HomeMy WebLinkAboutApplicationGørfi.eld County ONSITE WASTEWATER TREATMENT SYSTEM (owrs) PERMIT APPLICATION RECEIVËD Community Development Department JUL 2 6 ?01$ 108 8th street, suite 401 .'dil,fiF,.,?,?å#,ry'Ï,*,"j;*l;i il"_*,,' WPE OF CONSTRUCTION tr Alteration tr RepairX New lnstallation WASTE TYPE n Non-DomesticEI Comm/lndustrialX Dwelling E Transient Use E other Describe INVOLVED PARTIES Mailing Address: 1000 lndependence Ave SW Washineton, DC 20585 Property Owne r: US Deot Of Enerev Phone:_ Phone: (97O\?85:9377 Mailing Address: PO Box 370, Parachute, CO 81635 Contractor: TEP Rockv Mountain LLC Engineer: Fox EngineerinÊ Solutions. lnc. Phone: (970) 250-5505 Mailing Address: 670 Canvon Creek Drive, Grand Junction. CO 81507 PROJECT NAME AND LOCATION Building or Service Type: Small Temporarv Emplovee Housins #Bedrooms: 5 Garbage Grinder : No Distance to Nearest Community Sewer System: Was an effort made to connect to the Community Sewer System: Job Address: PA 34-24 Pad NA Assessor's Parcel Number: 217322200951 Sub,lot _ Block _ D SepticTank El Aeratlon Plant X Vault E Vault Priw tr Composting Toilet E Recycling, Potable Use Type of OWTS E Chemlcal Toilet X Other - Hauled bv Civeo to Garfield and Mesa Countv Landf illq t lncineratlon ToiletE P¡t Pr¡vy Percent Ground Slope NADepth to 1st Ground water table NAGround Conditions E Underground Dispersal E Above Ground DispersalE Absorpt¡on trench, Bed or P¡t Wastewãter Pond X other , Hauled bv Civeo to Garfleld and Mesa Countv Landfllls E sand FllterEl Evapotranspiratlon Final Disposal by Water Source & Type tr Well tr Spring El Stream or Creek E Cistern X Community Water System Name Citv of Rifle & Ute Water - Haulcd hv Civen Effluent Wlll Effluent be discharged dlrectly into waters of the state? E Yes X No CERTIFICATION I hereby acknowledge have provided the req Owner Print and Sign oz lr/ß that I read and understand the Notice and certification above as well as ion which is correct and accurate to the best of my knowledge ,lJ o"r. l/ OFFICIAT USE ONLY tt æ Special Conditions:T Fees Paid;@a6'$îs.*Perk Fee: Ë\Òc,varJÌ1lla.rll'lT+-oo '"'^ffo5. o'Septic Permit:lssue Date:t/Ð1,//qBuilding PermitN\lA ,/* BLDG DIV: DAÏE ãÉ I ; s dã Section 24 T.65.,R95W "'"'llì;"0:f3¡;o,." 80 GRAPHIC SCALE IN FEET 1 INCH = 80 FEET See Construction Layout Sheet for Well Designations 10'x10' FIare Un¡t ""{à\* Prop. Access Road \ REVTSED,. B/16/18 Construction Plan Pre SCALE: DATE: PLAT: PROJECT: DFT: TERilP TEP Rocky Mountain LLC PA 34-24 Dnll Pad - PIat 4 DRILL RIG LAYOUT B I .E Sectíon 24 î.65.,R95W I i ,\pt'i tt¡¡ 0 1000 2000FE- 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 DIRECTION 10.6 MILES TO AN INTERSECTION WITH A DIRT/GRAVEL ROAD, PROCEED LEFT lN A NORTHERLY DIRECTION iO.4 MILES TO THE PA 34.24 DRILL PAD LOCATION, AS SHOWN HEREON. Construction PIan are SCALE: DATE: PLAT: PROJECT: DFT: TE TEP Rocky Mountain LLC PA 34-24 Dill Pad - Plat 5 ACCESS ROAD & TOPO TIIAP or PA 34-24 PadVault System l)escriptionThe 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.álËÈFour 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 treatmenVdisposal 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. ; I I I lilhl'I1lû'll ll¡{ill il f thl L'fll{'1| I tJ lL\Tl l' i¡, lrl, Il I I I*-Reëeotionü: 879851 ø¡ ¡ ldtzua B2: 18:46 Pl,t Jeàn Ê.lber ico 1 of 2 Rec Fee:$16.ØO Doc Fee,E.@ø GÊRFIELD couNTY c0 POWER OF ATTORNEY KNO1VALL PERSONS BY T}IESE PRESENTS TIL¿ttT TEP ROCKY MOIiIYTAIN LLC, a Delaware limited liability company, hereby nominates, eonstitutes, and appoints Bryan S. Ifotard, âs its true and lawftl Attomey-in-Fact to execute and deliver in the name and on behalf of TEP ROCI(Y MOIINTAIN LLC ('Principal') any of the following designated instmments or documents in connection with the Principal's operations in exploring for and producing oil, gas, or other minerals from lands, or interests in lands, owned, held, or claimed by the United Statçs, any state or political subdivision thereof" any person, corporation, parfirership 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 tansfering leases, offers to lease, permits, applications for permits, or subleases! or ân interest in any ofthese (including æsignments of working or royalty interests) to Principal. B. Applications for extensions or lenewals of leases and permits. C. (l) Prospecting, seismic, or exploration permits; (2) inshuments in connection with the acquisition or maintenance of prospecting seismic, or exploration permits. D. I¡struments withdrawing applícations for leases or permits. E. (l) Requests for rights-oÈway and surface use permits; (2) acceptance of grants of rights-of-way and surface use permits, including any stipulation or condition in the grants; (3) any statements that may be required in oormection with applications for rights-of-way and surface use permits. F. Requests for extension oftime 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 authorized to execute and deliver under this Power of Attorney. Principal hereby waives any defenses available to it to contest, negate, or disaffirm the actions of its Attorney-in-Fact under this PowerofAttomey. 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 separate special authority to the named Attorney-in{act to execute and deliver each such inshument or dooument separately for each and every such insüument or document so exeouted and delivered. EXECUTED by Principal on this 13ù day of July, 2016. Terra Enerry Partners LLC as sole member of TEPRocþ Mountain LLC AGREED TO A¡ÍD ACCEPTED BY: BY S. Land û0ËdF#ËtffiHÐ TÐFV s- 4 ITS: President and CEO Attorney-in-Fact ACKNOWLEDGEMENT State ofTexas CountyofHarris (Notary Seai) This inskument was acknowledged before me on I /,, /g .2016 by Michael S. Land, known to me to be the President and CEO of Terra Enerry Pa¡hefs LLC, a Delaware corporation, on behalf of the corporation. TIFIANY GEOETI POITOC¡( Nofory Publ¡c, Sloîe of lexos My Commission Explres April 2ó, 201ç