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Home My WebLink AboutApplicationce Garfield County Community Development Department 108 81h Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www.garfield-countv.com ONSITE WASTEWATER TREATMENT SYSTEM (OWTS) PERMIT APPLICATION TYPE OF CONSTRUCTION x New Installation ID Alteration I a Repair WASTE TYPE X Dwelling I a Transient Use I a Comm/Industrial ID Non-Domestic D Other Describe INVOLVED PARTIES Property Owner: WPX EnergJl Phone:(970)285-93Z7 Malllng Address : PO Box 370, Parachute1 CO 81635 Contractor: WPX Energl£ Phone : (970} 285-9377 Malling Address: PO Box 3701 Parachute 1 CO 81635 Engineer: David Fox Phone: {970} 250-5505 Malling Address: 670 CanJlon Creek Drlve1 Grand Junction1 CO 81507 PROJECT NAME ANO LOCATION Job Address: SG 31-32 Pad -See the attached i;ilat for description Assessor's Parcel Number: 240932100110 Sub. Lot Block -- Building or Service Type: Temporary office & house #Bedrooms: 2 Garbage Grinder Ne Distance to Nearest Community Sewer System: NA Was an effort made to connect to the Community Sewer System: NA TypeofOWTS a Septic Tank I a Aeration Plant I x Vault I a Vault Privy I a Composting Toilet 0 Recydlng, Potable Use a Recycling I a Pit Privy I a lndneratlon Toilet 0 Chemical Toilet X Other !jj!uled to United Site Services for their dls(!osal Ground Conditions Depth to 1" Ground water table NA I Percent Ground Slope NA Final Dlsposal by a Absorption trench, Bed or Pit I a Underground Olspersal I a Above Ground Dispersal C Evapotransplratlon a Wastewater Pond I a Sand Fiiter >< Other !:li!!!l!:s! 12 L!alli:d ~lli; ~~rvl~~ {gr tb!:I[ dlH!Q~al Water Source & Type C Well I a Spring I a Stream or Creek I a astern X Community Water System Name United Site ~ervlces Effluent Wiii Effluent be discharged dlrectly Into waters of the State? D Yes XNo CERTIFfOATION App icant ac now e ges t · at t e comp eteness o t e app icatlon Is con itiona upon sucn urther mandatory and additional test and reports as may be required by the local health department to be made and furnished by the applicant or by the local health department for purposed of the evaluation of the application; and the Issuance of the permit Is subject to such terms and conditions as deemed necessary to Insure compliance with rules and regulations made, Information and reports submitted herewith and required to be submitted by the applicant are or will be represented to be true and correct to the best of my knowledge and belief and are designed to be relied on by the local department of health In evaluating the same for purposes of Issuing the permit applied for herein. I further understand that any falsification or misrepresentation may result in the denial of the 1 application or revocation of any permit granted based upon said application and legal action for perjury as provided by law. ·oFF.lctAL USE ,ONLV Spedal Conditions: Perk Fee: Building Permit ~ f\ ~Q. \\ \Co .::ii:rs.oo "~ '306~0SS8 11-/t.t,. z 0 l-s- DATE One aboveground sewage holding tank with 4000-gallon capacity on-site. The Vault System is displayed in both of the pictures . Sewage flows esti- mated to be 300 gallonsfday (4 individuals x 75 gpcd). Sewage holding tank needs to be emptied approximately every 13 days (4000 gallons! 300 gallons per day). Wastewater vault is equipped with overflow alarm device. Williams utilizes the services of a licensed contractor to removed and haul the wasterwater to a stale certified treatmenVdisposal facility. One potable aboveground water tank of approximately 4000 gallons ca- pacity on-site. Posted on the front of the Tank there is a Sign that states "Potable Water Only". Potable water demand is estimated to be 300 gal- lonsfday (4 individuals x 75 gpcd). Required minimum fire suppression demand is 2500 gallons. Total potable and fire suppression demand is estimated to be 4000 gal- lons. Road access to the site is maintained year round through the services of pri- vate road maintenance and construction contractor. SG 31-32 Pad Vault System Description The site will temporarily office and house up to a maximum of four individu- als during natural gas drilling activities and is expected to be completed in one year or less . The individuals will occupy two individual trailer offices/ houses located on the well pad. Office/houses have Colorado Division of Housing compliance tags. LIMlTED POWER OF ATIORNEY WPX ENERGY ROCKY MOUNTAIN, LLC ("Company,.) a Delaware limited liability company, l1nving its principal place of business in the City of Tulsa, County of Tulsa, State of Oklabomn, docs hereby make, conslitute and appoint Bryau S. Hotard with the run nulhorlty hereinafter provided, the true and lawful AUomcy-ln-Fact of the Company, authorized and empowered on behalf of the Company and in the Company•s name, and for the sole and exclusive benefit of lhe Company and not on behalf of any other person, corporntion or assoclnlioo, In whole or in port, to enter into, execute, deliver, file and accept all inslrumcnls and documents arfecting the real property or real estate rights of the Company as more specifically set forth below: : 1. Applications and documentation associated with Garfield County or Rio Blanco pennitting requirements for including, but not limited to, Independent Sewage Disposal Systems, Small Temporary Employee Housing, Major Impocl Reviews, Limited Impact Reviews, Oil and Gas well permitting, Driveway Access, Counly Road Mnintenam:i:, Temporaiy Living Quarters, Temporary Use Pennlts, Surface Use Pennlts, Surface Use Licenses, Utilities, Snow RemovnJ and Private ConslJUction of County Roads; 2. Agreements and other documentation that grant easements, righl'I of way, licenses, or pcnnils to Company and also instruments where the Company grants such righls to others; 3. Agreements that assign easements, rights of way, licenses, pennits or surface leases in connection with the Company's operations; 4. Releases and Partial Releases ofcasemcnts nnd rights of way; S. Agreements allowing encroachments onto easements and rights of we.y owned by Company and landowner instruments and conveyances on others casements; 6. Agreements subordinating mortgage rights to casement or lease ; 7. Agreements relating to the modification and relocation of Company facilities; 8. Rental or lease agreements for surface use or oUter surface use agreements and all notices related to the plpelin11 agreements; 9. Agreements for tho purchase or sale ofreaJ property nnd for lhe tense of teal property for residential or commercial purposes or otherwise in connection with the Con1pany's operations; 10. Agreements to obtain water services, electricaJ, gas or oil services or the provision of other utility services utilized by Company 1s facilities; 11. Agreements modifying, amending. renewing. extending, ratifying forfeiting, canceling and terminating ony and all of tho aforementioned types of instruments and documents. WPX ENERGY ROCKY MOUNTAIN, U.C hereby declares that each and every acl, matter and thing which shall be given, made and done by Bryan S. Hotanl in c:oMection with the exercise of any or oJJ of the aforesald powers shall be as good, valid and effcctuol to all intents nnd purposes as if the same had been given, made and done by WPX Energy Rocky Mountain, LLC in Its limiled Unbllity company presence and it hereby ratifies whatsoever Attorney-in-Fact shall lawfully do or cnuse to be done by virtue hereof. This Limited Power of Attorney shall remain in full force and effect until terminated by Company. • IN WJTNESS WHEREOF, WPX Energy Rocky Mowualn, LLC has c11ui;ed this Limited Power of Atromey to be signed by one uf its Vice Presidents, duly aulhori?.ed by ils M11nngoment Conunittce to grant powers ofattomey this 1•t day ofJanuary, 2012. AIN,LLC ACKNOWLEDGMENT STATE OF OKLAHOMA ) ) SS. COUNTY OF TIJLSA ) BEFORE MB, the undersigned oulhorlty, a Notary Public in and for said County and State, on this day personally appeared, Jeny D. Barnes personally known to me lo be the Vice President of WPX Energy Rocky Mountain, LLC a Delaware limited liability company, who acknowledged to me thal he has executed the above LIMITED POWER OF A'ITORNEY authorized by Company's Management Committee. IN WJTNESS WHEREOF, I have hereunto set my hand and affixed my notary lical, the~ day of.leftllary;-20!2. F~ Notary Public My Commission Expires : 2.-~B-~oli_/. After Recordalion Please Return To: WPX Energy Rocky Mountian, LLC Attn: Land Dept. POBox370 Parachute, CO 81635 2 Sec:tio11 32 T. 7 S., R. 96 W. B /36·Ea•l 1'l••d 81""11 Ri/14. Colon>do 111650 l'tl. (910} 675-27.10 Fnr(970} 6:15-:1773 D BO GRAPHIC SCA~ IN FEET I INCH • 80 FEET SG 31-32 Drill Pad -Plat 2 CONSTRUCTION LAYOUT Section 32 T. 7 S., R. 96 W. ACCESS DESCRIPTION: FROM THE 1-70 EXIST 72 ROUND -ABOUT, PROCEED SOUTH TO WESTERLY At ONG STATE HIGHWAY 6 ±3.0 MILES TOAN INTERSECTION WITH A DIRT/GRAVEL ROAD, PROCEED RIGHT IN A NORTHERLY DIRECTION 10.3 MILES TO AN INTERSECTION WITH A DIRT/GRAVEL ROAD, PROCEED LEFT IN A WESTERLY DIRECTION ±0.9 MILES TO AN INTERSECTION WITH A DIRT/GRAVEL ROAD, PROCEED RIGHT IN A NORTHERLY DIRECTION t.0.3 MILES TO THE EXISTING SG 31-32 DRILL PAD LOCATION , AS SHOWN HEREON . 136Bast11J"1 ~"'"' ~. Coluado 11650 l>tt.·(910/ 635·21'° Fax (910/ 625-2173 REVISED: ~/29/ 15