HomeMy WebLinkAboutApplicationGurfield County ONSITE WASTEWATER
TREATMENT SYSTEM
(owrsl
PERMIT APPLICATION
Development Department
8th Street, Suite 401
Springs, CO 81601
(970194s-8212t)cT 2 4 201
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TYPE OF CONSTRUCTION
X New lnstallation tr Alteration tr Repair
WASTE TYPE
X Dwelline E Transient Use tr Comm/lndustrial tr Non-Domestic
E Other Describe
INVOLVED PARTIES
Property Owner: Tri State Truckine. LLC Phone:( )
Mailing Address:PO Box 748 Vernal. UT 84078
Contractor:TEP Rockv Mountain Phone:ß70128s-9377
Mailing Address:PO Box 370 Parachute. CO 81635
Engineer: Fox Ensineering Solutions. lnc. Phone: (970) 250-5505
Mailing Address: 670 Canvon Creek Drive Grand Junction, CO 81507
PROJECT NAME AND IOCATION
Job Address: PA 22-25 Pad - Section 25 Township 65 Ranqe 95W
Assessor's Parcel Number: 2L7325200036 Sub.Lot Block
Building or Service Type: Temporarv office & house #Bedrooms: 3 Garbage Grinder No
Distance to Nearest Community sewer system:NA
Was an effort made to connect to the Community Sewer System:NA
Type of OWTS E SepticTank E Aeration Plant x Vault E Vault Privy tr Compost¡ng To¡let
E Recycling, Potable Use E Recycling E Pit trivy E lncinerat¡on Toilet
E Chemical Toilet X Other
Disposal Site
Ground Conditions Depth to 1st Ground water table NA Percent Ground Slope NA
Final Disposalby E Absorpt¡on trench, Bed or Pit E Underground Dispersal E Above Ground Dispersal
E Evapotranspiration E Wastewater Pond E Sand Filter
X Other Hauled bv HB Rentals to Garfield Iandfill Disnosal Site
Water Source & Type tl well E Spring E Stream orCreek E Cistern
x Commun¡ty water System Name Citv of Rifle Bulk #2 - Hauled bv HB Rentals
Effluent Wil! Effluent be discharged directly into waters of the State? E Yes x No
CERT¡FICATION
Applicant acknowledges that the completeness of the application ¡s condit¡onal t1pgn such turther
niandatory and additional test and reports as may be required by the local health depa-rtment 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 necessáry 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 a.pplie.d for herein. I
further understand that any falsification or misrepresentation may result in the denial of the
application or revocation of any permit granted based upon said application and legal action for
perjury as provided by law.
I hereby acknowledge that I have read and understand the Notice and Certification above as well as
have provided the required information which is correct and accurate to the best of my knowledge.
/. l.'. , ., ./- October 24, 2OI7
Property Owner Print and Sign Date
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OFFICIAT USE ONIY
Special Conditions:
Total Fees:S\s.Ø '"8'¿,-Perm¡t Fee:ú75.ôô trtùC:r
Perk Fee:
þd. oo
Balance DueBuilding Permit +Septic Perm¡t:lssue Dãte:lô.r5'lT
/0-25-2¡-BIDG DIV
DATEAPPROVAL
llll ltrr,rl::tÏl¡l\Hllll{'tll F¡l*l¡TIHU'l¡ll hlL t'il' tl ll I
Reception#i 97986.2
Y :ld L'P¿ï P3¿ 1 I ì å?rB'0.i'Ê!"?å?åã'3ËRF
'ELD
couNry co
POWER OF AMORNEY üt3éf'{JÊqÈv¡u,*+
copYKNOW ALL PERSONS BY T}IESE PRESENTS:
THAT TEP ROCIff MOIINTAIN lJ.C, a Delaware limited liability company, hereby nominates,
constituües, and appoints Jeffrey D, Kirtland, as its true and lawful Atûorney-in-Fact to execute and
deliver in the namc and on beh¿lf of IDP ROCKY MOTINTAIN LLC ("Princrpal) any of the following
desþated insFuments or documents in connection with the hincipat's operafions in exploring for and
producing oil, gas, or other minerals from lands, or interests in lands, owned, held, or claimed by the
United Stateq any state or political subdivision thereot any person" coqporatiorç parbership or other legal
entity:
A. (l) Applications for permits or leases; (2) consents, stþulations, or agr€ements in connection with
tlre issuance of permits or leases; (3) accepAnoes of leases, subleases,.or permits; (!) aeceptarces of all
instnrments transfening leases, offers to lease, pennits, applications forpermits, or subleases, or an intsrest
ín any ofthese (including assignments of wcrking or royalty intcrests) to Principal.
B. Applications for extensions or renewals of leases and permits.
C. (1) Prospocting, seismic, or exploration perrnits; (2) insfumen* in connection wift the acquisition
or maintenance of prospec'ting seismic, or exploration pçrmits.
D. Instruments withdrawing applicæions for leases orpermits-
E. (l) Requests for rights-of-way and surface use permits; 8) asceptanoe of grants of rights-of-way
and surface use permits, including any stþulation or condition in ûe grants; (3) any statements that mây b€
required in connection with applications for rigþts-of-way and surface use permits.
F. Requests for oxtension of time in whioh to drill wells.
Principal ¿grees to bç bormd by all represenhfions the Attorney-in-Fact may make in any insüument or
document he or she is authorized to execute and deliver under thís Power of Attorney" Principal hereby
waives any defenses ¿vailable to it to contest, negafe, or disaffinn the actions of its Attorney-in-Fact under
this PowerofAttomey.
This Power ofAttorney is effective July l, 2016, alrd shall continue in full force ând effect until revoked in
writing, and has the same force and effect as if ths Principal granted separate special auürority to the
named Attomey-in-Fast to ex€cute and deliver each such instrument or document separately for each and
every such instnrment or document so executçd and delivered.
E)(ECUTED by Principal on this I 3ft day of July, 2016.
Terra Energy Partnero LLC as sole member of
TEP Rocþ Mountain LLC
AGREED TOANDACCEPTED
BY:
S. Lând D. KirtlandBY:
ITS:
4
President and CEO Attorney-in-Fact
ACKNO!I'LEDGEMENT
Staæ ofTexas
County ofHanis
(Notary Seal)
This instrument was aoknorrledged before me onfiL/AJ3---"20l6byMichael S.I¿n{ known to
me to be llre President and CEo of Terra Energy @co,rporatior¡ on behalf of the
corporation.
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Edge of
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Elev.: 5223.8
Edge of ProPosed
Pad ExPansion
ESTIMATED EARTHWORK QUANTITIES (cy)
ITEM CUT FILL TOPSOIL EXCESS
PAD 200 15180 1500 -16480
PIT 19300 19300
TOTALS 19500 15180 1500 2820
Section 25
7.65,,R95W
%+Exist. Limit
of Disturbance
GRAPHIC SCALE IN FEET
1 INCH =100 FÊET
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1.) 10% Swell Factor Applied to
Earthwork Cut Volumes.
2.) Topsoil Volume Based on 12"
Soil Depth.
3.) Total Disturbed Area = x7.24 ac.
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Wind-Row Topsoil
F 15.9',*
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RDWSED:9/13/17
SCALE:
DATE:
PLAT:
PRo']ECT:
DFT:
PA 22-25 Dill Pad - Plat 2
CONSTRUCNON LAYOAT
Construction Plan are
TEP Rocky Mountain LLCTER
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GRAPHIC SCALE IN FEET
I INCH =100 FEET
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Well Desìgnations
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Wind-Row Topsoil
REWSED:6/28/17 are
SCALE:
DATE:
PLAT:
PRO.]ECT:
DFT:
TER TEP Rocky Mountain LLC
7 PA 22-25 Drill Pad - Plat 4
DRILL RTG LAYOUT
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GRAPHIC SCALE IN FEET
'1 INCH = 2000 FEET
ACCESS DESCRIPTION:
FROM THE INTERSECTION OF STATE HIGHWAY 6 AND COUNTY ROAD 323 (RULISON ROAD) NORTH OF RULISON, PROCEED IN A
NORTHERLY TO WESTERLY DIRECTION tO.6 MILES TO THE EXISTING PA22-25 DRILL PAD LOCATION, AS SHOWN HEREON.
REWSED: 5,/ 19/ 17 pare
SCALE:
DATE:
PI.AT:
PROJECT:
DFT:
TEP Rocky Mountain LLC
PA 22-25 Drill Pad - Plat 5
ACCESS ROAD ]IIAP
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PA 22-25 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 4000gallon 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 statecertified treatmenVdisposal 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 "PotaþleWater Only". Potable water demand is estimated to be 600 gallons/day (8 individ-uals x 75 gpcd). Required minimum fire suppression demand is 2500 gallons.Total potable and fire suppression demand is estimated to be 4000 gallons.Road access to the site ismaintained year roundthrough the services of pri-vate road maintenance andconstruct¡on contractor.t.:, :;- rtl r,l.lL.:::.{