HomeMy WebLinkAboutApplicationGarfield County ONSITE WASTEWATER
TREATMENT SYSTEM
(owrs)
PERMIT APPLICATION
RECET
tVlAR ? 0 2018
D
BY:
Development Department
8th Street, suite 401
Springs, CO 81601
(9701 94s-8212
TYPE OF CONSTRUCTION
X New lnstallation
WASTE TYPE
E Other Describe
i E Alteration E Repair
i E Transient Use tr Comm/lndustrial tr Non-Domestic
INVOLVED PARTIES
Property Owner: US Naval Oíl Shale Reserve (US Dept of Enerev) Phone:
Mailing Address: 1.000 lndependence Ave SW Washineton, DC 20585
contractor:TEP Rockv Mountain LLC
Mailing Address:PO Box 370, Parachute, CO 81635
Phone: ß701 285-9377
Engineer:David Fox Phone:1970) 250-5505
Mailing Address PO Box 370. Parachute, CO 81.635
PROJECÍ IVAME AND TOCATTON
Job Address: PA 23-25 Pad
Assesso/s Parcel Number: 277322200951Sub.
Building or Service Type: Temporary office & house #Bedrooms: j* Garbage Grinder No
Distance to Nearest Communlty Sewer System:NA
Was an effort made to connect to the Community Sewer System:NA
Final Disposalby E Absorptlon ttench, Bed or Plt E Underground Dlspersal E Above Ground Dlspersal
E Evapotransplratlon itr
Ì
Wastewater Pond E Sand Fllter
X Other Hauled bv Clveo to Garfield aÈd Mssa County Landfllls
Water Source & Type U Well tr Sprlng E Stream orcreek r E c¡stern
Lot Block _
X Commun¡ty Water System Name Çl.ty pf 8lf[e & Ute Water: Iavlçd bv Clve.o
Will Effluent be discharged directly ¡nto waters of the State? E Yes X No
Type of OWTS
x orher ,l.lqgled bv clygo to Gafflgld and Mêsa countv Landfills
X Vault tr Vault PrlW
ToiletE Plr Prlw
E SepticTank E Aeratlon Plant
tr Recycllng
tr Composting To¡let
E Recycllng, Potable use
tr Chemlcal Tollet
Ground Condltlons Depth to lrt Ground water table NA Percent Ground Slope NA
Effluent
CERTIFICATION
Applicant acknowledges that the completeness of the application is conditiona! gpon such further
niaindatory and addiiional 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
depãrtment of health in evaluating the same for purposes of issuing the. permit applied for herein. I
furiher understand that any falsifíCation or misrepresentation may result in the denial of the
appfication or revocation of any permit granted based upon said application and legal action for
perjury as provided by law.
r
I
i
I hereby ackncwledge that I have read and understand the Notice and Certification above as well as
have provided the required information which is accurate to the best of my knowledge,
Property Owner Print and Sign Date
oFFTcTALUSEoNLY øìd Z/AAllø gfn[ ı;5 cn'
Speclat Condltlons:
äà'*
Perk Fee:
truÊ
Total Fees:27S..oÔ Fees Pald:oos7<
Bullding Permit Septlc Permitr
sp'isF=.s*ral
lssue Datelî.9\.tß '^u¡"go
I
BLDG DIV:3-4_ZÞ tg,
DATE
ll ll llFrt'lïlt'fl fl¡lltfl ''T ll!ßl #l:l'lj1ll fl lLr;qþ frl,tT[ ¡l ll I'--Reëeption*: 8?9861Ø7l1Al2ø16 Ø2r18:46 Pll Jean Alberico1 of 2 Rec Fee:$16.09 Doc Fee,6.Ø@ GÊRFIELD COUNTY CO
PO\ryEROFATTORNEY
KNOWALL PERSONS BY TTIESE PRESENTS:
THAT TEP ROCI(Y MOITNTAIN LLC, t Delaware limitd liability company, hereby nominates,
constitutes, and appoints Bryan S. Ilotard, âs iß true and lawful Attomey-in-Fact to executÊ and deliver
in the name and on behalf of TEP ROCIff MOIINTAIN LLC ('Principal') any of the following
desigpated instruments or documents in conn€ction with the Principal's operations in ex¡rloring for and
producing oil, gaso or other minemls from lands, or interests in lands, owne{ held, or claimed by the
United States, any state or politieal zuMivision thereof, any person, corporatign, parrrership or other legal
entity:
A. (l) Applications for perrrits or leases; (2) consents, stþulationq or agreements in connection with
tte issuance of p,ermits or leases; (3) acceptances of leases, zubleases, or permits; (4) acceptances of all
insFuments tansferring leases, offers to lease, permits, applications for permitg or subleases, or an interest
in any ofthese (including assignments of working or royalty interests) to Principal.
B. Applications for extensions or renewals of leases and perrrits.
C- (l) Prospecting seismic, or exploration perurits; (2) inshuments in connection with the acquisition
or maintenance of prospecting, seismig or explorationpermits.
D. Iustruments withdrawing applications for leases or permits.
E. (l) Requests for rights-oÊway and surface use permits; Q\ acæptance 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 applícations for right+of-way and surface use permits.
F. Requests for extension of time in which to drill wells.
Principal agrees to be bound by all representations the Attorney-in-Fact may make in any instrument or
document he or she is authorized to execute and deliver under this Power of Attorney. Principal hereby
waives any defenses available to it to contes! negate, or disaffirm the actions of its Attorney-in-Fact under
this Power of Attomey.
This Power of Attorney is effeotivo July 1, 2016, and shall continue in full force and effect until revoked in
writing, and has the same force and effect as if the Principal granted sepâf,âte special auürority to the
named Attomey-in-Fact to exeoute and deliver each such insFument or document separately fo¡ each and
every suoh insür¡ment or document so executod and delivered.
EXECUTED by Principal on this 13ù day ofJul¡ 2016.
Terra Dnerry Partners LLC as sole member of
TEPRocþ Mountain LLC
AGREED TO A¡ID ACCEPTED
BY:
S. Land
ÛOruFTRRflED
üOFY
sBY
ITS
4
President and CEO Attomey-in-Fact
ACK}TOWLEDGEMENT
Staæ of Texas
County of flarris
This insfrument was acknou¡ledged before me on frl* /3 ,2016 by Michael S.I-an{ known to
me to be the President aad CEO of Terra Energr Parhefr LI-C, tfþlawars corporafion, on behalf of the
c,orpordion.
(Notary Seal)
iltFA|{Y C[8El.l, POILOCT(
Nolory Public, Slole of lgxot
MyComml¡sion Exp¡re¡
Aplil2ó,2019
PA 23-26 PadVault System DescriptionThe site will temporarily office and house up to a maximum of eightindividuals during natural gas drilling activities and is expected to becompleted in one year or less. The individuals will occupy up to fourindividual units located on the well pad. Office/houses have ColoradoDivision of Housing compliance tags.Four above ground sewage holding tanks with 1500-gallon (6000-gallon total) capacity on-site.The Vault System is displayed in the pictures. Sewage flow is estimated to be 600 gallons perday (8 individuals x 75 gpcd). Sewage holding tanks need to be emptied approximately every10 days (6000 gallons/ 600 gallons per day). Wastewater vault is equipped with overflow alarmdevice. Terra Energy Partners utilizes the services of a licensed contractor to remove and haulthe wastewater to a state certified treatment/disposal facility.Two aboveground potable water tanks of approximately 3360 gallon capacity each on-site."Potable Water Only" sings will be posted on tanks. Potable water demand is estimated to be600 gallons per day (8 individuals x 75 gpcd). Required minimum fire suppression demand is2500 gallons.Road access to the site is maintainedyear round through the services of aprivate road maintenance andconstruction contractor.
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Section 26
î.65.,R.95W
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Exist. Top of Bank
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c 17.0'
Daylight Line
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Proposed
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3.) Total Disturbed Area = t5.84 ac.
REWSED,,7/3/17
*NOTE:
1.) Access Road Volumes lncluded in Earthwork Volumes.
/2.) Topsoil Volume Based on 12" Soil Depth./ 3.) Swell Factor of 15% Applied to Eârthwork Cut Volume.
158', iI
Re-Align
(17% Road Grade)
)
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Existing Road
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ESTIMATED EARTHWORK QUANTITIES (cy)
ITEM CUT FILL TOPSOIL EXCESS
26500 5140 -10PAD31630
0PIT0
TOTALS 31630 26500 5140 -10
TEP Rocky Mountain LLC
Constru
TE
PA 23-26 Drill Pad - Plat 2
CONS?RUCTION LAYOUT
SCALB:
DATE:
PLAT
PRA]ECT:
DFT:
Section 26
T. 6 5., R. 95 l,{¿
,- _ _J- Ex¡st' Access RoadI
I 80
GRAPHIC SCALE IN FEET
1 INCH = 80 FEET
_[
Daylight l.ine
Topsoit
Stockpite AreaRe-Align Existing Road
(17ot6 Road Grade)lz
\t(
;{\
\
þ
\\
Temp. Blowdown
Tank Pad
(30'x30)
(
I
ol
A r,*,n,,Line
Exist.
Valve Set
I I
Road to
.Ex¡sting Pad (t8.9% Max.)
/
/
REWSED:7/3/17
SCALE:
DATE:
PLAT:
TEP Rocky Mountain LLC
2 7 PA 23-26 Drill Pad - PIat 4
DRTLL RIGLAYOUT
PRA]ECT: TEP
Flare UnitCuttings Management Area
(60 x 350)
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Proposed CMP
CUfrINGS
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See Construction Layout Sheet for
Well Designations
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Section 26
T.65.,R.95W
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0
GRAPHIC SCALE IN FEET
I INCH = 2000 FEET
ACCESS DESCRIPTION:
FROM THE INTERSECTION OF 1ST STREET AND COUNTY ROAD 215 AT PARACHUTE, PROCEED IN A NORTHEASTERLY
DIRECTION ON STATE HIGHWAY 6, 13.4 MILES TO AN INTERSECTION WITH A DIRT/GRAVEL ROAD, PROCEED LEFT IN A
NORTHEASTERLY DIRECTION, 1O.B MILES TO AN INTERSECTION WITH A DIRT/GRAVEL ROAD, PROCEED LEFT IN A
NORTHERLY DIRECTION, tO.8 MILES TO AN INTERSECTION WITH A DIRT/GRAVEL ROAD, PROCEED RIGHT IN A SOUTHERLY
TO NORTHEASTERLY DIRECTION IO.9 MILES TO THE EXISTING PA23-26 DRILL PAD LOCATION, AS SHOWN HEREON.
REWSED:7/3/17 Construction Plan
SCALE:
DATE:
PLAT:
PRA]ECT:
DFT:
TE TEP Rocky Mountain LLC
PA 23-26 Drill Pad - Plat 5
ACCESS ROAD & TOPO IIIAP