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APPENDIX 9.03.01(1)
SWMP PERMIT
O\OLSSON
ASSOCIATES
THIS PAGE LEFT BLANK FOR TWO-SIDED DUPLICATION.
OLSSON
ASSOCIATES
CoLonatio Department
of Public Health
and Environment
Appendix B -Permit Certification
CERTIFICATION TO DISCHARGE
UNDER
CDPS GENERAL PERMIT COR -0300000
STORMWATER ASSOCIATED WITH CONSTRUCTION ACTIVITIES
Certification Number: COR03K566
This Certification to Discharge specifically authorizes:
Ursa Operating Co LLC
to discharge stormwater from the facility identified as
Battlement Mesa Wen Field
To the waters of the State of Colorado, including, but not limited to:
Battlement Creek and Dry Creek - Colorado River
Facility Industrial Activity : Oil and Gas Production and/or Exploration,
Facility Located at:
1 70 and Battlement Pkwy, Battlement Mesa
Garfield County, CO 81636
Latitude 39.443, Longitude -108.009
Certification is effective: 5/21/2013 Certification Expires: 6/30/2012
ADMINISTRATIVELY CONTINUED
This certification under the permit requires that specific actions be performed at designated times. The
certification holder is legally obligated to comply with all terms and conditions of the permit.
Signed,
Nathan Moore
Construction/MS4/Pretreatment Unit Manager
Water Quality Control Division
Page 1 of 22
STATE OF COLORADO
John W. Hickenlooper, Governor
Christopher E. Urbina, MD, MPH
Executive Director and Chief Medical Officer
Dedicated to protecting and improving the health and environment of the people of Colorado
4300 Cherry Creek Dr. S.
Denver, Colorado 80246-1530
Phone (303) 692-2000
Located in Glendale, Colorado
http://www.cdphe.state.co.us
5/21/2013
Robert W Bleil, Reg and Env Mgr
Ursa Operating Co LLC
1050 17 St Ste 2400
Denver, CO 80202
Laboratory Services Division
8100 Lowry Blvd.
Denver, Colorado 80230-6928
(303) 692-3090
RE: Certification, Colorado Discharge Permit System
Permit No., COR030000, Certification Number: COR03K566
Dear Mr./Ms. Bieil;
Colorado Department
of Public Health
and Environment
The Water Quality Control Division (the Division) has reviewed the application submitted for the Battlement Mesa Well Field facility and determined
that it qualifies for coverage under the CDPS General Permit for Stormwater Discharges Associated with Construction Activities (the permit). Enclosed
please find a copy of the permit certification, which was issued under the Colorado Water Quality Control Act.
Facility: Battlement Mesa Well Field Garfield County
Construction Activities: Oil and Gas Production and/or Exploration,
Legal Contact (receives all legal documentation pertaining to the permit certification):
Phone number: 970-625-9922
Email: rbleil@ursaresources.com
Robert W BIeiI, Reg and Env Mgr
Ursa Operating Co LLC
105017 St Ste 2400
Denver, CO 80202
Facility Contact (contacted for general inquiries regarding the facility):
Robert W BIeii, Reg and Env Mgr
Billing Contact (receives the invoice pertaining to the permit certification):
Robert W Weil, Reg and Env Mgr
Ursa Operating Co LLC
1050 17 St Ste 2400
Denver, CO 80202
Any changes to the contacts listed above must be provided to the Division on a Change of Contact form. This form is available on the Division's website
at coloradowaterpermits.com.
Phone number: 970-625-9922
Email: rbleil@ursaresources.com
Phone number: 970-625-9922
Email: rbleil@ursaresources.com
The Annual Fee for this certification is $245.00, and is invoiced every July. Do Not PatiThis Now. The initial prorated invoice will be sent to the legal
contact shortly.
The Division is currently developing a new permit and associated certification for the above permitted facility. The development and review
procedures required by law have not yet been completed. The Construction Stormwater General Permit, which will expire June 30, 2012, will be
administratively continued and will remain in effect under Section 104(7) of the Administrative Procedures Act, C.R.S. 1973, 24-4-101, et seq (1982
rept. vol. 10) until a new permit/certification is issued and effective. The renewal for this facility will be based on the application that was received
5/14/2013.
Please read the enclosed permit and certification. If you have any questions please contact Kathleen Rosow, Environmental Protection Specialist, at
(303) 692-3521.
Sincerely,
Karen Harford, Administrative Assistant II
WATER QUALITY CONTROL DIVISION
Enclosures: Certification page; General Permit; Highlight Sheet; Termination form
xc: Permit File
/keh cert