and if work is suspended or abandoned tor a period of 180 days after commencement. CERTIFICATION I hereby certify tllat I havc read this Application aod that the infomlation contained above is true and corree!. I understand that tIle Building Department accepts the Application, along witll the plans and specifications and other data submitted by me or on my behalf (submittals), based upon my certification as to accuracy. Assuming completeness of the submittals and approval of this Application, a Bllilding Permit will be issued granting permission to me, as Owner, to construct the structure(s) and facilities detailed on the submittals reviewed by the BUilding Dtpartment In consideration of the issuance of the Building Pennit, I agree that I and my agents wi!! comply with provisions of any federal, state or local law regulating the work and the Garfield County Building Codc, ISDS regulations and applicable land usc regulations (C01mtyRegulation(s». I aclmowledge tllatthe Building Permit may be suspended or revoked, upon notice from the County, if the location, construction or use of the slnlcture(s) and facility(ies), described above, are not in compliance with COllnty Regulation(s) or any other applicable law, 1 hereby grant permission to the Building Department to enter the property, described ahove, to inspect the work. r further acknowledge that the issllance of the Building Pennit does not prevent the Building Official from: (l) requiring the correction of errors in the submittals, if any, discovered after issuance; or (2) stopping construetion or usc ofthe structurc(s} or facility(ies) ifsuch is in violation of County ReguJation(s) or any other applicable law. Review of this Application, including submittals, and inspections of tIle work by the Building Department do not constitute an acceptance of responsibility or liability hy the County of errors, omissions or discrepancies. As the Owner, I acknowledge that responsibility for compliance with federnl, state and local laws and County Regulations rest with me and my authorized agents, including without limitation my arc11itcct designer, engineer and! or btlilder. I HEREBY ACKNOWLEDGE THAT I HAVE READ AND UNDER$T AND THE NOTICE & CERTIFICATION ABOVE: ~~~"-~~~K! 8/20/09 <.iWirRSS~ DATE STAFF USE ONLY SpeCial Conditions: Adjusted Valuation: Plan Check Fee: Permit Fee: Manu home Fee: Mise Fees: 7a1J·CO 10.~( 101·'2.5 ISDS Fee: Total Fees: Fees Paid: -. -DP No & Issue nate: ISDS No & Issued Date: &.~q:?(p qO.,?1 J31~~ -/2/6 Setbacks: OCC Group: () Const Type: Zoning: V·6 BIEPT: ~~ 6/~41ur PiEPT:~~ • ~. ~\ ~ ~ 6/~4&::l Arr-YAL .-~ DATE AP ROYAL \ DATE The following items are required by Garfield County for a final Inspection: 1) A final Electrical Inspection from the Colorado State Electrical Inspector. 2) Pelmanent address assigned by Garfield County Building Department and posted at the structure and where readily visible from access road. 3) A finished roof; a lockable building; completed exterior siding; exterior doors and windows installed; a complete kitchen with cabinets, sink with hot & cold running water, non-absorbent kitchen floor covering, counter tops and finished walls, ready for stove and refrigerator; all necessary plumbing. 4) All bathrooms must be complete, with washbowl, tub or shower, toilet, hot and cold nmning water, non-absorbent floors, walls finished, and privacy door. 5) Steps over three (3) risers, outside or inside must be must have handrails. Balconies and decks over 30" high must be constructed to all IBC and IRC requirements including guardrails. 6) Outside grading completed so that water slopes away from the building; 7) Exceptions to the outside steps, decks, grading may be made upon the demonstration of extenuating circumstances., i.e. weather. Under such circumstances A Certificate of Occupancy may be issued conditionally. 8) A final inspection sign offby the Garfield County Road & Bridge Department for driveway installation, where applicable; as well as any final sign off by the Fire District, and/or State Agencies where applicable. A CERTIFICATE OF OCCUPANCY (C.O.) WILL NOT BE ISSUED UNTIL ALL THE ABOVE ITEMS HAVE BEEN COMPLETED. A C.O. MAY TAKE UP TO 5 BUSINESS DAYS TO BE PROCESSED AND ISSUED. OWNER CANNOT OCCUPY OR USE DWELLING UNTIL A C.O. IS ISSUED. OCCUPANCY OR USE OF DWELLING WITHOUT A C.O. WILL BE CONSIDERED AN ILLEGAL OCCUPANCY AND MAYBE GROUNDS FOR V ACA TING PREMISES UNTIL ABOVE CONDITIONS ARE MET. I understand and agree to abide by the above conditions for occupancy, use and the issuance of a C.O. for the building identified in the Building Permit. 8/20109 OWNERS SIGNATURE DATE Bapplicationdecember2007 GARFIELD COUNTY BUILDING AND PLANNING 970-945-8212 MINIMUM APPLICATION REQUIREMENTS FOR CONSTRUCTION OF COMMERCIAL OR MULTI-FAMILY RESIDENTIAL BUILDINGS Including NEW CONSTRUCTION ADDITIONS ALTERATIONS And MOVED BUILDINGS In order to understand the scope of the work intended under a permit application and expedite the issuance of a permit it is important that complete information be provided. When reviewing a plan and it's discovered that required information has not been provided by the applicant, this will result in the delay of the permit issuance and in proceeding with building construction. The owner or contractor shall be required to provide this information before the plan review can proceed. Other plans that are in line for review may be given attention before the new information may be reviewed after it has been provided to the Building Department. Please review this document to determine if yon have enough information to design your project and provide adequate information to facilitate a plan review. Also, please consider using a design professional for assistance in your design and a construction professional for construction of your project. Any project with more than ten (10) occupants requires the plans to be sealed by a Colorado Registered Design Professional. To provide for a more understandable plan and in order to determine compliance with the building, plumbing and mechanical codes, applicants are requested to review the following checklist prior to and during design. Plans to be included for a Building Permit must be on draft paper at least 18"x 24"" and drawn to scale. Plans must include a floor plan, a concrete footing and foundation plan, elevations all sides with decks, balcony steps, hand rails and guard rails, windows and doors, including the finish grade and original grade line. A section showing in detail, from the bottom of the footing to the top of the roof, including re-bar, anchor bolts, pressure treated plates, floor joists, wall studs and spacing, insulation, sheeting, house-rap, (which is required), siding or any approved building material. Engineered foundations may be required. Check with the Building Department. I A window schedule. A door schedule. A floor framing plan, a roofing framing plan, roof must be designed to withstand a 40 pound per square foot up to 7,000 feet in elevation, a 90 M.P.H. windspeed, wind exposure B or C, and a 36 inch frost depth. All sheets need to be identified by number and indexed. All of the above requirements must be met or your plans will be returned. All plans submitted must be in compliance with the 2003 IBC, IPC, IMC, IFGC, and IFC. Applicants are reqnired to indicate appropriately and to submit completed checklist at time of application for a permit: 1. Is a site plan included that identifies the location of the proposed structure, additions or other buildings, setback easements, and utility easements showing distances to the property lines from each comer of the proposed structure prepared by a licensed surveyor and has the surveyors signature and professional stamp on the drawing? Slopes of 30% or more on properties must be show on site plan. (NOTE: Section 106.2) Any site plan for the placement of any portion of a structure within 50 ft. of a property line and not within a previously surveyed building envelope on a subdivision final plat shall be prepared by a licensed surveyor and have the surveyors signature and professional stamp on the drawing. Any structure to be built within a building envelope of a lot shown on a recorded subdivision plat, shall include a copy of the building envelope as it is shown on the final plat with the proposed structure located within the envelope. Yes-,-X,--_ 2. Does the site plan when applicable include the location of the LS.D.S. (Individual Sewage Disposal System) and distances to the property lines, wells (on subject property and adjacent properties), streams or water courses? This information must be certified by a licensed surveyor with their signature and professional stamp on the design. Yes Not necessary for this project ~ _ 3. Does the site plan indicate the location and direction of the State, County or private road accessing the property? YesX 4. Is the LS.D.S. (Individual Sewage Disposal System) designed, stamped and signed by a Colorado Registered Engineer? Yes Not necessary for this project_X _ 5. Are the plans submitted for application review construction drawings and not drawings that are stamped or marked identifying them as "Not for construction, for pennit issuance only", "Approval drawings only", "For pennit issuance only" or similar language? YesX Not necessmy for this project _ _ 6. Do the plans include a foundation plan indicating the size, location and spacing of all reinforcing steel in accordance with the building code or per stamped engineered design? Yes _ Not necessary for this project_X _ 2 7. If the building is a pre-engineered structure, is there a stamped, signed engineered foundation plan for this building? Yes_ _ Not necessary for this projectX_ _ 8. Do the plans indicate the location and size of ventilation openings for under floor crawl spaces and the clearances required between wood and earth? Yes _ Not necessary for project_X _ 9. Do the plans indicate the size and location of the ventilation openings for the attic, roof joist spaces and soffits? Yes _ Not necessary for this project_X _ 10. Do the plans include design loads as required under the IBC or IRC for roof snowloads, (a minimum of 40 pounds per square foot in Garfield County)? Yes _ Not necessary for this project_X _ II. Do the plans include design loads as required for floor loads under the IBC or IRC? Yes _ Not necessary for this project_X _ 12. Does the plan include a building section drawing indicating foundation, wall, floor, and roof construction? Yes_ _ Not necessary for this projectX_ _ 13. Is the wind speed and exposure design included in the plan? Yes _ Not necessary for this project_X _ 14. Does the building section drawing include size and spacing of floor joists, wall studs, ceiling joists, roof rafters or joists or trusses? Yes _ Not necessary for this projectX_ _ 15. Does the building section drawing or other detail include the method of positive connection of all columns and beams? Yes _ Not necessary for this project_X _ 16. Does the elevation plan indicate the height ofthe building or proposed addition from the undisturbed grade to the midpoint between the ridge and eave of a gable or shed roof or the top of a flat roof? (Check applicable zone district for building height maximum) Yes_ _ Not necessary for this projectX_ _ 3 17. Does the plan include any stove or zero clearance fireplace planned for installation including make and model and Colorado Phase II certifications or Phase II EPA certification? Yes_ _ Not necessary for this projectX_ _ 18. Does the plan include a masomy fireplace including a fireplace section indicating design to comply with the IBC or IRC? Yes _ Not necessary for this project_X _ 19. Does the plan include a window schedule or other verification that egress/rescue windows from sleeping rooms and/or basements comply with the requirements of the IBC or IRC? Yes_ _ Not necessary for this projectX_ _ 20. Does the plan include a window schedule or other verification that windows provide natural light and ventilation for all habitable rooms? Yes _ Not necessary for this projectX_ _ 21. Do the plans indicate the location of glazing subject to human impact such as glass doors, glazing immediately adjacent to such doors; glazing adjacent to any surface nonnally used as a walking surface; sliding glass doors; fixed glass panels; shower doors and tub enclosures and specifY safety glazing for these areas? Yes_ _ Not necessary for this projectX_ _ 22. Do the plans include a complete design for all mechanical systems planned for installation in this building? Yes _ No Not necessary for this projectX_ __ 23. Have all areas in the building been accmately identified for the intended use? (Occupancy as identified in the IBC Chapter 3) Yes _ Not necessary for this project._X __ 24. Does the plan indicate the quantity, form, use and storage of any hazardous materials that may be in use in this building? Yes_ _ Not necessary for this projectX_ _ 25. Is the location of all natural and liquid petroleum gas furnaces, boilers and water heaters indicated on the plan? Yes __ Not necessary for this project_X _ 26. Do the plans indicate the location and dimension ofrestroom facilities and if more than fom employees and both sexes are employed, facilities for both sexes? Yes _ Not necessary for this projectX_ _ 4 27. Do the plans indicate that restrooms and access to the building are handicapped accessible? Yes_ _ Not necessary for this projectX_ _ 28. Have two (2) complete sets of construction drawings been submitted with the application? YesX 29. Have you designed or had this plan designed while considering building and other construction code requirements? Yes_X __ 30. Does the plan accurately indicate what you intend to construct and what will receive a final inspection by the Garfield County Building Department? Yes_X __ 31. Do your plans comply with all zoning rules and regulations in the County related to your zone district? For comer lots see supplemental section 5.05.03 in the Garfield County Zoning Resolution for setbacks. Yes_X __ 32. Do you understand that approval for design and/or construction changes are required prior to the implementation of these changes? YesX_ _ 33. Do you understand that the Building DepaItment will collect a "Plan Review" fee from you at the time of application and that you will be required to pay the "Pelmit" fee as well as any "Septic System" or "Road Impact" fees required, at the time you pick up your building permit? YesX 34. Are you aware that you are required to call for all inspections required under the !BC including approval on a final inspection prior to receiving a Certificate of Occupancy and occupancy of the building? Yes_X __ 35. Are you aware that the Permit Application must be signed by the Owner or a written authority be given for an Agent and that the party responsible for the project must comply with the Unifonn Codes? YesX_ _ 36. Are you aware that you must call in for an inspection by 3:30 the business day before the requested inspectiou in order to receive it the following business day? Inspections will be made between 7:30 a.m. and 3:30 p.m. Monday through Friday. Inspections are to be called in to 384-5003. Yes~ _ 5 37. Are you aware that requesting inspections on work that is not ready or not accessible will result in a $50.00 re-inspection fee? Yes_X __ 38. Are you aware that prior to submittal of a building pennit application you are required to show proof of a legal and adequate access to the site? This may include (but is not limited to) proof of your right to use a private easement/right of way; a County Road and Bridge pennit; a Colorado Dept. of Highway Pennit including a Notice to Proceed; a permit from the federal government or any combination. You can contact the Road & Bridge Department at 625-8601. See Phone book for other agencies YesX 39. Do you understand that you will be required to hire a State of Colorado Licensed Electrician and Plumber to perfonn installations and hookups? The license number will be required at time of inspection. YesX 40. Are you aware, that on the front of the building pennit application you will need to fill in the Parcell Schedule Number for the lot you are applying for this pennit on prior to submittal of the building permit application? Your attention in this is appreciated. Yes_X __ 41. Do you know that the local fire district may require you to submit plans for their review of fire safety issues? YesX_ _ (Please check with the building department about this requirement) 42. Do you understand that if you are planning on doing any excavating or grading to the property prior to issuance of a building pelmit that you will be required to obtain a grading pennit? Yes Not necessary for this projectX_ _ 43. Did an Architect seal the plans for your commercial project? State Law requires any commercial project with occupancy of more than 10 persons as per Section 1004 of the !BC to prepare the plans and specifications for the project. Yes Not Necessmy for this project _X ___ _ 44. If you anticipate obtaining a water tap from the City of Rifle, please provide a letter indicating that the City will provide water service. No building pelmit application will be accepted without such a letter. Yes 6 I hereby acknowledge that I have read, understand, and answered these questions to the best of my ability. ~I?G~-~~~ Signature 8/20109 Date 970-625-5350 970-625-5350 Phone: ______ (days); _________ (evenings) PGX-MP 0.0 Security Fence Project Name: _________ . ______ _ 4289 County Road 215 Parachute, CO 81635 Project Address: ____________ _ Note: On any of these questions you may be required to provide this information. If required information is not supplied, delays in issuing the permit are to be expected. Work may not proceed without the issuance of the pelmit. *Ifyou have answered "Not necessary for this project" on any of the questions and it is detelmined by the Building Official that the information is necessaty to review the application and plans to determine minimum compliance with the adopted codes, please expect the following: A. The application may be placed behind more recent applications for building permits in the review process and not reviewed until required information has been provided and the application rotates again to first position for review. B. Delay in issuance of the permit. C. Delay in proceeding with constmction. BpcommDec2007 7 Building Plan Review Description of Work: 320 lineal ft of 8' fencing Bin #: C-3 Location Address: PARACHUTE, CO Case Manager: Ken Smith Plan Case Number: BLDG-8-09·6067 Parcel: 217133200019 Application Date: 08120/2009 _____ ,Engineered Foundation _____ Driveway Permit _____ Surveyed Site Plan ____ --'Septic Permit and Setbacks _____ GradelTopography 30% _____ Attach Residential Plan Review List _____ Minimum Application Questionnare ____ ~Subdivision Plat Notes _____ Fire Department Review _____ Valuation Determination/Fees ./-___ ---iRed Line PlanS/Stamps/Sticker ____ --'Attach Conditions /____ ~Application Signed ____.--'--'Plan Reviewer To Sign Application /____ ---'Parcel/Schedule No. ____ --'40# Snowload Letter -Manu. Homes ____ ~Soils Report Friday, August 21,2009 Contacts Owner: Williams Production RMT Applieant: Williams Production RMT Applicant Phone: 970-683-2288 Email: Planning/Zoning ____ -'Property Line Setbacks _____ 30ft Stream Setbacks _____ Flood Plain ____ -">Building height _____ -'Zoning Sign-off _____ Road Impact Fees _____ HOAlDRC Approval _____ ,GradelTopography 40% _____ Planning Issues ------SSubdivision Plat General Comments: EASEMENT AGREfiMENT. For and in consideration of the sum of Ten Dollars ($10.00) and other valuable consideration, the receipt and sufficiency of which are hereby aclmowledged, and subject to the tem1S and conditions hereinafter defined, Williams Production RMT Company, (hereinafter called "Grantor") with a mailing address at 1515 Arapahoe Street, Tower Three, Suite 1000, Denver CO 80202, does hereby gmnt, sell and convey unto Williams Field Services Company, LLC a Delaware limited liaj;lilily company whose address is ) One WilIian1s Center WRC 3-9, Tulsa, OK, 74172" .... lhereinafter called "Grantee") a non-exclusive easement and right-of-way (hereinafter called the "Easement") to install, operate, maintain, inspect, repair, replace and remove a .. pipeline and two meter station sites and related appurtenances (collectively the" Grantees Facilities") for the pUlpose of receiving, delivering and transporting natural gas liquids within and across certain tracts of land (the "Easement Sites") as described on Exhibit "A", attached hereto and made a , part hereof. This grant is made without any warranty oftitle by Grantor either express or implied. Grantor further conveys to Grantee the right of reasonable ingress and egress to and from the Easement Sites across Grantor's Land either within the Easement Sites or within established roads and through established gates upon Grantor's Land together with the right to utilize reasonable additional temporary work space along and adjacent to the Easement Sites provided that no such use shall interfere with Grantor's use and enjoyment of Grantor's Land. Except in the case of emergency, Grantee shall give Grantor at least 24 hours notice of its intent to enter onto Grantor's Land for routine work on the Meter Stations within the Easement Sites, and 30 days notice of its intent to enter Grantor's Land to carry out significant, major work sl.Ich as excavation and lifting by crane. By acceptance of this Easement, Grantee hereby covenants and agrees to bind itself, its successors and assigns, to the following described terms and conditions: before any welding, grinding, or acetylene torch work is perfonned, and adherence to Grantor's visitor sign-in and security procedures) and Grantee also agrees to enforce compliance therewith by its employees, contractors, agents and invitees. 5. Grantee shall pay all taxes which may be lev.jed or assessed against Grantee's facilities installed by virtue of this Easement and Grantee further agrees to reimburse Grantor for the amount of any taxes which may be assessed against Grantor by reason of Grantee having installed Grantee's facilities upon Grantor's Lands. 6. Grantor reserves the right to use Grantor's Lands, including, but not limited to the right to construct underground facilities, and install roads, parking lots and fencing and the right to grant others similar rights within and across the Easement Sites. Grantee accepts this grant subject to all prior easements, leases and other interests in Grantor's Lands created by Grantor or Grantor's predecessor's in title whether the same be of record or not, and all tights conferred by this Easement shall be exercised so as to avoid interference with any such prior easements, leases or other interests. 7. Grantee shall indemnify, save, hold harmless, and at Grantor's option, defend Grantor, its affiliated companies and partners and the directors, officers, employees, and agents of each such company and partners from any and all claims, demands, costs, (including without limitation, reasonable attorney and expert witness fees and court costs), expenses, losses, canses of action (whether at law or in equity), fines, civil penalties and administrative proceedings for injury or death of persons or damage or loss to prop(aty, enviromnental damages, or other business losses, inclnding, without limitation, those made or incurred by Grantor or their affiliated companies and partners and the directors, officers, employees, or agents of each such company and partner, or third parties, or governmental agencies in any way arising from or relating to the exercise of the 3 Attn: MidstTeam Real Estate One Williams Center W1<C 3-9 Tulsa, OK, 74172 If to Grantee-Williams Production RMT Company 1515 Arapahoe Street, Tower Three, Suite 1000, Denver CO 80202 10. Should Grantee cease to use the Grantees Facilities for the purposes above described for a continuous period of two (2) years, this Easement shall terminate and Grantee, at Grantee's expense, shall first immediately remove the Grantees Facilities from Grantor's Lands and shall, within ninety (90) days after Grantee's use of the Grantees Facilities ceases, deliver to Grantor a complete release ofthis Easement as recorded in the appropriate County records. II. This Easement together with the above-described temlS and conditions shall constitute covenants running with the land and shall be binding upon and inure to the benefit of Grantor and Grantee, their successors and assigns. Grantee shall not assign this Easemenl in whole or in part to any other entity unless and until Grantee acquires the prior written consent of Grantor which consent shall not be unreasonably withheld. IN WITNESS WHEREOF, this Agreement has been executed this ~ day of ffio... '-.\ , 20 ill· \ 5 STATE OF OKLAHOMA ) )SS COUNTY OF TULSA ) Before me, the undersigned, a Notary Public in and for the county and state aforesaid, on this ',y day of 4::", ,200 7 personally appeared (~£l f~-"'/r ,Attomey-In-Fact tor WI[LlAMS FIELD SERNCES COMPANY, LLC, a Delaware limited liability company and that said instrument was signed on behalf of said corporation, and said {-A?;ld ,\ /)0/('( ,acknowledged said instrument to be the free act and deed of said company. In testimony whereof, I have hereunto set my hand and affixed by officiitl seal at my office in said county and state the day and year last above written. My Commission Expires: \ \ -(\_-t-2oo~ Commission # __ _ 7 Notary Public 1ki "7_" ROBERTA ROWE ~!.~N'OTET ARY PUBLIC OF COLORADO My Commleslon 6xplres-11/14/2009 EXHIBIT ~ (_I_oCZ ... _) Attached to and made a of that Fertain Grant of Easement t -, _ by and between Williams I field SelViees, LLC SJEcC'J1'JfONS 23, 29 ANllP 33, 1fO'WNSJFIll{]f" Ii SOlU'lflElf, 1IIIANGlE "Ii WJI!:§1f oJfiIJJJe 6iIJJJ P.M., IG&Jl?J!i'ffJEJDJ£P COUN'll'Y, COlL<{]JJlUJ[PO PUCKETT LAND COMPANY V //:1 I ~ ///»:;: ~ ~ 7/7 /T,A7;7:/.7/W7l7 --/~ ~ --"L ---;{I I I I ","porty Lin' -7l:V7777/7/7 /. \ (TypIcal) I '6 I I 9T 12 N :18'07/53' W---\ LOT 10 I LOT 11 LOT 12 LOT 13 . /.i 1416,20' i I I /I I /j _____ ~I, _____ ~==~~~~~N~8~9~·~39~·~13~'~\~1~2g6~ 8~8~.5~4·~~~ /: Brass 32 33 2224.55' \ i31'~8\=(ro;ssss (e:Oop"-----+---------.....;/;1. Cop ltJl& //9 < I 1/4 t----':(uo_~>! w~j~ LOT 2 LOT f :;) I (.;> "II ----',:,~-~ LOT 4 or 6 LOT .5 LOT 4 WlLUAMSPRODUCTION RMTCOJl..1PANY! LOT 8 p~l, I J -+ ~ I :j 3;1 LOT 7 ~. .~ SCALE 1" = 1000' LOT 9 I I ;::; 500' 0 1000' ~ I LOT 10 I ' ;::; ~ ••.• 0. .M;;] V I I LOT 11 LOT 12 4--To'8'R'O,WWd'h~Fee', :LL:/L/L/t:://///L/L/YT9S F96W///"/~Lefi,~R/ghlofCen!erlille, -___ J -'/-L /-L L<'L I/! L/U 4613,57 Fee1.219.61 Rods, 5296 Acres T7S R96W Jl.JEGJENIiP ~JI..... FOUND MONUMENT @FOUND MONUMENT PROPERTY T SECTION CORNER OR OTHER CORNER Y!. FOUND MONUMENT ® CALCULATED OR 'fi 114 OR 1f18 CORNER PROJECTED CORNER N01!'JIJ:§: 1.} DRAWING REfERENCED TO NAD27 DATUM-SPCS COCo ALL DISTANCES SHOWN ARE GRID DISTANCES. 2.) APPARENT LANDOWNER INFORMATION SHOWN HEREON BAseD UPON GARFIELD COUNTY ASSESSOR OFFICE PARCEL MAP #2171 AND INTERNET RECORDS AS OF 12/07/06. l'C. "a·f:'@~Rt.·l F14F14I ENL/( 8ST.RA£8ST. RSOOCI( SCPRIIANGIS1, W:Y8 O,Z!IJ0N1 C. . PHONE (907) SG2·6028 O,R.G. JOElijH51t6 , . §l:~.~rJEM1SN1!' OF §I[JJIlVEYOJll: aRrAN L. FORBES STATES HE IS BY OCCUPATION A REGISTERED LAND SURVEYOR EMPLOYED BY WILLIAMS FIELD SERViCES, LLC TO MAKl: A SURVEY OF THE CEN'ffiRLlNE OF A P/PEUNE RfGHTvOFvWAY AS DESCR/BED AND SHOWN ON THIS /WAP, ~~);~~~I~;g~::'~~~:;?:,;:~WORI( '1, "007:' A"D T/-IAT SUCN SURVEY /S UPON THIS MAP. O"EASEWOOD EXPRESS LIQUIDS PIPELINE A PROPOSED PIPELINE EASEMENT CROSSING LANDS OF WILLIAMS PRODUCTION RMT COMPANY 15116·HOW01 EXH!BIT"A" 1 OF2 in consk~eration Qf the i,ss-u'ance Of the peimitt ' the app,Ii,('iuit heret'Y',gt'.~;i'!O CQnil,IYWi11h a;:~!:~~~ii\~n:s"?'}".,' •• " related to the-zoning, locatioili construc~ioi1 and ~redi.otl: of ,""".,;.,,,,, tl granted, and further 8g'rees that ifthe-above'said regulations are fu1iY:<;9r:nplied zOI)inq;lioCi,U,jn, erection and construction of the above desaibed strw:ti,.lre"the pe,rmit'maY· t~en:be r~,'ok.edbll County Building department and IMMEDIATELY BECOME NULL AND ::;:::~~~~/g~:-m~~~~·· Owner .. ~tiUiaMs_~~ __ ........•.... _... _ co nt,.acto,~illl~1L1 1dd_c ..•••. __ ••••••• >••• .• \,. Building Permit Type Lo1..AMOCciGtL,, __ ,, __ c-_.' _ .• _._._ '_..• ~ _~~~_ __ "._;_~ •• ______~ L .•....•••...•... ,." This (ard M\lstlle Posted So H !sP!ainIYVisible from rheStr~e(OntilFihal'in~~~~tj~w;' I'NSPECTIONRSOORO Footing Unde'r.grourH:l Plumbiri.~ prywall Rough Plumbing Gas Piping NO,tes Framing (t? include Roof io"plilce & Windows &'Ooors instaUed'& Flrestopping In pla<e) THISPERMIT IS NOT TRANSFERABLE fm lnSpe:r;ti.'lfl, ~aH S70-3134~500.3 ,,'O'f6CE: 970'~,§?~5-'~2·12. 102 Bth.5treet"SuiteA01 Glenwood Spri~g51 !:ol,iO.rad~}~H601 DO NOT DESTRO HIS CARD . ·~'<?~t <:'.-\~;~~ Parcel Detail Page 1 of 4 Garfield County Assessor/Treasurer Parcel Detail Information Assesll.9Jrrreasurer Proj)~J:tx_Sl<arch I As~ssor Su.bse~tQll~eIX I bl>1i~l>QLS_ale1i~ Search Clerk & Recorder Reception Search Basic Building Characteristics I Tax Information Parcel Detail I Value Detail I Sales Detail I Residential/Commercial Improvement Detail Land Detail I Photographs I Mill Lev)' Revenues Detail I Tax Area II Account Number II Parcel Number II 2008 Mill Levy I I 026 II R008109 II 217133200019 II 38.941 I Owner Name and Mailing Address IWILLIAMS PRODUCTION RMT COMPANY IATTN: LAND DEPT SANDY HOTARD Ip.o. BOX 370 IPARACHUTE" CO 81635 Assessor's Parcel Description (Not to be used as a legal description) ISECT,TWN,RNG:33-6-96 DESC: A TR IN ISEC 4 7-96 SECS 27, 28, 29, 32, 33, 134. PRE:R260381 PRE:R005786 BK:714 IPG:l BK:702 PG:411 BK:682 PG:294 IBK:658 PG:762 BK:657 PG:419 BK:641 IPG:759 BK:640 PG:13 1 BK:630 PG:883 IBK:377 PG: 106 BK:355 PG:266 BK:326 IPG:220 BK:275 PG:l BK:268 PG:1l9 IBK:134 PG:98 BK:125 PG:41 BK:1l29 IPG:1l6 RECPT:772025 RECPT:760614 IRECPT:759930 RECPT:759929 IRECPT:759928 RECPT:747549 IRECPT:747105 RECPT:747102 IRECPT:731735 RECPT:726194 j http://www.garcoact.com/assessor/parcel.asp?ParceINumber=2171332000 19 I I I I I I I I I I I i 8/2012009 · Parcel Detail Page 2 of 4 IRECPT:723239 BK: 1795 PG:96 I IRECPT:697033 BK:1793 PG:599 IRECPT:696730 BK: 1780 PG:407 IRECPT:694080 BK:1731 PG:127 IRECPT:683317 BK:1668 PG:426 IRECPT:66984 BK:1655 PG:230 IRECPT:666856 BK:1621 PG:903 IRECPT:659636 BK:1617 PG:263 IRECPT:658768 BK:1587 PG:440 IRECPT:652080 BK:1582 PG:31 IRECPT:651031 BK:1300 PG:448 IRECPT:591324 BK:1300 PG:439 IRECPT:591323 BK:1300 PG:43 I IRECPT:591322 BK:1300 PG:421 IRECPT:591321 BK:1300 PG:414 I IRECPT:591320 BK:1300 PG:41O I IRECPT:591319 BK:1300 PG:392 I IRECPT:591318 BK:1300 PG:389 I IRECPT:591317 BK:1204 PG:993 IRECPT:568682 BK:1263 PG:299 IRECPT:583146 BK:1205 PG:9 IRECPT:568684 BK:1205 PG:l IRECPT:568683 BK:1l87 PG:176 IRECPT:563403 Location I Physical Address: IIPARACHUTE I I Subdivision: I I Land Acres: 111333.01 I I Land Sq Ft: 110 I I Section II Township II Range I I 33 II 6 II 96 I 2009 Property Tax Valuation ][nformation I II Actual Value II Assessed Value I I Land: II 514,14011 149,1001 I II II I http://www.garcoact.com/assessor/parcel.asp?ParcelNumber=217133200019 8120/2009 Parcel Detail Page 3 of 4 Improvements: II 3,646,60011 1,057,5101 Total: II 4,160,74011 1,206,6101 Addi tion<iLYaI\leJ2~lail Most Recent Sale Sale Date: 1110/3112001 Sale Price: 111,536,000 Additional Sales Petail Basic Building Characteristics Number of Residential \0 \ Buildings: Number of Commllud Buildings: \17 \ I I I Commercial!lndustrial Building Occurreillce 1 Characteristics I I 1 TOTAL HEATED AREA: 112,280 I ABSTRACT CODE: IlREFININGIPETROLEUM ARCHITECTURAL STYLE: IIINDUSTRIAL EXTERIOR WALL: IIPREFAB MTL ROOF COVER: IIPRO PANEL ROOF STRUCTURE: IISTEEL FRAM I INTERIOR WALL: IIMINIMUM 1 FLOOR: IICON ON GRD 1 HEATING FUEL: IIGAS 1 HEATING TYPE: IIFORCED AIR 1 STORIES: IISTORIES 1.0 I UNITS: 111 I YEAR BUILT: 112002 AdditionaJ Residential/Commercjal Improvement Detail Tax Information TaxYear II Trausaction Type II Amount 1 2008 II Tax Payment: Second Half II ($17,000.86)/II II I http://www.garcoact.com/assessor/parcel.asp?ParceIN umber=21713 32000 19 812012009 Parcel Detail I 2008 II Tax Payment: First Half II ($17,000.86)1 I 2008 II Tax Amount II $34,001.721 I 2007 II Tax Payment: Second Half II ($39.42)1 I 2007 II Tax Payment: First Half II ($39.42)1 I 2007 II Tax Amount II $78.841 2006 Tax Payment: Second Half II ($40.36)1 2006 Tax Payment: First Half II ($40.36)1 2006 Tax Amount II $80.721 2005 Tax Payment: Second Half II ($40.43)1 2005 Tax Payment: First Half II ($40.43)1 2005 Tax Amount II $80.861 2004 I Tax Payment: Second Half II ($46.50)1 I 2004 Tax Payment: First Half I ($46.50)1 2004 Tax Amount $93.001 2003 Tax Payment: Second Half ($49.86)1 2003 Tax Payment: First Half ($49.86)1 2003 Tax Amount $99.721 2002 Tax Payment: Second Half I ($47.74)1 I 2002 II Tax Payment: First Half II ($47.74)1 I 2002 II Tax Amount II $95.481 I 2001 II Tax Payment: Second Half II ($50.93)1 I 2001 II Tax Payment: First Half II ($50.93)1 I 2001 II Tax Amount II $101.861 Top ofPa~ ASSel)SQJ Database Search Q~j.i.Qns I TreJloUr~r Database Search Optio!1~ C.lerk& RecQn;lcIJ)alabase SearGhQpliQ!)s Page 4 of 4 The Garfield County Assessor and Treasurer's Offices make every effort to collect and maintain aCGurate data. However, Good Turns Software and the Garfield County Assessor and Treasurer's Offices are unable to warrant any of the information herein contained. Copyright © 2005 -2008 Good Turns Software. All Rights Reserved. Database & Web Design by QQQ.Q Turns Software. http://www.garcoact.com/assessor/parcel.asp?ParceINumber= 21713 32000 19 8/2012009