HomeMy WebLinkAboutApplicationGarfield County ONSITE WASTEWATER
TREATMENT SYSTEM
(owrs)
PERMIT APPLICATION
ïtAY 1 6
Communlty Development Depârtment
1OB 8th Street, Suite 401
Glenwood Sprlngs, CO 81601
(9701 e4s-8212
www.garfleld-countv.com
WPE OF CONSTRUCTION
Û Alteration u
TNVOLVED PAFTTES
titúñt ownen aurðåì olLánã ñ;âÊãmàni- Þhone:( )
Malllng Address: Colorado River Vallev Field Office 2300 River Frontage Road Silt. CO
81652
Contractor:TEP Rockv Mountain Phone: ß7Ol 285-9377
Malllng Address:PO Box 37O. Parachute. CO 81635
Englneer:David Fox Phone: (970) 250-5505
Malllng Address:PO Box 370. Parachute. CO 81635
PROJECT NAME AND TOCATION
Job Address:MV 5-10 Pad -1O Townshln 7S RanEe 96W
Assessoy's Parcel Number: 240921200952 Sub,Lot Block
Bulldlng or Servlce Type: Temporarv office & house #Bedrooms:2 Garbage GrinderSc
Dlstance to Nearest Communlty Sewer System:NA
Was an effort made to connect to the Communlty Sewer System:NA
FlnalDlsposal by
E Evapotransplratlon B Sand Fllter
X Other Hauled bv HB Rentãls to Garfleld Countv Landfill Dlsoosal Slte
U Well tr Sprlng E Stream or E¡ Cl$ern
tr Non-Domest¡cEl Transient Use
WASTE WPE
tr Other Describe
X Dwelli
X New lnstallation
X VeultE SeptlcTank E Aeratlon Plant E Vault Prlvy tr Compostlng Tollet
El Recycllng, Potable Use
Type of OWTS
tr ChemlcalTollet X Other Hauled bv HB Rentals to Garfleld Countv Landflll
Dlsposal Site
E Recycllng tr Plt Prlvy E lnclneratlonTollet
Ground Condltlons Depth to 1¡t Ground water table NA Pêrcent Ground Slope NA
El Absorptlon trench, Bed or Plt B Underground Dlspersol E Above Ground Dlsper¡al
fl Westeweter Pond
Water Source & Type
X Communlty Wator System Name
Effluent Wlll Effluent be dlscharged dlrectly ¡nto waters of the State?E Yes XNo
CERTIFICATION
I hereby acknowledge that I read and understand thê Not¡ce and Certification above as well as
have provlded the requlred which is correct and accurate to the best of my knowledge.
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Owner Prlnt and Sign
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OFFICIAT USE ONLY
Speclal Condltlons:
æFees Pald:s"s?5,ooPerk Fee:
tr\l11.'ry'iË,*
'^u"å."ÐSeptlc Permit:^:rÐv:t{?ìx(
lssue Date¡Jî.1'a.t?Bulldlng Permlt
.stF\f*R5-'{5
6-17-?al
BIDG DIV:
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DATEAPPROVAL
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-Redeotion#: 879861ø¡t'tdtzølo 02:18:46 Plf Jean Êlberlcoi åi z nec Fãe'$16.øø Doc Fee'o.ø@ GÊRFTELD çoUNTY C0
PO\ryBROFATTORNEY
KNO1I¡ ALL PERSONS BY TTIESE PRESENTS:
TIIÄT TAP ROCKY MOITNTAIN LLC, a Dclaware limited liability company, hereby nominates,
conslitutes, and appoints Bryan S. Ilotard, as iß true and lawful Attorney-in-Façt to execute and dcliver
in the name and on behalf of IEP ROCKY MOIINTAIN LLC ('Principal") any of the following
designated instruments or documents in connection with the Principal's operations in e4ploring for and
producing oil, gas, or otåer minerals from lands, or interests in lands, owned, held, or claimed by the
United States, any state or political suMivision thereof, any persot\ corporation, parfrrership or other legal
entity:
A. (1) Apptications for permits or leasos; (2) consents, stipulations, or agreements in connection with
the issuance of permits or leases; (3) acceptances of leases, subleases, or permits; (4) acceptances of all
insüuments tiansferring leases, offers to lease, permits, applications for permits, or subleases, or Ém intorest
in any ofthese (ineluding æsignments ofworking or royalty interests) to Principal.
B. Applications for extensions or tenewals of leases and permits
C. (l) Prospecting, seismic, or exploration permits; (2) insfruments in connection with the acquisition
or mainten¿nce of prospecting seismic, or exploration permits.
D. Instruments withdrawing applications for leases or permits.
E. (l) Requests for rights-of-way and surf¿ce use permits; (2) acceptance of grants of rights-of-way
and surface use permits, including any stþulation or condition in the grants; (3) any statements that may be
required in connection with applications for rights-of-way and surface use permits.
F. Requests for extension oftimo in which to drill wells.
Principal agrees to be bound by all representations the Attomey-in-Fact may make in any instrument or
document he or she is authorízed to execute and deliver under this Power of Attomey. Principal hereby
waives any defenses available to it to contest, negate, or disaffirm the actions of its Attorney-in-Fact under
this Powerof Attomey.
This Power of Attorney is effcctive July 1, 2016, and shall continue in full force and effect until revoked in
writing, and has the same force and effeot as if the Principal granted separate special authority to the
named Attorney-in{act to exçcute and deliver each such insFument or document separately for each and
every such insftument or document so executed and delivered-
EXECUTED by Principal on this 13ù day ofJuly,2016.
Terra Energl Parfners LLC as sole member of
TEPRocþ Mountain LLC
AGREEDTO A¡{D ÄCCEFTDD
BY:
BY S. Land
üOT{F$RffiËÐ
üÐFY
S.
7
ITS: President and CEO Attorney-in-Fact
ACKNOWLEDGEMENT
State of Texas
County ofHarris
(Notary SeaI)
This inshument was acknowledged before me on { ,, /g .2016 by Michael S. Land, known to
mc to be the President and CEO of Terra Enerry 6ffi LLC, " Delaware corporation, on behalf of thc
corpoñrtion.
r¡FFÀNY C[8ELL POI.IOCK
Notory Public. SlolÊ ol Iexos
My Comr¡ission Explres
^pril
2ó, ?0I9
:sÍ¡ff:¡"1; ';,,1; :i,i ii'i.lMV 5-10 PadVault System DescriptionThe site will temporarily office and house up to a maximum of eight individ-uals during natural gas drilling activities and is expected to be completed inone year or less. The individuals will occupy four individual trailer offices/houses located on the well pad. Office/houses have Colorado Division ofHousing compliance tags.Two aboveground sewage holding tanks each with 4000-gallon capacity on-site.The Vault System is displayed in the pictures. Sewage flows estimated to be 600gallons/day (8 individuals x 75 gpcd). Sewage holding tank needs to be emptiedapproximately every 7 days (4000 gallons/ 600 gallons per day). Wastewatervault is equipped with overflow alarm device. Terra Energy Partners utilizes theservices of a licensed contractor to removed and haul the wastewater to a statecertifìed treatment/disposal facility.Two potable aboveground water tanks of approximately 4000 gallons each ca-pacity on-site. Posted on the front of the Tank there is a Sign that states "PotableWater Only". Potable water demand is estimated to be 600 gallons/day (8 individ-uals x 75 gpcd). Required minimum fìre suppression demand is 2500 gallons.Total potable and fìre suppression demand is estimated to be 4000 gallons.Road access to the site ismaintained year roundthrough the services of pri-vate road maintenance andconstruction contractor.
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Section 1O
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2.) Topsoil Volume Based on 12"
Soil Depth.
3.) Total Disturbed Area = ¡8.47 ac.
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s #1ESTIMATED EARTHWORK QUANTITIES (cy)
ITEM CUT FILL TOPSOIL EXCESS
PAD 383r0 2't730 6650 9930
PIT 1 9200 19200
57510 21730 6650 29130
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REWSED,,9/2/16
TEP Rocky Mountain LLC
MV 5-1O Drill Pad - Plat 2
CONSTRUCNON LAYOUT
for:
SCALE:
DATE:
PI.AT:
PRA]ECT:
DFT:
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GM 533-1 0
GM 34-1 0
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Sectíon lO
T. 7 5., R. 96 W.*.r---
GRAPHIC SCALE IN FEET
1 INCH = 2000 FEET
ACCESS DESCRIPTION:
FROM THE INTERSECTION OF THE I-70 FRONTAGE ROAD AND COUNTY ROAD 215 AT PARACHUTE, PROCEED IN A
NoRTHWESTERLY DIRECTIoN ALONG COUNTY ROAD 215 12.,1 MILES TO AN INTERSECTION WITH A DIRT/GRAVEL ROAD,
PROCEED LEFT IN A SoUTHWESTERLY DIRECTION t 2.4 MILES TO THE EXISTING MV 5.10 LOCATION, AS SHOWN HEREON
Construction repared for:
136 East Third Street
sc.4¿.t'
DATE:
PLAT:
PROJECT:
DFT:
TE TEP Rocky Mountain LLC
RíÍte,
P?L
Colorado 81650
(e7o)
(e70)
5 MV 5-10 Drill Pad - Plat 5
ACCESS ROAD & TOPO ]IIAP
Fu 625-2720
625-2773