The URL can be used to link to this page

Home My WebLink AboutApplicationGurfield County ONSITE WASTEWATER TREATMENT SYSTEM (owrs) PERMIT APPLICATION R E c E rv E tr " ï[|tf,"#':j.1it Dê pa rt m e nt MAy il $ 2t11$Glenwood Sprlngs, CO 81601 {970) e4s-8212 GAR FIELD COU COMIIUNITY D m WPE OF CONSTRUCTION X New lnstallation i tr Àitèrat¡on EI Repair WASTE WPE X Dwel ling E Transient Use Comm/lndustrial E Non-Domestic El other Desøibe INVOLVED PARTIES Property Owner: US Dept Of Enerev Phone:_ Mailing Address: 1000 lndependence Ave SW Washinston, DC 20585 Contractor:TFP Rockv Mountain Ll C Phone: ß701285-9377 Malllng Address:PO Bor 370- Parachrrtp. CO 81615 Engineer: Fox Engineering Solutions, lnc. Phone: (970) 250-5505 Mailing Address: 670 Canvon Creek Drive, Grand Junction, CO 81507 Assessg/s Parcel Number: 217508200953 Sub.Lot _ Block _ Building or Service Type: Small Temporary Emplovee Housins SBedrooms: 5 Garbage Grinder : No Distance to Nearest Community Sewer System:NA Was an effort made to connect to the Community Sewer System:NA FlnalDisposa! by E Absorptlon trench, Bed or Plt El Underground Dlspersal E Above Ground Dlspersal E Evapotransplratlon E Wastewater Pond tr Sand Fllter X Other Hauled bv Clveo to Garfleld and Mesa Countv Landfllls Water Source & Type E Well tr Sprlng E stream or Creek s iiii"rn rX Communlty Water System Name Cltu nf Rlfl¡ Ê I ltc Walar -llauled bv Clveo X Vault tr Ptt PrtW Type of OWTS X Other, Hauled bv Civeo to Garflpld and Mesa Counly.landfills E SeptlcTank E Recycllng, Potable Use E Recycllng u Vault Privy tr Compostlng Tollet E Inclneration Toilet E Chemlcal Toilet E Aeratlon Plant Ground Conditions Depth to l¡t Ground water table NA Percent 6round Slope NA Effluent Will Elfluent be discharged dlrectly lnto waterr of the State? El Yes X No : CERTIFICATION Applicãnt aðknowledges that the completeriess of the application is conditional upon such further nìandatory and additional test and reports as may he 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 íssuance 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 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 and understand the Notice and Certification above as well as whlch is correct and accurate to the best of my knowledge.have provided the ./t /tq and Sign Date / /P ONLYoFFtctA[oô Special Condltlons:, Ëki¡! -sig^,.75_ Fees:oÔTotal $',iläS-oo Fees. Pald:S6.oo Bulldlng Permlt A r-Sept¡c Permlt: 5q lssue Date: =/ts/t9 '^u"l#'* 5- ?,þ)t" f ETDG DATE tl ilIII liFr["Jlltf I ll¡lhî$'f ltttl t'fiät I ltll¡ìq! il'kl, tI II I'--*eëeotionä:8?9861 øzlßtZølø 02:18:46 Pll Jeen Êlbêrico'I Õf 2 Rec Fee:$t6.0ø Doê Fêe:8,0ø GÊRFIELD coUNTY C0 POìtrEROFATTORNEY KNOW ALL PERSONS BY TI{ESE PRESENTS; TIL¿ttT TBP ROCKY MOIINTAIN LLC, t Delaware limited liabilþ company, hereby nominatÊs, constitutes, and appoints Bryan S. Hotard, as ig true and lawful Attorney-in-Fact to execute and deliver in the name and on behalf of TEP ROCI(Y MOIINTAIN LLC ('Principal") any of the following designated instruments or documents in connection with the Principal's operations in exploring for and producing oil, gas, or other minerals *om lands, or interests in lands, owned, he!d, or claímed by the United States, any state or political subdivision thereof, any person, corporation, partnership or other legal entity: A. (1) Applications for permits or leases; (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 instruments üansferring leases, offers to lease, permits, applications for permits, or subleases, or an interest in any ofthesc (including assignments of working or royalty interests) to Principal. B. Applications for extensions or renewals of Ieases and permits. C. (1) Prospecting, seismic, or exploration permits; (2) instruments in connection with The acquisition or maintenance of prospecting seismic, or exploration permits. D. Instruments withdrawing applícations for leases or permits. E. (l) Requests for rights-of-way and surface use permits; (2) acceptance of grants of rþts-of-way and surface use pvrmits, including any stipulation or condition in the grants; (3) any statements that may be required in oonnection witb applications for rights-of-way and surface use permits. F. Requests for exfension oftims in which to drill wells. Principal agrees to be bormd by all representations the Attomey-in-Fact may make in any instrument or document he or she is authorized to execute and deliver under this Power of Atûorney. Principal hereby waives any defenses available to it to oontest, negatÊ, or disaffirm the actions of its Attorney-in-Fact under this Power of Attomey. This Power of Attorney is effective July l, 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 separat€ special authority to the named Attorney-in-Fact to execute and deliver each such instrument or document separately for each and every such instrument or document so executed and delivered. EXEçUTED by Principal on this 13ù day of July, 2016" Terra Energ¡r Parfners LLC as sole member of TEPRocþ Mountain LLC AGREED TO AI{D ACCEPTED BY: BY:S. Land ÛOËdFüRffiËÐ TÐFV s. ITS: Presìdent and CEO Attorney-in-Fact 7 ACKNO1VLEDGEMENT State of Texas CountyofHanis This inskument was acknowledged before me on lrl* /3 .2016 by Michael S. Land, known to me to be the President and CEO of Terra Enerry Pa¡tnefs LLC, tDelaware corporation" on behalf of the corporation. (l{otary SeaI) ilFFANY CElEr.l POl.lOCr( Notory Public, Sloie of lexos My Commlssion Exphes April2ô,2019 DOE 1-M-18 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'' signs 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 maintained year round through the services of aprivate road maintenance andconstruction contractor.of¡tY*ASTIIt ATÉR Eclov Cornar Stockpile Tronsition(rn.) N Prewll Approx. Edge of DOE ,8 (P&A) DOE ã 1f I I I I I É Fill Slope Approx Toe of l. ExÌsting lltellheod to be ond abandoned, ANCE REV: 6 06-14-18 C.D.L. (ADD WELLHEAD) Top of Cut Slo pe" Approx, \ \ \ e.a o ,3 SLIù,IP LEGEND: .9r - \\ 0l-18-18 SCALESURVEYT]D BY CODY RICH DRAWNRY T.L.L.0 I -29-1 I 1' :80' TYPICAL RIG LAYOUT PLAT #4 ,il\L'III TA.H TEP Rocky Mountain LLCNOTES:iTph.e stack is to be located a min. of 100'from the wellhead.o Contours shown at 2'intervals.DOE 1-M-18 PAD SECTIONS 17 & 18, T65, R94W,6rh P.M. GARFIELD COUNTY, COLORADO UELS, LLC Corporate Offïce * 85 South 200 East Vernal, UT 84078 * (435) 789-1017 93 92 R 94 93 {: 6 PROPOSED LOCATION: DOB 1.M.I8 PAD ì .INTERSEGTION OF U.S. HIGHWAY 6 W.. & I.7O ON RAMP ,. ..,t Ml. +Ë ( E TOPO'8" 5 (:-u ít¡bsa -:al 'v.i{æ Y4t) ì n/¿ I '=lri! ?5 PROCEED IN A SOUTHERLY DIRECTION FROM THE INTERSECTION OF U.S. HIGHV/AY 6 W & I-70 ON RAMP ALONG AN EXISTING ROAD APPROXIMATELY 0.2 MILES TO THE JUNCTION OF THIS ROAD AND I-70 FRONTAGE ROAD TO THE SOUTHWEST; CONTINUE AND PROCEED IN A SOUTHWESTERLY DIRECTION APPROXIMATELY 3.7 MILES TO THE JUNCTION OF THIS ROAD AND COTINTY ROAD 246T0 THENORTHWEST; TURN zuGHT AND PROCEED IN A NORTHWESTERLY DIRECTION APPROXIMATELY 1,2 MILES TO THE JUNCTION OF THIS ROAD AND AN EXISTING ROAD TO THE NORTHEAST; TURN RIGHT AND PROCEED IN A NORTHEASTERLY, THEN NORTHWESTERLY DIRECTION APPROXIMATELY 0.7 MILES TO THE JUNCTION OF THIS ROAD AND AN EXISTING ROAD TO THE EAST; TURN RIGHT AND PROCEED IN AN EASTERLY, THEN NORTHERLY DIRECTION APPROXIMATELY 0.9 MILES TO THE EXISTING LOCATION. TOTAL DISTANCE FROM THE INTERSECTION OF U.S. HIGHWAY 6 W & I.7O ON RAMP TO TTIE PROPOSED \ryELL LOCATION IS APPROXIMATELY 6.7 MILES. ,. . 2r, lm -,.. I l T79493 \ry9495 06-13-18 Z.T. (CHANGEROADlo b N A I 04-26-18 SCALESURVEYED BY UOTIY RIUH 05-24- I 8 I :100-000DRAWN BY 7.T. ACCESS ROAD MAP PII\T #54 TEP Rocky Mountain LLC ,tr\ *JJhlT"Ah! LEGEND: o PROPOSED LOCATION DOE 1.M.18 PAD sEcrroNs 17 & 18, T65, R94W,6th P.M. GARFIELD COUNTY, COLORADO UELS, LLC Corporate Office * 85 South 200 East Vernal, UT 84078 * (435)789-1017