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Home My WebLink About20250663.tiffDocuSign Envelope ID: 26A3B789-4B9B-4889-80AC-5D6F72CBI E88 USE BY SPECIAL REVIEW (USR) APPLICATION FOR PLANNING DEPARTMENT USE: AMOUNT $ APPLICATION RECEIVED BY DATE RECEIVED: CASE # ASSIGNED: PLANNER ASSIGNED: P ROPERTY INFORMATION Is the property currently in violation? Parcel Number: 1 2 S ite Address: 1 7 _2 No/ 3 r Yes Violation Case Number: _0 _0 0 _0 0 3 Legal Description: 7354 ALL 23 3 63 EXC UPRR RES Section: 23 , Township 3 N, Range 63 Within subdivision or townsite? No IF Yes Name: Water (well permit # or water district tap #): N/A W Zoning District: Acreage: 1 Sewer (On -site wastewater treatment system permit # or sewer account #): N/A Floodplain No/ Yes Geological Hazard No/ Yes Airport Overlay P ROJECT U SR Use being applied for: Bronco CDP Electrical Substation and Gas lift compression station Name of proposed business: Kerr McGee Oil & Gas Onshore (a subsidary of Oxy USA) PROPERTY OWNER(S) (Attach additional sheets if necessary.) Name: CERVI ENTERPRISES INC No/ Yes Company: Phone #: 970-356-6000 Email: Street Address: PO Box 1930 City/State/Zip Code: Greeley/CO/80632 APPLICANT/AUTHORIZED AGENT (Authorization Form must be included if there is an Authorized Agent) Name: Matt Wells and Danielle Piernot Company: Kerr McGee Oil & Gas Onshore (KMOG) Phone #: 720-929-3403 Email: Matt_wells@oxy.com Street Address: 1099 18th street # 700 City/State/Zip Code: Denver, CO 80202 I (We) hereby depose and state under penalties of perjury that all statements, proposals, and/or plans submitted with or contained within the application are true and correct to the best of my (our) knowledge. All fee owners of the property must sign this application. If an Authorized Agent signs, an Authorization Form signed by all fee owners must be included with the application. If the fee owner is a corporation, evidence must be included indicating the signatory has the legal authority to sign for the corporation. 7/8/2024 DocuSigned by: [v& pku,af S ignature Danielle Piernot Date r —Doc uSigned by: Mkafgwv ()Las Signature Matt wells P rint Print 7/8/2024 Date DESCRIPTION OF LANDS Towns.h4p 2 North Range 63 West ram. Section E ll2 E1/ ; Those lands in the NE1/4SE1/4lying north of Railroad .Township 3 North Ra.nee 62 West P.M. Section .: W1/2 1 , Section 7: All Section .17: W1/.W1.14 Section 19: W1 ection 3 : W1/4;SW1/4 W1/4 Tow sh 3 North Range 63. West 6th lriNt Section 1: AU Section 3: All Section 4: AU Section 9: All Section 10: All Section 11 All Section 12: NW I/4; Ni./2S1/2 Section 13: All Section 14: t 1.14 Section 15: Al! Section 21: All Section 22: W/2. -E 1 /4; E/ 1/4 Section 3: All Section 4..: N1121PAr N112NNE E 1,/ .1," 1/ N' 1 /- N E 1 /4; E 1 4 E 1 /4; less and except Sil2MAT1A Esl/4SE1/ ; Section 5 W1/2W112 Section 26: N.112; 'SEIM M Section . 7 All Section 33: NEL4NE141 Section 34; 1. 1' 1/ ; E1MNE114; ElP2SE114 Section N 1.12N1/ Township 4 North Rajiv! 62 Wrest P.M. Section 31; W1/2W11 E1.4 114; 1/ E1/4 Section n /4 W 1 /4 Township 4 North. Range 63 WestP.M. Section 10: Those lands in the EL/2 south of Highway 34 less and except the USA Parcel Section ii: Those Lands in the W 1 12 1 /4 south of Highway 34 Section 13: SU2S1.12 Section 14: 1 W 1,x 2; SE 1 M W 1 /4; SU2SE114 Section 1. E1/ E1/2W1/2; SWI/45W1/4 Section 21: All Section 22: All Section 23: All Section :All Section 25: All Section 26: All Section 27: Ail Section 2 All Section 33: All Section. 34: All Section 35: All AUTHORIZATION FORM Mike Cent Cervi Enterprises., INC (Owner — please print) DEPARTMENTS OF PLANNING BUILDING, DEVELOPMENT T REVIEW AND ENVIRONMENTAL HEALTH 1402 NORTH 17Th AVENUE PO BOX 758 GREEELEY, Co 80632 give permission to MattWell!, Dive Haute) and Danielle e .Dien nr (Authorized Agent/Applicant-pleas r print) to apply for any Planning, Building, Access, Grading or O'A'TS permits on our behalf, for the property located at (address or parcel number) beiow, See Attached legal descriptions Legal Description: of Section , Township N. Range Subdivision Name; Property Owners. Information: P.D,8OX 1930, Greeley, Colorado 60632 Address Lot Block 97O 356 6GD0 Phone: E-mail: Authorized Agent/Applicant Contact Information: Address: 10991 sett Suite 700, Deriver, Colorado 80202 Phone: 720-929-3403 Matthew Wrells@oxy com, Dave Haertel E -Mail. — oxytcomr Danietk _Piernotiff!oxl_cormi Correspondence to be sent to: Owner ar Authorized Agent/Applicant Additional Info: by: MaiLD_ E:m�ail' I (We) hereby certify, under penalty of perjury and after carefully reading the entire contents of this document, that the information stated above Is true and correct to the best of my (our) knowledge. Owner Signature ubscrib d and sworn to before me this r_ -L _4! tie My commission expires Owner Signature Dine day of Al , 20 973 by lee Log Notary Public JACQUELINE DAWN AENCHbACHE9 DIY PUBLIC STATE OF COLORCe NOTARY ID 19924012894 MY COMMISSION EXPRES SEPTEMBER 29, KERR-MCGEE OIL & GAS ONSHORE LP POWER OF ATTORNEY Effective Date: October 11, 2021 The undersigned, Kerr-McGee Oil & Gas Onshore LP, a Delaware limited partnership ("Company"), hereby constitutes and appoints each of Robbie Abraham, Jeff Alvarez, Lauren E. Anderson, Michael Avery, Peter J. Bennett, Nicholas J. Bouterie, Gary W. Carlisle, Babatunde Cole, Douglas Conquest, Matthew C. Cotter, Anthony M. D'Addieco, Austin H. Danford, Bradley S. Dusek, Reid G. Elliott, Saamir Elshihabi, Cody S. Travers, Mark W. Grommesh, Taylor Hall, James G. Hardin, Gerald T. Herrington, Jean Hinton, William C. Irons, India Isbell, Richard A. Jackson, Thomas A. Janiszewski, Don C. Jobe III, Colleen M. Kennedy, Rhett D. LaFleur, James Laning, Tiffany L. McGuire, Kimberly Mendoza -Cooke, Cory Miller, Kelley A. Montgomery, Terry L. Morrison, Brian K. Owens, Danielle Piemot, Andrew R. Poole, Larry O. Sammons, Jason Sevin, John V. Schneider, Ryan Sims, Tyler Sooby, Susan P. Swank, Melanie White, Scott Winter, Samantha Wiselogel, David J. Woest, acting individually, as a true and lawful Attorney -in -Fact of the Company (collectively, the "Attorneys -in -Fact"), for it and in its name, place and stead, to take the actions described below, on behalf and for the exclusive benefit of the Company: (1) Execute, acknowledge and deliver any agreements pooling royalty on any or all minerals of this Company under oil, gas and/or- other mineral leases with royalty on any or all minerals under oil, gas and/or- other mineral leases of third parties; (2) Execute, acknowledge and deliver any agreements pooling oil, gas and/or other mineral leases and the rights thereunder of this Company with oil, gas and/or other mineral leases or minerals and rights thereunder of third parties; (3) Execute, acknowledge and deliver any agreements providing for the joint or unit development of oil, gas and/or other mineral leases or minerals of this Company with oil, gas and/or other mineral leases or minerals of third parties; (4) Execute, acknowledge and deliver any agreements pooling unleased interests in minerals of this Company with unleased mineral rights and/or rights in oil, gas and/or other mineral leases of third parties; (5) Execute, acknowledge and deliver any agreements pledging contributions to third parties in connection with the drilling of wells; (6) Execute, acknowledge and deliver any agreements subordinating oil, gas and/or other mineral leases or minerals and the rights thereunder of this Company to the rights of third parties; (7) Execute, acknowledge and deliver any agreements for the purchase, or exchange, of minerals or oil, gas and/or other mineral leases or interests in minerals or oil, gas and/or other mineral leases and assignments, leases or deeds pursuant thereto; (8) Execute, acknowledge and deliver any agreements for the sale, lease or assignment of minerals and/or oil, gas and/or other mineral leases and the necessary instruments pursuant thereto; (9) Execute, acknowledge and deliver any agreements for the renting, leasing, licensing, permitting, purchase and/or sale of real property and/or personal property and the necessary instruments pursuant thereto; (10) Execute, acknowledge and deliver any division orders and transfer orders covering sale of oil, gas and/or other minerals; (11) Execute, acknowledge and deliver any agreements for geological and geophysical exploration work and any other agreements for test well drilling, and any and all other agreements of a functional nature pertaining to the acquisition, exploration, testing, development, and operation of oil, gas and/or other mineral properties; (12) Execute, acknowledge and deliver any easements, rights -of -way, servitudes, licenses and permits on lands owned by this Company; (13) Execute, acknowledge and deliver any oil, gas and/or other mineral leases on fee lands and on mineral rights in lands of this Company wherever situated; (14) Execute, acknowledge and deliver any oil, gas and/or other mineral leases on lands of members of any Tribe of Indians and/or lands of Natives, on mineral interests of any Indian Tribe and/or Native corporation, company, or organization, on public lands and other lands of the United States of America wherever situated, on public lands and other lands of any State and of any subdivision of any State wherever situated, in which this Company is lessee; (15) Execute, acknowledge and deliver any oil, gas and/or other mineral leases on any land or mineral interest regardless of ownership wherever situated, in which this Company is lessee; (16) Execute, acknowledge and deliver any agreements for the sale of mineral producing properties, oil, gas and/or other mineral leases, and other mineral interests owned by this Company; (17) Execute, acknowledge and deliver any assignments, transfers, conveyances, deeds, oil, gas and/or other mineral leases, bills of sale and other instruments in connection with sales of leases, wells and related facilities and/or installations, together with personal property in, on and/or serving the properties sold; 2 (18) Execute, acknowledge and deliver any bids, applications and filings for oil, gas and/or other mineral leases on lands of the United States of America and any State owned lands, including such lands embraced within the area called "the Outer Continental Shelf', on lands of any Indian Tribe, on lands of any Native corporation, company or organization; (19) Execute, acknowledge and deliver any leases of the surface of lands wherever situated of this Company for agricultural grazing and other purposes; (20) Execute, acknowledge and deliver any subleases of rights under surface leases and under oil, gas and/or other mineral leases of this Company; (21) Execute, acknowledge and deliver any releases and surrenders of leases, oil, gas and/or other mineral leases and easements in real estate wherever situated; (22) Execute, acknowledge and deliver any agreements for consulting services and/or other personal services; (23) Execute, acknowledge and deliver any saltwater disposal agreements and right-of-way agreements and agreements for construction of facilities necessary for the functional operation thereof; (24) Execute, acknowledge and deliver any development contracts, unit agreements and other agreements relating thereto with the federal, state and local governments and the various departments, agencies and branches thereof; (25) Execute, acknowledge and deliver any assignments and/or partial assignments of oil, gas and/or other mineral leases covering federal, state or other lands; (26) Execute, acknowledge and deliver any assignments of operating rights and designations of operator under oil, gas and/or other mineral leases covering federal, state or other lands; (27) Execute, acknowledge and deliver any indemnity agreements; settlement agreements; bonds and security agreements; farmout and farmin agreements; dry and/or bottom hole contribution agreements; drilling contracts; alliance agreements; pipeline/plant/facility construction, installation, operation and/or service agreements; participation agreements; exploration agreements; broker agreements; surface, mineral and royalty deeds; instruments pertaining to overriding royalty interests; wellbore assignments; term assignments; labor and employment contracts; affidavits; unitization agreements; joint operating agreements; area of mutual interest agreements; (28) Execute, acknowledge and deliver any and all other agreements and instruments related or pertaining to the oil, gas and mineral exploration and production business of this Company; and 3 (29) Execute, acknowledge and deliver any amendments, modifications, supplements, releases, renewals, extensions, cancellations, assignments and transfers of and pertaining to any of the instruments herein set forth. Said Attorneys -in -Fact are hereby granted full and complete power and authority to execute, acknowledge and deliver such other documents and instruments and to do such things and perform such acts as may be necessary or convenient in connection with the foregoing. The Company hereby declares that each and every act, matter and thing which shall be given, made and done by the said Attorneys -in -Fact in connection with the exercise of any or all of the aforesaid powers shall be as good, valid and effectual for all intents and purposes as if the same has been given, made and done by the Company, in its corporate presence, and the Company hereby approves, ratifies and confirms whatsoever said Attorneys -in -Fact, or any of them, shall lawfully do or cause to be done within the authority conferred by the foregoing powers as the authorized acts and deeds of the Company. This Power of Attorney, shall be effective as of the Effective Date provided above and shall remain in full force and effect until duly revoked, in whole or in part, by the Company. [signature page follows] 4 IN WITNESS WHEREOF, the Company has executed this Power of Attorney as of the date first written above. KERR-MCGEE OIL & GAS ONSHORE LP By: Name: Gina Karathanos Title: Assistant Secretary 5 Letter of Explanation To: Weld County Planning Department 1402 North 17th Avenue Greeley, CO 80631 cc: Mr. Matt Wells, Kerr-McGee Oil & Gas Onshore LP Mr. Chad Brebis, Kerr-McGee Oil & Gas Onshore LP From: Ms. Kathleen Goles, PE 609 Consulting 1095 Saberton Avenue Sheridan, Wyoming 82801 Date: September 23, 2024 Subject: USR for a Non -1041 Substation and Gas Lift Compression Station - Stormwater Detention Exception To Weld County Planning Department: On behalf of Kerr-McGee Oil & Gas Onshore LP, we have developed this letter in reference to the hydrologic analysis and drainage report requirements for the USR for a Non -1041 Substation and Gas Lift Compression Station application. This project consists of the proposed Oxy Bronco Centralized Gas Lift Station & Triton Electrical Substation within the Cervi Development. We have analyzed the effects, if any, that the proposed locations will have downstream. Due to existing soil conditions and lack of surrounding infrastructure, this project should not pose any adverse effects to land downstream of each site. From direct conversation with Weld County, these conditions qualify the proposed project for an exception from the stormwater detention requirements outlined in the Weld County Municipal Code. This exception dismisses the need for a complete drainage analysis and report for each site. We have written this letter to further discuss the project conditions and the requested stormwater detention exception. Project Description The proposed project consists of the construction and operation of one electrical substation and one centralized gas lift station. These sites will be located on land owned by Cervi Enterprises Inc. in Weld County, Colorado. Due to sandy soils with high infiltration rates and a lack of surrounding infrastructure, stormwater detention for each location would not be necessary to protect downstream property. We anticipate any stormwater runoff from the proposed sites will infiltrate before reaching downstream Cervi Enterprises Inc land. Permission was obtained from Cervi Enterprises Inc to accept any developed stormwater runoff that reaches these downstream parcels. In order to further analyze the drainage for the stations, an estimated flow path was sketched using 10 -meter Digital Elevation Model data and four infiltration tests were conducted in the project area. Figure 1 shows the location of the proposed sites, their drainage path and drainage basin, and the infiltration test locations for the Cervi Development. Figure 1. Drainage Map Drainage Basin Delineation Cervi Enterprises Inc 0 (Lands Within Surface Use Agreement) LOVELAND OFFICE 6706 North Franklin Avenue Loveland, Colorado 80538 Phone 970-776-4331 SHERIDAN OFFICE i )95 Saherton Avenue Sheridan, Wyoming 82801 Phone 307-674W609 6a Drainage Discussion Infiltration tests were conducted within the Cervi Development drainage basin in November of 2022 by a third party and the results can be found in the Report of Infiltration Investigation enclosed with this letter. The soil in this area was found to be well -drained to excessively drained with a low runoff potential. A double ring infiltrometer test was performed at each location and the average infiltration rates ranged from approximately 5.8 to 11.1 inches per hour. According to one -hour point rainfall data obtained from the NOAA for the area, approximately 2.66 inches of rainfall would occur during a 100 -year storm event. The results from the infiltration tests indicate that a large storm event, such as the 100 -year, would drain into the soil in less than an hour. Therefore, it is unlikely that runoff would exit Cervi Enterprises Inc. property before infiltrating. Best Management Practices A combination of Best Management Practices (BMPs) will be implemented at each location to ensure proper water quality and sediment and erosion control. Site specific BMPs can be found for each site in the Use by Special Review which will be submitted separately. Typicals for these BMPs can be found enclosed with this letter. External Ditch and Berm Temporary diversion ditches and berms will be used to collect and direct on -site stormwater to sediment traps and outlets, as well as deflect and redirect off -site runoff around the disturbance area. These BMPs will provide a barrier that will collect runoff and allow suspended sediments to settle out before draining to sediment traps. If maintenance issues arise, the ditches and berms will be hydromulched for stability. Sediment Traps Sediment traps and outlets will be installed at the end of temporary diversion ditches to allow sediment to settle out of stormwater runoff. Sediment traps are sized according to the Kerr-McGee BMP Manual which uses modified MHFD typicals. In order to provide additional capture volume and treatment, sediment traps are designed to be oversized when possible. Sediment control logs and erosion control blankets will be installed along the outlets to provide an additional sediment barrier. Treated stormwater will exit the sediment traps onto undisturbed ground where the natural contours will drain stormwater away from the project area. Surface Roughening Surface roughening will be implemented on pad toe slopes as an erosion control measure. This will create variations in the soil surface that help minimize wind and water erosion. This BMP will provide temporary stabilization of these disturbed areas during the construction phase for each location. Stabilization Topsoil stockpiles will be straw crimped and seeded during both the construction phase and the production phase. Temporary and permanent seeding will increase stabilization of these disturbed areas and act as erosion control. On a permanent basis, the reclaimed area during the production phase will be re -seeded and re -vegetated once final grade is reached. Installation of permanent seeding will include seedbed preparation, selecting an appropriate seed mixture, using appropriate seeding equipment to ensure proper coverage and density, and protecting seeded areas with mulch or fabric until vegetation is established. Exception Discussion The information and analysis of existing conditions presented in this letter display evidence in support of stormwater detention being unnecessary for the Cervi Development proposed electrical substation and centralized gas lift station. Best Management Practices will be implemented at both locations to ensure appropriate water quality and sediment and erosion control. The planned designs will protect public health, safety, general welfare, and have no adverse impacts on off -site properties. Per direct conversation with Weld County, the proposed Cervi Development qualifies for a stormwater detention exception. We greatly appreciate your time and consideration in reviewing this submittal. Please contact us with any questions you may have. Respectfully, Kathleen Goles Registered Professional Engineer State of Colorado No. 63868 Enclosures: Weld County Drainage Code Certificate of Compliance Cervi Enterprises Inc. Acceptance of Developed Stormwater Agreement Report of Infiltration Investigation BMP Typicals Weld County Drainage Code Certificate of Compliance Weld County Case Number: Parcel Number: 121723000003 Legal Description, Section/Township/Range: S23/T3N/R63W Date: 9/23/24 I Kathleen Goles , Consultant Engineer for Kerr-McGee Oil & Gas Onshore LP (Applicant), understand and acknowledge that the applicant is seeking land use approval of the case and parcel in the description above. I have designed or reviewed the design for the proposed land use set for in the application. I hereby certify, on behalf of the applicant, that the design will meet all applicable drainage requirements of the Weld County Code with the exception of the variance(s) described on t `,:,�ed exhibits. This certification is not a guarantee or warranty either expressed or implied. Engineer's Stamp: Engineer of °Record Signature Variance Request (If Applicable) 1. Describe the hardsthe variance is being requested. 2. List the design criteria of the Weld County Code of which a variance is being requested. 3. Describe the proposed alternative with engineering rationale which supports the intent of the Weld County Code. Demonstrate that granting of the variance will still adequately protect public health, safety, and general welfare and that there are no adverse impacts from stormwater runoff to the public rights -of -way and/or offsite properties as a result of the project. 1. Due to existing soil conditions and lack of surrounding infrastructure, this project should not pose any adverse effects to land downstream of the Non -1041 Substation and Gas Lift Compression Station. 2. A variance is being requested from the Weld County Code storage policy outlined in Sec. 8-11-100 A., which describes the detention criteria for proposed sites. 3. The proposed Oxy Bronco Centralized Gas Lift Station & Triton Electrical Substation will utilize a combination of Best Management Practices to ensure proper water quality and sediment and erosion control. We anticipate any stormwater runoff from the sites will infiltrate before reaching downstream landowners. Public Works Director/Designee Review (If Applicable) Public Works Director/Designee Name Date of Signature Signature Approved ❑ Denied Comments: Department of Public Works Development Review 1111 H Street, Greeley, CO 80631 Ph: 970-304-6496 I www.weldgov.com/departments/public_works/development_review 08/02/2019 ACCEPTANCE OF DEVELOPED STORNINVATER FLOWS ON AFFECTED LANDS I, Mike Cervi lands within the Surface Use Agreement (see Exhibit A) , the owner of land described as herein known as "Affected Lands," hereby agrees to accept the developed stormwater which may flow from adjacent property currently being considered for the issuance of a USR for a Non -1041 Substation and Gas Lift Compression Station by the Weld County Department of Planning Services and being developed by Kerr-McGee Oil & Gas Onshore LA herein referred to as "Operator." The adjacent property is described as: Proposed Triton Electrical Substation and Fro•esed Centralized Gas Lift Station (see Exhibit A) herein known as "Property." I understand and acknowledge the developed stormwater coming off of Property onto Affected Lands may be flowing in a manner and quantity which is greater than the historic amount because of the impervious area being created through the Non -1041 Substation and Gas Lift Compression Station being considered for the USR land use case. This Acceptance is limited to the developed stormwater coming off of the Property onto Affected Lands, only, and is not intended to be an acceptance of developed stormwater flows from properties other than from the Property. Signed this day of OWNER OF AFFECTED LANDS By: Printed Name: Address: WAIVER OF THE REQUIREMENTS OF SECTION 21-5-510 OF THE WELD COUNTY CODE Having received the above stated and signed Acceptance of Stormwater Flows onto Affected Lands, the Weld County Department of Planning Services hereby waives the requirements of Section 21-5-510 of the Weld County Code as it applies to the Non -1041 Substation and Gas Lift Compression Station being considered for USR land use case No. for developed stormwater which may flow onto Affected. Lands as a result of such Non -1041 Substation and Gas Lift Compression Station development. Signed this day of WELD COUNTY DEPARTMENT OF PLANNING SERVICES By: Printed Name: Title: AID". el 17_1.7_CE.VI_��NCH_T ► :. +nr;el►e Ili T* ►1.• ;e1 \ I ' III a r:el►e /D ■e•.m.• gl 1 1 A . • lu EXHIBIT A OXY BRONCO CENTRALIZED GAS LIFT STATION & TRITON ELECTRICAL SUBSTATION SECTION 23, TOWNSHIP 3 NORTH, RANGE 63 WEST, 6TH P.M., WELD COUNTY, COLORADO Legend PROPOSED TRITON ELECTRICAL SUBSTATION PROPOSED CENTRALIZED GAS LIFT STATION CERVI ENTERPRISES LANDS WITHIN SURFACE USE AGREEMENT Kerr-McGee Oil & Gas Onshore LP 1099 18th Street Denver, Colorado 80202 Revised: Consulting, LLC LOVELAND ND OFFICE 6706 North Franklin Avenue Loveland, Colorado 80538 Phone 970-776-4331 SHERIDAN OFFICE 1095 Saberton Avenue Sheridan, Wyoming 82801 Phone 307-674-0609 Drawn by: KG Date: 23 Sep 2024 Date: NAD83 CO-Nft Scale:1" = 1/4mi Report of Infiltration Investigation Cervi Ranch Weld County, Colorado Tetra Tech Project No. 117-7107003 November 22, 2022 PRESENTED TO Occidental Petroleum Corporation Attn: Chad Brebis Construction Lead — Rockies Drilling Construction Occidental Petroleum Corporation 1099 18th Street Denver, CO 80202 Prepared by: Zach Spence Staff Geologist Reviewed by: Caleb Stock, P.E. Project Geotechnical Engineer PRESENTED BY Tetra Tech 3801 Automation Way, Suite 100 Fort Collins, CO 80525 P + 1-970-223-9600 tetratech.corn Infiltration Investigation - Cervi Ranch Tetra Tech TABLE OF CONTENTS 1.0 EXECUTIVE SUMMARY 1 2.0 PURPOSE AND SCOPE OF STUDY 1 3.0 SITE CONDITIONS 1 4.0 FIELD INVESTIGATION 2 5.0 INFILTRATION ANALYSIS 2 6.0 LIMITATIONS 3 7.0 REFERENCES 4 APPENDIX ♦ Appendix A: Field Investigation Figures o Figures 1-4 - Field Investigation Locations ♦ Appendix B: USDA Soils Report (m) TETRA TECH i November 2022 Infiltration Investigation - Cervi Ranch Tetra Tech 1.0 EXECUTIVE SUMMARY The proposed Cervi Development is located within Cervi Ranch in Weld County, Colorado. The development includes eleven proposed oil and gas production pads (pads). Four infiltration tests were performed at four separate proposed pad locations within each of the distinct drainage basins identified by Occidental Petroleum Corporation (Oxy) (Appendix A, Figures 1-4). Visual classification of the soils encountered and Web Soil Survey maps (Appendix B) via the United States Department of Agriculture (USDA) website (2022) indicated a sandy soil at the site. Average infiltration rates obtained at the four testing locations ranged from approximately 5.8 to 11.1 inches per hour indicating a hydrologic soil type A soil with high infiltration rates and low runoff rates consistent with the observed soil at the test locations and the mapped soil type. This executive summary has been prepared solely to provide a general overview and should not be relied upon for any purpose except for that for which it was prepared. 2.0 PURPOSE AND SCOPE OF STUDY r Tetra Tech conducted a field investigation program consisting of performing four double ring infiltrometer tests, one per each of the four distinct drainage basins that the eleven proposed pads will reside within. The infiltration tests were performed to obtain information on the average infiltration rates of the surface soils within each drainage basin residing in Cervi Ranch which is located in Weld County, Colorado. The field program was performed in accordance with Tetra Tech's proposal to Oxy with authorization received November 3, 2022. Results of the field investigation were calculated using the data collected and analyzed to determine the infiltration rates at the testing locations within each drainage basin. This report summarizes the field data and presents conclusions and information on soil infiltration rates and soil hydrologic groups encountered at each testing location. 3.0 SITE CONDITIONS The proposed Cervi development is located within Cervi Ranch in Weld County, Colorado. The eleven proposed pads are located within Township 4 North and Range 63 West, Township 3 North and Range 63 West, and Township 3 North and Range 62 West. Cervi Ranch is bounded partially on the north by Highway 34 and partially on the south by Interstate 76. The proposed development site is currently undeveloped ranchland except for scattered oil and gas facilities and dirt roads. Existing topography is relatively flat, with some minor hills and basins. Surface soils along the established road corridor where infiltration testing occurred estimated to be greater than 97 percent sand according to a custom soil report generated by Web Soil Survey Maps prepared by the USDA (Appendix B). Per the USDA, the primary soil units at the site are the Valent sand and the Osgood sand. Both of these soils are of eolian origin and have an "excessively drained to well -drained" drainage class, a "very low" runoff class, and a depth of greater than six feet to the water table or to a water infiltration limiting layer. The soils where the infiltration testing occurred are mapped as having a K Factor of 0.02 — the lowest K Factor a soil can have per the USDA. The K Factor is the susceptibility of a soil to sheet and rill erosion by water. The hydrologic soil group of the soils where infiltration testing occurred is mapped by the USDA as group A. The soils in this group have a high infiltration rate with low runoff potential when thoroughly wet. Well -drained to excessively drained sands and gravelly sands fall into this group and (m) TETRA TECH 1 November 2022 Infiltration Investigation - Cervi Ranch Tetra Tech these soils have a high rate of water transmission. Soil conditions were confirmed in the field via visual analysis by a Tetra Tech Field Geologist. The soil at all four testing locations appeared to be a fine to coarse grained sand with less than 10 percent fines. 4.0 FIELD INVESTIGATION Infiltration testing was conducted on November 10th and 11th of 2022. Locations of the infiltration tests were pre -planned on ArcGIS using the "Cervi Drainage and Soils Maps" provided by Oxy. Infiltration Test 1 was to be located within the proposed footprint of pads 1 and 2 within the northwestern drainage basin. Infiltration Test 2 was to be located within the proposed footprint of pad 4 within the central drainage basin. Infiltration Test 3 was to be located within the proposed footprint of pad 11 within the southeastern drainage basin. Upon further review with the client, it was determined that Infiltration Test 3 was to be moved to pad 6 which kept it within the original targeted drainage basin but allowed for easier accessibility. Infiltration Test 4 was to be located within the proposed footprint of pad 8 within the southwestern drainage basin. In accordance with the "Cervi Ranch Rules" document that was provided by Oxy and because of site conditions making it difficult to drive off -road the pre -planned infiltration testing locations were moved prior to field testing to locations that were closer to an established road. These new testing locations were still within close proximity (less than 100 feet) to their original proposed pad location and were still performed in each distinct drainage basin. The Double Ring Infiltrometer Test was conducted in general accordance with ASTM D3385. An inner ring with a diameter of approximately 1 foot and an outer ring with a diameter of approximately 2 feet were driven into the subgrade to approximately 6 inches in depth. The rings were then filled with water to a constant head that did not differ by more than 5 millimeters in depth between the rings. Two Mariotte tubes were used to maintain a constant head in each of the rings during the test. Twelve trials were run until infiltration rates stabilized. The trials ranged in length from 5 to 15 minutes. At the beginning and end of each trial the depth of water in both Mariotte tubes was measured to determine the volume of water that was added to it's corresponding ring during each trial period. Water temperature was also taken at the beginning and end of each trial. 5.0 INFILTRATION ANALYSIS Data collected in the field during testing were input into a spreadsheet to calculate average infiltration rates of both the inner and annular rings. Results were chosen when rates stabilized for both rings. Average infiltration rates for each testing location were calculated in inches per hour using the inner ring's data and these results are presented below in Table 1. Infiltration Test Location 1 Infiltration Test Location 2 Infiltration Test Location 3 Infiltration Test Location 4 11.1 in/hr 5.8 in/hr 9.3 in/hr 8.2 in/hr Table 1: Average Infiltration Rates from each Testing Location For comparison, Tables 7-1 and 7-2 located in Chapter 7: Hydrologic Soil Groups of Part 630 Hydrology National Engineering Handbook (USDA, 2007) (Tables 2 and 3) reports that soils that are classified as hydrologic soil group A have a saturated hydraulic conductivity of their least transmissive layer of greater than 1.42 inches per hour when a water impermeable layer exists at a depth greater than 40 inches below the ground surface. Hydrologic soil group A soils have a saturated hydraulic conductivity of the least (m) TETRA TECH 2 November 2022 Infiltration Investigation - Cervi Ranch Tetra Tech transmissive layer of greater than 5.67 inches per hour when a water impermeable layer exists at a depth between 20 and 40 inches below the ground surface. _ � d hydrologic iiu $.ryaup J) Soil property I ilit drologic soil group A Hydrologic 4nit group B Hydrologic soil group c Saturated conductivity least (= . ait% hydraulic of the L. L! f, L `L ::-40. (.7.771.137 pm/5 IMO 540.0 (s5.67 to >10.0 to >L42 ' in/h) stilt° (d..42 to >1,0 putts to >034 .--i1,0 1.5_0.14 pints ) and and and for Depth me ]e to layer water butler- 120 30 IL i I Di on cm I ` in I 120 50 to 100 cm to 40 in! 50 to 100 [20 to 401n] tnt - 710i tip. l) inI and and and and/or Depth table to high water IGO 124 to 100 to cm 40 fill 110 124 to 100 cm to 40 in1 60 [ 24: to 100 cm to 40 in] c.:60 cm [<24 ill Table 2: Criteria for assignment of hydrologic soil groups when a water impermeable layer exists at a depth between 50 and 100 centimeters (20 and 40 inches] Soli property Hydrologic well group 1) Salurated conductivity !eat trmlNnnhistciv,- hydraulic of the haver 1'4+ � 4A'�! LIM) (a >IJ IMF �A �: ; i4 Y' er a �.� 50,40 (f29.06 putts iwb) and/or Depth Heath' to water innp layer r- o � iut J ( [P. s :� i ] 1›-10 >100 cis in] a� c� and/or Depth to high water table >100 I >40 cm ina Table 3: Criteria for assignment of hydrologic soil groups when a water impermeable layer exists at a depth greater than 100 centimeters [40 inches] 6.0 LIMITATIONS This study has been conducted in accordance with generally accepted geotechnical engineering practices in the region where the work was conducted. The conclusions submitted in this report are based upon project information provided to Tetra Tech and data obtained from the infiltration tests performed at the locations indicated. The nature and extent of surface and subsurface variations across the site may not become evident until construction. This report has been prepared exclusively for the client. This report and the data included herein shall not be used by any third party without the express written consent of both the client and Tetra Tech. Tetra Tech is not responsible for technical interpretations by others (m) TETRA TECH 3 November 2022 Infiltration Investigation - Cervi Ranch Tetra Tech 7.0 REFERENCES United States Department of Agriculture (USDA), 2022. Web Soil Survey. Accessed November 17, 2022. United States Department of Agriculture (USDA), 2007. Part 630 Hydrology National Engineering Handbook, Chapter 7: Hydrologic Soil Groups. N TETRA TECH 4 November 2022 Infiltration Investigation - Cervi Ranch Tetra Tech APPENDICES (m) TETRA TECH November 2022 Infiltration Investigation - Cervi Ranch Tetra Tech APPENDIX A: FIELD INVESTIGATION FIGURES N TETRA TECH November 2022 04N63W 21 Colorado Durango 1'• Coordinate System: NAD 1983 UTM Zone 13N. Projection: Transverse Mercator North American 1983. Denver Pueblo • `Sou`rce:- Esri, Maxar, GeoEye, Ea thstar Geographics, ONES/Airbus DS, USDA, USGS, (AerkID, IGN, and the GIS A Legend • Infiltration Test 1 Section Boundaries Proposed Pads 1 and 2 0 5) iff)allfic 1,000 2,000 Feet N Ora Ue TITLE: ©08r, ftc to [t Occidental Petroleum Cervi Development Infiltration Test 1 LOCATION: Weld County, Colorado OXY Occidental APPROVED DRAFTED PROJECT # CS ZS 117-7107003 DATE 11/18/2022 FIGURE 1 Coordinate System: NAD 1983 UTM Zone 13N. Projection: Transverse Mercator North American 1983. `Sou`rce:- Esri, Maxar, GeoEye, Earthstar Geographics, /ONES/Airbus DS, USDA, USGS, Aer&,GRID, IGN, and the GIS TITLE: Occidental Petroleum Cervi Development Infiltration Test 2 LOCATION: Weld County, Colorado APPROVED DRAFTED PROJECT # DATE CS ZS 117-7107003 11/18/2022 FIGURE 2 oordinate System: N983 UTM Zone 13N. projection: Transverse Mercator North. American 1983. `Sou`rce:- Esri, Maxar, GeoEye, Earthstar Geographics, /ONES/Airbus DS, USDA, USGS, Aer&,GRID, IGN, and the GIS TITLE: Occidental Petroleum Cervi Development Infiltration Test 3 LOCATION: Weld County, Colorado APPROVED DRAFTED PROJECT # DATE CS ZS 117-7107003 11/18/2022 FIGURE 3 oordinate System: NAD 1983 [JTM Zone 13N. •A rojection: Transverse Mercator North American 1983. Uri C-& Eras De'nve Far Pueblo • `Sou`rce:- Esri, Maxar, GeoEye, Earthstar Geographics, fr "at /ONES/Airbus DS, USDA, USGS, Aer&,GRID, IGN, and the GIS Legend • Infiltration Test 4 Section Boundaries Proposed Pad 8 0 1,000 2,000 Feet N TITLE: Occidental Petroleum Cervi Development Infiltration Test 4 LOCATION: Weld County, Colorado APPROVED DRAFTED PROJECT # DATE CS ZS 117-7107003 11/18/2022 FIGURE 4 Use by Special Review Application Proposed Bronco CDP electric substation and gas lift compression station Part of the Northwest Quarter of the Northwest Quarter of Section 23, Township 3 North, Range 63 West of the 6t1i Principal Meridian Weld County, Colorado APPLICANT: Kerr-McGee Oil & Gas Onshore, LP 1099 18th St Denver, Colorado 80202 TABLE OF CONTENTS SECTION 1 2 1. Description of Proposed Use: 2 2. Consistency with the Intent of the Weld County Code, Chapter 22 of the Comprehensive Plan 3 3. Consistency with the intent of the Weld County Code, Chapter 23 (Zoning) and The Zone District in Which it is Located. 3 4. Surrounding Uses and Compatibility with Surrounding Uses. 3 5. Details of the Site 3 a. Number of people who will use this site 3 b. Number of employees proposed to be employed at this site 3 c. Hours of operation 3 d. Type and number of structures to be built on this site 3 e. Type and number of animals 4 f. Kind of vehicles that will access this site and how often 4 g. Fire Protection 4 h. Water source on the property 4 i. Sewage disposal system 4 j. Storage or warehousing 4 6. Proposed Landscaping 4 7. Reclamation Procedures 4 8. Storm Water Drainage 4 9. Construction Period 4 10. Storage & Stockpiling of Wastes / Waste Handling Plan 4 11. List All On -site and Off -Site Improvements and Timeline 5 SECTION 2 6 1. Notification Requirements 6 2. Operation Standards 6 a. Noise Control 6 b. Air and Water Quality 7 c. Lighting 7 d. Weed Control 7 3. Required Permits 7 a. Weld County 7 b. Southeast Weld Fire Protection District 8 c. Transport Permits 8 d. Grading Permit 8 e. Access Permit 8 f. Right -of -Way (ROW) Use Permit 8 g. Construction Stormwater Permit 8 h. Non -Exclusive License Agreement/Road Maintenance Agreement 8 4. Traffic 8 5. Dust Abatement Plan 9 6. Fire and Emergency Response 9 APPENDIX 10 I. USR Drawings 11 II. Access Permit Applications 12 III. Noise Abatement Plan 13 IV. Certificate of Conveyances 13 V. Affidavit Of Interested LANDOWNERS (Surface) 14 VI. Emergency Information Sheet 15 Bronco CDP electric substation and gas lift compression station T3N-R63W Sec 23 Weld County, Colorado 1 VII. Drainage Narrative 16 VIII. Signage at Entrance Gate (General Depiction) 17 IX. Communication Tower & Specification Sheets (General Depiction) 18 X. Lighting Specification Sheets (General Depiction) 19 XI. Air Pollutant Emission Notice (APEN) 20 XII. Safety Data Sheets (SDS) 21 SECTION 1 1. DESCRIPTION OF PROPOSED USE: This USR application is referred to as the Bronco CDP Electric Substation and Gas Lift Compression Station application and is submitted by Kerr-McGee Oil & Gas (KMOG), a subsidiary of Oxy USA (0xy). KMOG operate nearly 5,000 oil and gas wells in the Denver-Julesburg (DJ) Basin with the vast majority being in Weld County, Colorado. The electric substation and gas lift compression station will support the operations of the Bronco Oil and Gas Comprehensive Development Plan (CDP). The proposed site is located on parcel 121723 000003 and is owned by Cervi Enterprises Inc. The site is located approximately seven miles south of the intersection of Weld County Road 69 and State Highway 34. It is currently zoned Agriculture and surrounded by parcels that are also zoned Agriculture. This proposed site is very remote, and the nearest residences are over three miles away. The site will be approximately 12 acre in size and will be fenced in. The electrical substation and gas lift station will support the Bronco Oil and Gas CDP (nine oil and gas locations and 141 wells). S15 T3N R63W 522 T3N R63W S27 i T3N R63W S14 T3N R63W PROPOSED TRITON ELECTRICAL SUBSTATION SITE PROPOSES? Okb' BRONCO CENTRALIZED GAS LIFT SITE SUBJECT PARCEL VICINITY MAP wool I Exhibit A — Vicinity Map S26 T3N R63W Bronco CDP electric substation and gas lift compression station T3N-R63W Sec 23 Weld County, Colorado 2 2. CONSISTENCY WITH THE INTENT OF THE WELD COUNTY CODE, CHAPTER 22 OF THE COMPREHENSIVE PLAN The proposed use is consistent with Chapter 22 and any other applicable code provisions or ordinance in effect. Section 22-2-10(D) emphasizes the "Extraction of natural resources as an important part of the economy of Weld County. Such extraction operations should minimize the impacts on agricultural lands and agricultural operations. " This electric substation will contribute to the expansion of the County's economic base by providing increased capacity for future oil production. The proposed addition of a electric substation in this location conserves land by eliminating the need for these facilities elsewhere in Weld County. 3. CONSISTENCY WITH THE INTENT OF THE WELD COUNTY CODE, CHAPTER 23 (ZONING) AND THE ZONE DISTRICT IN WHICH IT IS LOCATED. Oil and gas facilities are allowed as a use by right in the A (Agricultural) Zone District. However, oil and gas support and service operations such as an electric substation require the approval of a Use by Special Review Permit. The proposed use is consistent with the intent of the A (Agricultural) Zone District. Section 23-3-40.A.2 of the Weld County Code provides for Oil and Gas Support and Service facilities. 4. SURROUNDING USES AND COMPATIBILITY WITH SURROUNDING USES. There are currently no USR permits on the proposed site. The proposed facility does not interfere with the existing use of the area and remains compatible with the current zoning. The proposed electric substation will connect to the nearby Tri-State Lost Creek Tap in section 15. Tri- State will amend their USR for the new additional equipment for this connection. 5. DETAILS OF BOTH SITES (GAS LIFT COMPRESSOR AND ELECTRIC SUBSTATION) a. Number of people who will use this site There will not be any permanent employees on the electric substation nor the gas lift compression station. These sites will be visited by a KMOG employee or contractor on a periodic basis. The employee is typically not on site for longer than one to two hours at a time. Given the short amount of time an employee is on site, permanent water and sewer service is not necessary for either site. Bottled water and a port -a -let will be utilized by personnel visiting the site during the construction phase. b. Number of employees proposed to be employed at this site There will be no full-time employees on either site. One or more employees may visit the sites on a daily basis. c. Hours of operation The site will be accessed primarily during daylight hours; however, it should be available 24 hours a day 7 days a week on demand. d. Type and number of structures to be built on this site There will not be any structure built on this site. Bronco CDP electric substation and gas lift compression station T3N-R63W Sec 23 Weld County, Colorado 3 e. Type and number of animals There are no animals on site. fi Kind of vehicles that will access this site and how often A KMOG employee or contractor will visit the site on a periodic basis in a pick-up truck. Chemical truck will periodically visit site to deliver chemicals. g. Fire Protection The Southeast Weld Fire Protection District provides fire protection to this area. A referral packet will be sent to the District by the County. h. Water source on the property There are no full-time employees on site. A KMOG employee will visit the sites on a periodic basis. Due to the lack of employees permanently on site, a water connection is not necessary. Bottled water will be available during construction phase. i. Sewage disposal system There is no need for a sewer disposal system. Employees will have access to use a port -o -let at nearby Kerr McGee Oil and Gas location. j. Storage or warehousing No additional storage or warehousing is proposed for this facility. 6. PROPOSED LANDSCAPING The site will be fenced with a chain link fence or cattle fence. Due to the remote location of this site, no additional screening or landscaping is proposed for this application. 7. RECLAMATION PROCEDURES Upon termination of the proposed project, all equipment would be removed. The ground would be re- graded to accommodate agricultural uses or be re -vegetated to 80% of pre -disturbance vegetative cover in accordance with the Colorado Energy & Carbon Management Commission (ECMC) 1000 Series Rules. The pre -disturbance vegetation cover shall be determined by the undisturbed surrounding area. KMOG would also be willing to evaluate coordinating reclamation efforts with Weld County Extension, Public Works, and the Soil Conservation District. 8. STORM WATER DRAINAGE Drainage plan exemption was requested and approved. 9. CONSTRUCTION PERIOD Construction of the proposed facility is expected to commence shortly after the site plan and Use by Special Review application are approved. Construction expected to be complete by the end of Q4 2025. 10. STORAGE & STOCKPILING OF WASTES / WASTE HANDLING PLAN No waste is anticipated to be generated at this site. Bronco CDP electric substation and gas lift compression station T3N-R63W Sec 23 Weld County, Colorado 4 Waste Handling Contact Information: Waste Handling Services: Portable Toilet Services: Waste Management 2400 West Union Ave Englewood, CO 80010 (303) 482-6406 Redi Services 7601 Miller Drive #G Frederick, CO 80504 (720) 378-7873 Or Reliable Services 1616 2nd Avenue Greeley, CO 80631 (970) 381-1242 Or In the unlikely event of a motor vehicle oil leak (potentially during construction), KMOG will take appropriate measures to mitigate the effects of the spill/release. If a spill/release meets or exceeds any regulatory reporting criteria, KMOG will report the spill to the appropriate regulatory agency(s). KMOG's standard operating procedures are to excavate the impacted soils and transport them to a licensed disposal facility. As appropriate, confirmation soil samples will be collected from the excavation for laboratory analysis. Laboratory analytical results will be utilized to demonstrate effective remediation to below the appropriate regulatory standards. The laboratory reports will be included in any written report to a regulatory agency. Following completion of the excavating activities, the area will be backfilled and returned to its pre-release grade. No vehicles be washed on site. 11. LIST ALL ON -SITE AND OFF -SITE IMPROVEMENTS AND TIMELINE A list of all the equipment is shown on the USR Site Plan drawing package. Other improvements are as follows: Electric Substation and gas lift compression station: Tentatively to be completed in Q4 2025. Bronco CDP electric substation and gas lift compression station T3N-R63W Sec 23 Weld County, Colorado 5 SECTION 2 1. NOTIFICATION REQUIREMENTS In accordance with Section 23-2-260 (B) (9) of the Weld County Code a certified list of the names and addresses of the owners of property within 500 feet of the subject property (Parcel #121723000003) is listed below and provided in the Appendix. The County is responsible for mailing the notice. This list was created from Assessor records of Weld County on July 8, 2024. A signed version is available in the appendix of this application. Property Owners Within 500 Feet of Parcel # 121723000003 Account M Parcel I Owner I Mailing Address J R4977386 121713000014 RODEO DUNES LLC 875 CHICAGO, N MICHIGAN AVE STE IL 606111945 3920 R4977686 121714000002 COLORADO STATE OF 1127 N SHERMAN DENVER, ST STE 300 CO 802032398 849777.86 _ 121715000005 . CERV1 ENTERPRISES INC PO BOX GREELEY, 1930 Co 806321930 R4979586 121722000004 COLORADO STATE OF 1127 D'E'NVER, N SHERMAN ST STE CO 802032398 300 R4979686 121723000003 CERVI ENTERPRISES INC PO BOX 1930 GREELEY, CO 808 21930 R4980086 121724000006- 217 4 0006_ RODEO DUNES LLC 875 CHICAGO, N MICHIGAN IL 606111945 AVETE 3920 R4980786 121724000013 COLORADO STATE OF 1127 DENVER, N SHERMAN ST STE 300 Co 802032398 R8979877 1121725200.007 CERVI ENTERPRISES INC PLO BOX 1930 GREELEY, CO 806321930 R4981086 121726000001 CERVI ENTERPRISES INCPO BOX 1930 GREELEY, CO 806321930 2. OPERATION STANDARDS a. Noise Control The operation of the electric substation and gas lift compression station shall comply with the noise standards enumerated in Section 802 of the ECMC Amended Rules 2008. The dBA noise levels for the Gas Lift Compressor equipment in the Bronco CDP (on the Cervi Ranch) do not have a noise point of compliance to measure to (no RBU's within 2000 feet). The below Gas Lift Compressor equipment dBA contour map measurements demonstrates that the dBA levels measured out to a 2000' buffer (the outer ring shown below) are within compliance per Weld County Noise Level Standards in Sec 21-5-435 A(2) for this location. Bronco CDP electric substation and gas lift compression station T3N-R63W Sec 23 Weld County, Colorado 6 Compressor Station Noise Contour Map (dBA) c= 40.0 .40.0 - 45.0 45.0 - 50.0 50.0 - 55,0 55.0 - 60.0 60.0 - 65.0 65.0 - 70.0 70.0 - 75.0 75.0 - 80.0 80.0 - 85.0 85.0 - 90.0 90.0 - 95.0 > 95.0 b. Air and Water Quality All activities will be in compliance with the permit and control provisions of the Colorado Air Quality Control Program, Title 25, Article 7, C.R.S. as applicable. No wastewater will be discharged within the site. All water and waste are carried by vehicle off the site. c. Lighting Lighting will be provided for security, evening maintenance, and emergency work. Any source of lighting on the site shall be shielded so that light will not shine directly onto adjacent properties. Nor will direct or reflected light from any source on the project site create a traffic hazard to operators of motor vehicles on the adjacent road access. d. Weed Control The site will be kept free of weeds, rubbish, and other waste material. The area will be treated if necessary and as practicable to prevent invasion of undesirable species and noxious weeks. 3. REQUIRED PERMITS a. Weld County A Use by Special Review Permit is required to be approved by the Weld County Board of County Commissioners prior to construction, including release of grading permits for this facility. KMOG will submit any additional permits necessary for county approval prior to commencement of construction site. Bronco CDP electric substation and gas lift compression station T3N-R63W Sec 23 Weld County, Colorado 7 b. Southeast Weld Fire Protection District The Site Plan and Special Review Use Application will be referred to and reviewed by the by the Southeast Weld Fire Protection District. Approval of the plans is expected. Any requested Safety Data sheets (SDS) will also be provided to the Southeast Weld Fire Protection District. c. Transport Permits A Transport Permit for oversize load and/or overweight vehicles will be obtained through Public Works prior to construction. d. Grading Permit A grading permit is needed for disturbing an area of 1 acre or more. A grading plan will be submitted for review and approved by Public Works prior to construction. e. Access Permit The access point for the is located off HWY 34. This entry point already exists and meets all of KMOG access requirements. A CDOT access permit has been approved and copy is included in the Appendix. fi Right -of -Way (RCM) Use Permit A Right -of -Way Use Permit if necessary, will be obtained through Weld County in the event any work is performed in the public right-of-way. g. Construction Stormwater Permit A Construction Stormwater Permit is needed for disturbing more than 1 acres. KMOG has area wide permit coverage under the State Colorado Department of Public Health and Environment, Water Quality Control Division, Permit Number COR402543. h. Non -Exclusive License Agreement/Road Maintenance Agreement N/A 4. TRAFFIC Electrical substation and gas lift station: Describe how many roundtrips/day are expected for each vehicle type: Passenger Cars/Pickups, Tandem Trucks, Semi-Truck/Trailer/RV (Roundtrip - one (1) trip in and one (1) trip out of site). KMOG estimates 40-50 trips per day during the construction phase. Traffic breakdown during construction phase: Light vehicle — �20 per day Single unit — per day Combo units- �25 per day Oversized loads — 0 per day During normal operations for the lifetime of the location approximately 2-3 light vehicle trips per day. Bronco CDP electric substation and gas lift compression station T3N-R63W Sec 23 Weld County, Colorado 8 Describe the expected travel routes or haul routes for site traffic. Traffic will be routed 100% on the main Bronco CDP access road that runs to Hwy 34 Describe the travel distribution along the routes (i.e. 50% of traffic will come from the north, 20% from the south, 30% from the east, etc.). 100% will of traffic will come from the north off of Hwy 34. Describe the time of day that you expect the highest traffic volumes. The traffic volumes will be highest 6:00 — 8:00 a.m. and 4:00 — 6:00 p.m. S. DUST ABATEMENT PLAN During the construction phase of the project, KMOG will use or contract to have water trucks utilized to maintain dust suppression and fugitive particulate emissions. Also, the Stormwater Management Plan will be followed to mitigate soil erosion during construction. After completion of construction, the perimeter of the property will be stabilized using appropriate native vegetation, usually a combination of dry land /grass mixture or crop. Additionally, KMOG will gravel all access and driving surfaces affected. Areas inside the fence line will be compacted and stabilized. 6. FIRE AND EMERGENCY RESPONSE All roads leading to the site and within the site will be designated and maintained to support fire apparatus. A turnaround may be constructed as necessary to accommodate fire apparatus. In addition to above -referenced rules and regulations, KMOG is also subject to ECMC Rule 6064 pertaining to fire prevention and protection. KMOG has support personnel in the field or on call at all times to provide technical assistance in fire prevention and elimination. Bronco CDP electric substation and gas lift compression station T3N-R63W Sec 23 Weld County, Colorado 9 APPENDIX Bronco CDP electric substation and gas lift compression station T3N-R63W Sec 23 Weld County, Colorado 10 I. USR DRAWINGS Attached Bronco CDP electric substation and gas lift compression station T3N-R63W Sec 23 Weld County, Colorado 11 II. ACCESS PERMIT APPLICATIONS Access off HWY 34 has been granted by CDOT. Copy of approved permit attached. Bronco CDP electric substation and gas lift compression station T3N-R63W Sec 23 Weld County, Colorado 12 III. NOISE ABATEMENT PLAN Introduction Due to the remote location and the lack of any nearby receptors, a Noise Abatement Plan is not needed for this proposal. Location and Surrounding Land Use The proposed Bronco CDP electric substation and gas lift compression station access is located approximately seven miles south of the intersection of HWY 34 and the Bronco CDP lease access in an area zoned or agriculture. Proposed Improvements KMOG is proposing the creation of an electrical substation and gas lift compression station to support the Bronco CDP Oil and Gas operations. The electric substation and the gas lift compression station will only service the oil and gas wells in the Bronco CDP on the Cervi ranch. Noise Regulation and Goal Per C.R.S. 25-12-103 regulations, permissible noise levels of Light Industrial cannot exceed 70 dBA during the day or 65 dBA at night. KMOG will comply with these regulations. IV. CERTIFICATE OF CONVEYANCES A Certificate of Conveyance/ Chain of Title Guarantees for parcel* 121723000003 will be provided in subsequent rounds of this USR submissions, so that it is within the 30 -day expiration period. Bronco CDP electric substation and gas lift compression station T3N-R63W Sec 23 Weld County, Colorado 13 V. AFFIDAVIT OF INTERESTED LANDOWNERS (SURFACE) Attached Bronco CDP electric substation and gas lift compression station T3N-R63W Sec 23 Weld County, Colorado 14 VI. EMERGENCY INFORMATION SHEET 1. General Information: The purpose of this document is to provide ownership information case of emergency. It may be used by outside agencies, company employees, and contract labor to help secure a speedy recovery from such emergency situations: a. Name and Address: Kerr-McGee Oil & Gas Onshore LP (subsidiary of Oxy USA) 1099 18th St, Suite 700 Denver, CO 80202 b. Type of Facility: Electric substation and gas lift compression station c. Location and Access: Part of the northwest quarter of the northwest quarter of section 23, Township 3 North, Range 63 West. 6th P.M. All proper warning signs and equipment guards will be installed. 2. Emergency Contact List: The following is a list of KMOG personnel and organizations that may be contacted in the event an emergency occurs at the facility. KMOG - Emergency Contact List: Contact Phone Number Notes Integrated Kerr-McGee /Oxy Operating Center (IOC) 970-515-1500 24/7 Number Emergency Response Kerr McGee / Oxy Denver office 720-929-6000 Lynna Scranton — EHS Director 720-929-6317- 303-906-1711- o m Erik Michelson- Environmental X20-929-4306-0 307-554-4897 - m SE Weld Fire Protection District 911 303-732-4203 Weld County Sheriff 911 970-356-4015 Colorado State Patrol 911 970-506-4999 Bronco CDP electric substation and gas lift compression station T3N-R63W Sec 23 Weld County, Colorado 15 VII. DRAINAGE NARRATIVE Drainage plan exemption was requested and approved. Attached Bronco CDP electric substation and gas lift compression station T3N-R63W Sec 23 Weld County, Colorado 16 VIII. SIGNAGE AT ENTRANCE GATE (GENERAL DEPICTION) KERR M OGLE 0 LaGASONS ORE LP Location Name: BRONCO LAYDOWN YARD COGCC Location ID: 111111 4004 NWY 34 Description: Section 8, Township 1 North, Range 68 West Operations to begin on/after: In Case of Emergency call 911 /41%, Questions or Project Updates: www.oxycoloradostakeholder.com DXV or 866.248.9577. After Hours IOC: 970.515.1500 ‘Ispel *Address and description details to be updated at a later date. Bronco CDP electric substation and gas lift compression station T3N-R63W Sec 23 Weld County, Colorado 17 IX. COMMUNICATION TOWER & SPECIFICATION SHEETS (GENERAL DEPICTION) N/A Bronco CDP electric substation and gas lift compression station T3N-R63W Sec 23 Weld County, Colorado 18 X. LIGHTING SPECIFICATION SHEETS (GENERAL DEPICTION) N/A Bronco CDP electric substation and gas lift compression station T3N-R63W Sec 23 Weld County, Colorado 19 XI. AIR POLLUTANT EMISSION NOTICE (APEN) N/A Bronco CDP electric substation and gas lift compression station T3N-R63W Sec 23 Weld County, Colorado 20 XII. SAFETY DATA SHEETS (SDS) Chemicals stored and used at the gas lift compressor site: Methanol Lube oil Glycol No chemicals at the electric substation. Bronco CDP electric substation and gas lift compression station T3N-R63W Sec 23 Weld County, Colorado 21 MEMORANDUM DATE: November 13, 2024 FROM: Molly Wright, Planning Services SUBJECT: USR24-0025 Addendum to Questionnaire 1. The substation transformer has a capacity of 25 MVA. 2. There is a step down / step up in voltage (115kV is the primary while 24.9 kV is the secondary) 3. There is a short connection between the Tri-State switch yard that is located to the North of the subject property and the Triton Substation. This is approximately 300 feet of 115kV Transmission line between the Tri-State "A" -frame and that of the Triton Substation 4. The lift station is for a gas lift. Artificial lift is for all the wells on the Bronco project. This is in lieu of the pump jacks on each well. CDOT Permit No. 419110 COLORADO DEPARTMENT OF TRANSPORTATION State Highway/Mile 034A Post/Side / 128.772/Right STATE HIGHWAY ACCESS CODE Local Jurisdiction Weld County NOTICE TO PROCEED Permittee(s): Cervi Enterprises, Inc. Applicant: Sam Samet P.O. Greeley, (970) box 1930 Colorado 356-6000 80632 1099 Denver, (720) 18th 929-3317 Street Colorado 80202 indicated The accordance This one accordance Adequate on All from Both Uniform construction permittee year initiation. the Notice Access from on advance Traffic to with with the is Proceed date shall The the Section Access Permit hereby Control warning above of permittee be is issue Permit. and authorized 2.3(11)(d), completed valid Devices referenced is this if required only or not Notice for applicant under of in to if the Streets State the at proceed an To all Access referenced expeditious Proceed construction, Highway times shall and with Code. notify during Highways. shall access Access Access and or access the be completed. safe Department available construction Permit Permit construction, manner and has for review this Access and prior within not Notice shall expired. in to at state Permits conformance commencing the be to construction highway Proceed. finished Access may be with construction right-of-way Permits within extended the site. 45 Manual expire days in as in This appropriate. Notice to Proceed is conditional. The following items shall be addressed prior to or during construction as Municipality or County Approval (When the appropriate local authority retains issuing authority) By (X) Title Date This Colorado Notice is not Department valid until signed of Transportation by a duly authorized representative of the Department By Title Assistant Access Manager Date 09/04/2019 (X) Copy distribution: Rewired: Region (original) Applicant Staff Access Section Make copies as necessary for: Local Authority Inspector MTCE Patrol Traffic Engineer Form 1265 8/98, 6/99 COLORADO DEPARTMENT OF TRANSPORTATION STATE HIGHWAY ACCESS PERMIT Permit Fee $100.00 Date of Transmittal 07/01/2019 Region / Section / Patrol / Name 4/01/25 CDOT Permit No. 419110 State Highway No / Mp / Side 034A / 128.772 / Right Local Jurisdiction Weld County The Permittee(s): Cervi Enterprises, inc. PO Box 1930 Greeley, Colorado 80632 (970) 356-6000 The Applicant(s): Sam Samet 1099 18th Street Denver, Colorado 80202 (720) 929.3317 is hereby granted permission to have an access to the state highway at the location noted below. The access shall be constructed, maintained and used in accordance with this permit, including the State Highway Access Code and any attachments, terms, conditions and exhibits. This permit may be revoked by the Issuing Authority if at any time the permitted access and its use violate any parts of this permit. The issuing authority, the Department and their duly appointed agents and employees shall be held harmless against any action for personal injury or property damage sustained by reason of the exercise of the permit. Location: The access is located on US Highway, a distance of 4,074 feet east of Mile Post 128 on the south/right side. Access to Provide Service to: (Land Use Code) 988 - oiUCas Field 997 - Agriculture (Size) (Units) 'l Each Each Additional I nforrnation: MUNICIPALITY OR COUNTY APPROVAL Required only when the appropriate local authority retains issuing authority. Signature Print Name r Date Title Upon the signing of this permit the permittee agrees to the terms and conditions and referenced attachments - contained herein, All construction shall be completed in an expeditious and safe manner and shall be finished within 45 days from Initiation. The permitted access shall be completed in accordance with the terms and conditions of the permit prior to being used. The permittee shall notify Bruce Barnett with the Colorado Department of Transportation, at (970) 350-2147 at least 48 hours prior to commencing construction within the State Highway right-of-way. The person signing as the permittee must be the owner or legal representative of the property served by the permitted access and have full authority to accept the permit and its terms and conditions. Pen nittee Signatu Print Name o-Permittee Signature: (if applicable) Print Name Date g//4/2-011 Date This permit is not valid until signed by a duly authorized representative of the Department. COLORADO DEPARTMENT OF TRANSPORTATION [5igna G Copy Distrlbddon: Print Name required: '.Region 2.Applicant 4.Central Files r&A,Adiwen 3.Staff Access Section Title PO '\#A -t Make copies as necessary for: Previous ditione are obsolete and may not be used Paget of 3 COOT Form #101 5/07 Local Authority inDpectar MTCE Patrol Traffic Engineer State Highway Access Permit Form 101, Page 2 The following paragraphs are excerpts of the State Highway Access Code. These are provided for your convenience but do not alleviate compliance with all sections of the Access Code. A copy of the State Highway Access Code is available from your local issuing authority (local government) or the Colorado Department of Transportation (Department). When this permit was issued, the issuing authority made its decision based in part on information submitted by the applicant, on the access category which is assigned to the highway, what alternative access to other public roads and streets is available, and safety and design standards. Changes in use or design not approved by the permit or the issuing authority may cause the revocation or suspension of the permit. APPEALS 1. Should the permittee or applicant object to the denial of a permit application by the Department or object to any of the terms or conditions of a permit placed there by the Department, the applicant and permittee (appellant) have a right to appeal the decision to the [Transportation] Commission [of Colorado]. To appeal a decision, submit a request for administrative hearing: to the Transportation Commission of Colorado within 60 days of transmittal of notice of denial or transmittal of the permit for signature. Submit the request to the Transportation Commission of Colorado, 4201 East Arkansas Avenue, Denver, Colorado 80222-3400, The request shall include reasons for the appeal and may include changes, revisions, or conditions that would be acceptable to the permittee or applicant. 2. Any appeal by the applicant or permittee of action by a local issuing authority shall be filed with the local authority and be consistent with the appeal procedures of the local authority. 3. In submitting the request for administrative hearing, the appellant has the option of including within the appeal a request for a review by the Department's internal administrative review committee pursuant to [Code] subsection 2.10. When such committee review is requested, processing of the appeal for format administrative hearing, 2.9(5) and (6), shall be suspended until the appellant notifies the Commission to proceed with the administrative hearing, or the appellant submits a request to the Commission or the administrative law judge to withdraw the appeal. The two administrative processes, the internal administrative review committee, and the administrative hearing, may not run concurrently. 4. Regardless of any communications, meetings, administrative reviews or negotiations with the Department or the internal administrative review Committee regarding revisions or objections to the permit or a denial, if the permittee or applicant wishes to appeal the Department's decision to the Commission for a hearing, the appeal must be brought to the Commission within 60 days of transmittal of notice of denial or transmittal of the permit. PERMIT EXPIRATION 1. A permit shall be considered expired if the access is not under construction within one year of the permit issue date or before the expiration of any authorized extension. When the permittee is unable to commence construction within one year after the permit issue date, the permittee may request a one year extension from the issuing authority. No more than two one-year extensions may be granted under any circumstances. If the access is not under construction within three years from date of issue the permit will be considered expired. Any request for an extension must be in writing and submitted to the issuing authority before the permit expires. The request should state the reasons why the extension is necessary, when construction is anticipated, and include a copy of page 1 (face of permit) of the access permit. Extension approvals shall be in writing. The local issuing authority shall obtain the concurrence of the Department prior to the approval of an extension, and shall notify the Department of all denied extensions within ten days. Any person wishing to reestablish an access permit that has expired may begin again with the application procedures. An approved Notice to Proceed, automatically renews the access permit for the period of the Notice to Proceed. CONSTRUCTION 1. Construction may not begin until a Notice to Proceed is approved. (Code subsection 2.41 2. The construction of the access and its appurtenances as required by the terms and conditions of the permit shall be completed at the expense of the permittee except as provided in subsection 2.14. All materials used in the construction of the access within the highway right-of-way or on permanent easements, become public property. Any materials removed from the highway right-of-way will be disposed of only as directed by the Department. All fencing, guard rail, traffic control devices and other equipment and materials removed in the course of access construction shall be given to the Department unless otherwise instructed by the permit or the Department inspector. 3. The permittee shall notify the individual or the office specified on the permit or Notice to Proceed at least two working days prior to any construction within state highway right-of-way. Construction of the access shall not proceed until both the access permit and the Notice to Proceed are issued. The access shall be completed in an expeditious and safe manner and shall be finished within 45 days from initiation of construction within the highway right-of-way. A construction time extension not to exceed 30 working days may be requested from the individual or office specified on the permit. 4. The issuing authority and the Department may inspect the access during construction and upon completion of the access to ensure that all terms and conditions of the permit are met. Inspectors are authorized to enforce the conditions of the permit during construction and to halt any activities within state right-of-way that do not comply with the provisions of the permit, that conflict with concurrent highway construction or maintenance work, that endanger highway property, natural or cultural resources protected by law, or the health and safety of workers or the public. 5. Prior to using the access, the permittee is required to complete the construction according to the terms and conditions of the permit. Failure by the permittee to abide by all permit terms and conditions shall be sufficient cause for the Department or issuing authority to initiate action to suspend or revoke the permit and chose the access. If in the determination of the Department or issuing authority the failure to comply with or complete the construction requirements of the permit create a highway safety hazard, such shall be sufficient cause for the summary suspension of the permit, If the permittee wishes to use the access prior to completion, arrangements must be approved by the issuing authority and Department and included in the permit, The Department or issuing authority may order a halt to any unauthorized use of the access pursuant to statutory and regulatory powers. Reconstruction or improvement of the access may be required when the permittee has failed to meet required specifications of design or materials. If any construction element fails within two years due to improper construction or material specifications, the permittee shall be responsible for all repairs. Failure to make such repairs may result in suspension of the permit and closure of the access. 6. The permittee shall provide construction traffic control devices at all times during access construction, in conformance with the M.U.T.C.D. as required by section 42- 4-104, C.R.S., as amended. 7. A utility permit shall be obtained for any utility work within highway right-of-way. Where necessary to remove, relocate, or repair a traffic control device or public or private utilities for the construction of a permitted access, the relocation, removal or repair shall be accomplished by the permittee without cost to the Department or issuing authority, and at the direction of the Department or utility company. Any damage to the state highway or other public right-of-way beyond that which is allowed in the permit shall be repaired immediately. The permittee is responsible for the repair of any utility damaged in the course of access construction, reconstruction or repair. 8. In the event it becomes necessary to remove any right- of-way fence, the posts on either side of the access shall be securely braced with an approved end post before the fence is cut to prevent any slacking of the remaining fence. All posts and wire removed are Department property and shall be turned over to a representative of the Department. 9. The permittee shall ensure that a copy of the permit is available for review at the construction site at all times. The permit may require the contractor to notify the individual or office specified on the permit at any specified phases in construction to allow the field inspector to inspect various aspects of construction such as concrete forms, subbase, base course compaction, and materials specifications. Minor changes and additions may be ordered by the Department or local authority field inspector to meet unanticipated site conditions. 10. Each access shall be constructed in a manner that shall not cause water to enter onto the roadway or shoulder, and shall not interfere with the existing drainage system on the right-of-way or any adopted municipal system and drainage plan. 11. By accepting the permit, permittee agrees to save, indemnify, and hold harmless to the extent allowed by law, the issuing authority, the Department, its officers, and employees from suits, actions, claims of any type or character brought because of injuries or damage sustained by any person resulting from the permittee's use of the access permit during the construction of the access. CHANGES IN ACCESS USE AND PERMIT VIOLATIONS 1. It is the responsibility of the property owner and permittee to ensure that the use of the access to the property is not in violation of the Code, permit terms and conditions or the Act. The terms and conditions of any permit are binding upon all assigns, successors -in -interest, heirs and occupants. If any significant changes are made or will be made in the use of the property which will affect access operation, traffic volume and or vehicle type, the permittee or property owner shall contact the local issuing authority or the Department to determine if a new access permit and modifications to the access are required. 2. When an access is constructed or used in violation of the Code, section 43-2-147(5)(c), C.RS., of the Act applies. The Department or issuing authority may summarily suspend an access permit and immediately order closure of the access when its continued use presents an immediate threat to public health, welfare or safety. Summary suspension shall comply with article 4 of title 24, C.R.S. MAINTENANCE 1. The permittee, his or her heirs, successorsain-interest, assigns, and occupants of the property serviced by the access shall be responsible for meeting the terms and conditions of the permit, the repair and maintenance of the access beyond the edge of the roadway including any cattle guard and gate, and the removal or clearance of snow or ice upon the access even though deposited on the access in the course of Department snow removal operations. Within unincorporated areas the Department will keep access culverts clean as part of maintenance of the highway drainage system. However, the permittee is responsible for the repair and replacement of any access -related culverts within the right-of-way. Within incorporated areas, drainage responsibilities for municipalities are determined by statute and local ordinance. The Department will maintain the roadway including auxiliary lanes and shoulders, except in those cases where the access installation has failed due to improper access construction and/or failure to follow permit requirements and specifications in which case the permittee shall be responsible for such repair. Any significant repairs such as culvert replacement, resurfacing, or changes in design or specifications, requires authorization from the Department. Form 101, Page 3 COLORADO nvironmental DEPARTMENT OF TRANSPORTATION Clearances. Information •PURPOSE Summa .: perform work encountered environmental agencies should specific activity.- Rey uirements - related environmental This summary or cultural be IMPORTANT Ma -to their contacted Result resource is Intended own faciliffel permits/clearances for additionalinformation .I Please In .Sue permits/clearances *-ension: to inform entities external (Such as Utility, Special that may apply to may be required if there is Review The Following or .Revocation of Your to COPT that may Use or -Access Permittees), their activities. This in certain Instances. any uncertainty abdut Information Carefully COOT Permit, Or be entering listing what a Enforce the about is not all-inclusive Appropriate permits/clearances Failure to ent state some Comply Actions local, highway right-of-way to of the more commonly - additional state and federal are required for a With Regulatory B -.other. At envies. CLEARANCE may be contacted- 0 Colorado . Water - Environmental CONTACTS - As indicated for additional information: Department of Public Health Quality Control Division Permitting Website in the permit/clearance descriptions and Environment (CDPHE): General -(WQCD): ($03) 692r-3500 hit J1yrww,colora o. ov acif°ic/cd- listed Information he/all below, rrntts the following a (303) 692-2035 individuals or agencies • CDOT Water Quality Program Manager.. (303)157-9343 �i ti ./ ico+dot. p a� n it ri i n atertctt ii • CDOT • Colorado • US.. Omaha L it p:://vim Army Asbestos Project Manager Office of Archaeology Corps of Engineers, District (NE CO), w ai or usadesa S Phil Kangas, (303) and Historic Preservation: District Regulatory Denver Office (303) 9794120 yemil/Missions/ RVculat,V 612-5519 (303) Offices: ry 7 ogramt 866-5216 AI oylo6 ado.aax ++!! Sacramento j7 2 �1L•�!' Dist. vu (Western CO), Grand Junction Office (970) 243-1199 cease ai jiP 1 . ReguIatory.as t Albuquerque ihttp,:// scu'7 District ww soas.us ce.ar (SE GO), Puebla yamiliik/issic ce(719)-543-9459 . /R q l t ryProgramndPer it . s x __ • .. CDOT. Utilities,. ;S • eciel Use and Access Permittin .: 303 • 757-9654 hill 11)m t toLo v/bus iness/ s ermlt• Wildlife Resources a' Disturbance.of wildlife shall be -avoided to the Maximum extent practicable. Entry Into areas of known or suspected threatened and Authorization be threatened or the CDOT obtained endangered Regional- Must from the be or endangered species habitat will -species are encountered during Permitting Office and Region provided. by CDOT prior to the continuation CDOT website, http://www todoty require the progress- Planning o►ulprocrarns/envirbnrnental/ special authorization of the permitted and Environmental of work. Information .from 'Manager idlif the work, shall about threatened louideiirtes, CDOT work permitting in the be contacted. subject immediately. or endangered or the Colorado office. If any area shall species Parks be hatted may and Wildlife (CPW) website, h :flwww.c w.state. .usJlearn/Pa :s1SOC-Threatenedt ndan - r-edisistas . Additional guidance may be i rovided by the a • • ro • riat+ Re! iof. Planni i and Environmental Man - .: r RPEM .. Cultural ftesources - The applicant must request a file search of the permit area through the Colorado Office of Archaeology and ' Historic (http:// Preservation ww.hisfory iorado.ory/o.ahpi (OAHP), Denver, to ascertain if historic Or archaeological file -search). Inventory of the permit area resources have. previously by a .qualified -cultural resources been Identified specialist May be necessary, initiation chile Regional Permitting provided -by RPEM. Contact per the recommendation permitted Office CDQT prior Information: of work or are encountered and Region to the continuation Contact COOT. If Planning of work. the (MHP archaeological as and for the Environmental Additional sites/artifacts project progresses; guidance file searches at Manager may 303 or all work shall be 866-5216, historic resources in the be contacted. provided are subject area immediately. by the* Regional known shall Permitting to be *Authorization exist prior to the halted and the CDOT must Office and be Paleantoloplcal Re ources - The applicant must request a fossil locality file search through the University of Colorado Museum, Boulder ih s //cumuseurri..00fc rado.eduJresear p eontoiogy/vertebratestpolic es), .and the Denver Museum of Nature and Science Iht /JwwwvdmnSnora jsclon a ltecdons/e'arthmiscien llectir to ascertain if paleontological resources have been previously Identified recommendation CDOT must in the Manager in or near the permit area. Inventory of COOT. If fossils Regional. Permitting Office and be provided by -COOT prior to the Permit Special Provisions. Contact contact information; Contact are of encountered Region Planning continuation Information: the CDOT the permit area by a qualified during the permitted and Environmental of work. Additional tee the museum Paleontologist for further work, Manager guidance •websites information paleontologist all work shall may be listed at; may be. necessary, in the subject be contacted provided by the above for Paleontological fl i area shall immediately. Regional lace per be the halted Authorization Permitting Collections 9s. or (303) . and the - Office 7b7- 9632. The CDOT Paleontolo •, ist. will not conduct i.:com i rehensive. file search inde _ * endentl of the museums. Hazardeau -Materials. Solid Waste - The Solid Wastes Disposal Sites andFacilities Act C.R.S. 3040i-100; et al, and Regulations Pertaining to of Designation Regulations are no permitted generated by permitted facility solid waste etc.) is encountered CDOT .Regional Hazardous Solid (a (6 CCR landfills the or or hazardous Permitting Materials Waste landfill 10073) activities designated during Mana Disposal permit). or of materials the Office Sites The Colorado prohibit the transfer, TSD sites within entities entering collection contamination! perrormance.of for direction ement Su • ervisor: and Facilities the the pointless, as Hazardous storage State State � includin work, to SO.S_ (6 Highway for the* how 5124524. CCR 10672% Waste or disposal Right Highway Right solid waste, 9 oil orpetroleum permittee to proceed. Act shallehalt C.R,S. {TSD} of a utility contact prohibit of of Way. Way or contaminated work 2445401 .must Information! solid hazardous Therefore, construction in waste disposal without an et al, and the Colorado waste except at permitted all solid or hazardous be removed from the ROW company's own .dumpster). soil, asbestos, chemi+cats•, the affected area and immediately Theresa SantangeloeDreiling, approved Hazardous wastes and i Certificate Waste Tel:) sites. that might disposed If pre-existing .i- mine fallings, contact CDOT There :be of at a the Asbestos •Contain ino Materials. Asbestos. Contaminated soli a All work on -asbestos containing materials (ACM) must comply with the applicable asbestos requirements of the CDPHE -contaminated soil, mostcom i t Air Pollution with the Control CDPHE Hazardous Division's (APCD) Regulation 8. Materials and Waste _ Mena Disposal of ACM, and • emelt Division's work done HMWMD) Solid in Environmental Clearances Information Summary Page 1 of 3 Colorado Department of Transportation August 2017 Waste Regulations. 'The application for any COOT permit must specifically identify any.ACM involved In the work for Which authorization is being re uested: Additional guidance or re uirements.ma be specified in thepermit special. provisions. Contact cl. : g Q Y p � i? p ,. . info: CDPHE APCD :and HMWMD Regulations can be accessed via theCDPHEEnvironmental Permitting Websrte listed above. . Additional information concerning cle4rance on COOT projects is available from the CDOT Asbestos Project Manager.(303) (303) 512- r or Theresa Saritanngeto-Dreiling, 'Hazardous Materials Management Su . ervisar, 303 512-5524. Trans or�tatin9f H� � ,. �rdo�us Materiali -.No 'person may offer or accept a- hazardous material for transportation in carmmeroe unless that person is registered in conformance with.the the United States Department of Transportation regulations at 49 CFR, Part 171. The hazardous material Must be properly classed, described, packaged, marked, iabeled,--and in condition for shipment as required or authorized by applicable requirements; *or an exemption, approval or registration has been issued, Vehicles requiring a .placard., -must obtain authorization and a State HAZMAT Permit from the Colorado Public Utilities Commission, contact Information: - For. . - -authorization and more -info call the Federal Motor Safety Carrier Administration-, US DOT for inter- and intra-state HAZMAT Re • istration 303 9694748. Colorado Public Utilities Commission; 303 8944368. Dlechargaa of Dredged or rill Material.— 404 Penis Administered By: the U.S. Army Corps of Englneersond Section 401 Water Chianti, Certifications issued' by -the CDPHE WQCD - Corps- of Engineers 404 permit are required for the discharge of dredged or fill materials into waters of the United States, including wetlands. There are various types of 404 permits, including nationwide permits, which are issued for activities with relatively minor impacts. For example, there is a nationwide permit for utility line activities (nwp #12). Depending upon the specific circumstances, it is possible that either a "general" or "individual' 404 permit would .be required. If an individual 404 .permit is required, section 401 water quality certification from the CDPHE WQCD is also required. Contact the appropriate Corps District Regulatory Office for information about what type. of 404 permit may be 'required contact information above . Contact the CDPHE Water Qua Control Division at 303 692-3500. . INarkino on or In anv 'strearn omits batik . - In order to -protect and preserve the state's fish and wildlife resources from actions that may obstruct, diminish, destroy, change, modify, or vary a natural existing stream or Its banks or tributaries, it may. be necessary to obtain a Senate ..Bill 40 certification from the Colorado Department of Natural Resources. A stream is defined as. 1) represented by .a solid blue line on USGS 7.5' quadrangle maps; and/or 2)intermittent streams providing live water beneficial to fish and wildlife; and/or 3) segments of streams supporting 25% or more cover within 100 yards upstream ar downstream of the project; and/or 4) segments.of streams having wetlands presentiwithin 200 yards upstream or downstream of the project measured by valley length. The CPW . . applications.as. as. per guidelines agreed upon by COOT and CPW, can be accessed at dtflw 4 : ro Srrns. I* sntai � . Stormwater Construction Permit ISCP) and Stormwater Discharge_From Industrial Facilltes - Discharges of stormwater runoff from .construction sites disturbing one acre . or more is or certain types of industrial falities, such as concrete batch plants - require a CDPS Stormwater Permit. -Contact information: Contact the CDPHE Water Quality Control Division at (303) 692-3500. Website his:/./www.colo d � � . �constru ti�omin enerai- em•S and Mt -Scs i dr, ahe� r cow r and Indus .., - milts. Construction De fts Damage*, �� p� �li tiontanrt Reniediatlorr AIS - Discharges Of water encountered during excavation or work in wet areas .may require, a Construction Dewatering or Rernediafon Activities Discharge Permit. Contact Information: For Construction Dewatering and Rernediation Activities Distharge Permits, 'contacts the CDPHE WQCD at (303)69'2- 3500. For • • licatiOns and instructions CDPHE website : ht e a1/w w.col • = do: ► ov1 a acificied a he/w •-construct' # • eneraal- • eras. Munlcipat Separate Storm Sewer System (MS41 Dkscharae Penult - Discharge* from the storm sewer systems of larger municipalities, and from the CDOT'highway drainage system that lies within those municipalities, are subject -to MS4 Permits Issued by the CDPHE-WQCD, For facilities that lie within the boundaries -of a municipality that is subject to an MS4 permit, the owner of such facility should contact the municipality regarding stormwater related clearances that may have been established under that municipality's MS4 permit. Ali discharges to the CDOT highway drainage system or within the Right of Way. (ROW) -must comply with the applicable provisions of the. Colorado Water Quality Control Act, the -Water Quality -Control -Commission (MCC) Regulations Ihtt y//w . l _e • ovi act/ i sm- t d ire ulatrr n -anti- oliclesea �� v lit � t a ' ; ) and the CDOT MS4 Permit # CO& yaexvaaa .rr.r•.r...rr��w. 000005 .hit sliwkiivicoclot ovinTo rams eonion .need t r amity/documents}. *Discharges are subject to inspection by CDOT 1 and. CDPHE, Contact the CDPHE Water Quality Control Division at (303) 6923500 for a listing of municipalities required to obtain MS4 Permits; -or go to ht is:Ulu+ wvtir. iorado.govi -acificicdphelivgamunicipaiy siite. For CDOT�related MS4 regulations, go to: h t • s;l .-Cod e . ! ov! • r • IF ramsfenviro metital/water * train star watt r- rociramash 1, General' Prifttbit;on. Discharges .4t All discharges are subject to the provisions of the Colorado Water Quality Control Act and the Colorado Discharge Permit Regulations. Prohibited .discharges include, but are not limited to, substances such as wash water, paint; automotive fluids, solvents, oils or soaps and sediment. Contact information: Contact the .CDPHE water Quality Control Division at 303 6924500. _ General Authorization - Allowabhj Non4totirwater Discharges s Unless otherwise .i enti ed':by CDOT.or the WOOD as significant sources of pollutants to the waters of the State, the following, discharges to stormwater systems are allowed without a Colorado Discharge Permit System permit landscape irrigation, diverted stream flows, uncontaminated ground water infiltration to separate storm sewers, discharges from -potable water sources, foundation drains, air conditioning condensation, irrigation water, uncontaminated springs, footing drains, water line flushing, flows from riparian habitats and wetlands, and flow from firefighting activities. Allowable.non-stormwater discharges can be found under Illicit Discharge POD at r u �x _cod t ov progr�ar environrnenoaf/w terms uaitty/sl rmwatarworograiti , i itml. Contact Information: The CDPHE Water quality Control Division (telephone Si listed- above . Erasion and Sediment Control .Preoticcs - For activities requiring a Stormwater Construction Permit, erosion control requirements will be specified in that permit. In situations where a stormwater permit is.not required, all -reasonable -measures should be taken to. minimize erosion and sedimentation according to. CDOT Standard Specifications 107.25, 208, 213 and 21:6 ht s://smocidetttv.1 bu inesside inns Sons t� � ns on4aspecifioatiorrs/2Pe 01 - $cs/2011-sp_ y ook). All disturbances require.a stabilization -plan, native seeding °a -landscape design plan according to s applicable CDOT Standard Specifications 212.217 :and 623, The COOT Erosion Control and Stormwater Quality•Guide (available from the Bid Plans Office at (303) 757-9313) Should: be used to design erosion. controls and _ restore disturbed ye etation. Environmental Clearances Information Summary Page 2 of 3 Colorado Department of Transportation August 2017 Disposal oof Drilling Vr iuids -.Drilling fluids used • in operations such as Horizontal Directional Drilling may be c lassi ied as "discharges" or of sewers, Waste- separated required the area contact "solid Way, solids wastes," and roadside regulations. from for are restored CDPHE proper disposed fluids fully as and in general, of at permitted ditches or any other Small quantities or after infiltration drilling -properties, contained in a required by CDOT (telephone Ifs listed should pit, be facilities type of drilling of small and are permit above).. pumped that of man-made fluid the water, quantities not requirements likely or specifically solids provided: of to - .. • vacuumed or (less polymer pose (Utility, . amt natural than- 1) a . .. from waterway °I the additives nuisance Special the subh cubic drilling Use, construction wastes. is yard fluid that to future .prohibited of solids). consists are approved or Access Disposal work area, in Permits, removed of drilling by Water may be of only water -for use the area, etc.). Quality left in 3) from fluids on -like and drinking the Contact the Into Control bentonite solids State Highway storm drains, and/or after either clay, - Water well are covered Information: Right storm Solid • being or, If drilling; 2) and the , No ►*does Weeds and inv.. siv a S►pe Nlanaoen ent Plan L Noxious Weeds and invasive • Sp s guidance can be found b' Y .contacting tin the Colo do ra Department of A Agriculture D part g .� hit sJ /www. p Iorado. i QV/ conseniatiohinoxiousweed0 and the Colorado Division of Parks and wildlife httbW w.state.cc.usJabputusiPa es/RSWNox(9usweeds.asc4 In either case, management plans, involving the control of noxious weeds associated .with the permitt d=activity and cleaning of equipment will be requireed. concrete • ashoyt ! Waste generated' from concrete -activities shall NOT-ibe allowed to floiE into the drainage ways, inlets, receiving waters, minimum Environmental find or .in of additional the.CDOT ROW. Concrete 50 feet from state waters, Program and shall information on the waste shall drainageways, be in accordance CDOT website: hits:/iwww be placed •and inlets. to COOT specifications codotagov/business/designsu in a temporary Concrete concrete washout shall andsguidelines..Contact washout. only facility be performed Information: por 2011 and'must must as con tmcti&i be located specified by the Contact CDPHE a . COOT or -soeolflcatiions/-2011-SoeCS and refer to the spec'if'ications and their revisions for sections 101,1-07 .and 208. Spill Reporting in Spills shall be contained and cleaned up as soon as-possible„.Spills shall NOT be washed down into'the storm drain or buried. All spills Permitting Office and exceeding 25 gallons, CDPHE shall Regional -or that 1787?-518 be reported Maintenance may otherwise 5606. to the Supervisor. present CDOT More Illicit Discharge Spillson highways, an immediate danger information Hotline to be found at (303) into waterways, the public 512-44.46-(4H20), shall any spill be reported in the as well highway by calling as 911, the Regional right -of. -way and shall also be reported -to the at can ate : :ytoo1 -� ,.- o r aca� e eirciencva reaorfino4iine. har,hut This Form - Questions or comments about tills Information Summary may be directed to Alex Karachi, Program Administrator, .CDOT Access. Management. Unit, ali303) ) 757-9841 4 aiex.karamt state.co.us: Environmental Clearances Information Summary Page 3 of 3 Colorado Department of Transportation August 2017 COLORADO Department of Transportation What is stormwater runoff? Stormwater runoff occurs when precipitation from rain or snowmelt flows over the ground. Impervious surfaces like roads and sidewalks prevent stormwater from naturally soaking into the ground Why is stormwater runoff a problem? Stormwater can pick up debris, chemicals, dirt and other pollutants and flow into CDOT's storm drain system or directly into a stream, river, lake, wetland or reservoir. Anything that enters CDOT's storm drain system is discharged untreated into the waterways we use for fishing, swimming, and providing drinking water. Cre 'jr.d .po11,d'art.. tilAr i c! sc rcieo ecjuil_-nntit, tc..• ' ,•'sr , tic po , o! c-1 t I i1 wcat'_ Tips for Reporting an Illicit Discharge Call the illicit discharge hotline at (303) 512-4426 From a safe distance try to estimate the amount of the discharge. identify characteristics of the discharge (color, odor, algae, etc.). Obtain information on the vehicle dumping the waste (if applicable), Do not approach! Call sty for illicit dumping. If possible, take a photo, record a license plate. REMEMBER: Never get too close to the illicit discharge, it may be dangerous!!! For more information on CDOT Utility Permits: https://www.codot.Rovibusinessipermitslutilitie sspecialuse For more information on CDOT Access Permits: https: 'www.codot.gov/business/permits/access emits For more information on CDOT Water Quality Program: Water Quality Program Manager 4201 E. Arkansas Ave. Shumate Building Denver, Colorado 80222 303-757-9343 COLORA O Department of Transportation Water O.aIItv Vrottram industrial facilities IDroaram CDOT has a Municipal Separate Storm Sewer System permit, otherwise known as (MS4) from the Colorado Department of Public Health and Environment. The permit states that only stormwater can be discharged from CDOT's storm drain system sir► pig TWA WASTEWATER TREATMENT PLANT adds basin .41fr shims drain Pipe tOTlEtt WATERRODY As part of the permit, COOT has several different programs to prevent pollutants from entering into the storm drain system: Construction Site Program New Development Redevelopment Program Illicit Discharge Program Industrial Facilities Program Public Education and Outreach Program Pollution Prevention and Good Housekeeping Program Wet Weather Monitoring Program C. ADO Department of Transportation Control Measures for Industrial Facilities Industrial facilities can use control measures (CM) otherwise known as Best Management Practices (BMP) during the construction of a facility and when operating the facility. Control measures are schedules of activities, maintenance procedures, and other management practices to prevent and reduce pollution entering into CDOT's storm drain system. Control Measures also include treatment, operating procedures, and practices to control site run off which can include structural and non-structural controls. • REAT' ma- - • .11 rouurans? AREWERE ry 1 FROM WS Mt THEINXIMTAr r T In compliance!! COOT defines a utility, or utility facility as any privately, publicly, or cooperatively owned line, facility, or system producing, transmitting or distributing the following: 1 Communications Cable television 1 Power I Electricity 1 Light f Heat Gas I Oil Crude Products V Water 1 Stream I Waste Storrnwater not connected with highway drainage i/ Similar Commodity (.flealloweinT TT Department of Transportation Industrial Facilities Program Elements: 1. Educate and outreach to owners or operators that have potential to contribute substantial pollutant to water. 2. Report and include information on discharge and water quality concerns. Provide written notification within 15 days of discovery to CDPHE. 3. Submit an annual report to CDPHE containing the number of informational brochures distributed; name and title of each individual trained. Education There are instances when a utility company or other entity doing work in the state highway right-of-way will require some type of environmental permit or clearance for that work. CDOT has put together an Environmental Clearances Information Summary for those applying for a CDOT Utility and Special Use Permit or Access Permit to obtain all required clearances. This fact sheet is given to each permittee and is available at: http: //www.coloradodot.info/programs/ environmental/ resources/ guidance- standards/Environ men tal%20Clearances% 201nfo%20Summar v. pdf State Highway Access Permit Attachment to Permit No. 419110 - Additional Terms and Conditions 1 1. If there are any questions regarding this permit, please contact Allyson Mattson at (970) 350- 2148. 2. The Permittee or the contractor shall notify Bruce Barnett at (970) 350-2147 at least two working days prior to beginning any access improvements or construction ofany kind within the State Highway right-of-way. Failure to comply with this requirement may result in revocation of this permit. 3. The Permittee shall request final inspection by Bruce Barnett at (970) 350-2147 within 10 days following the completion of access construction, and•prior to authorized use. The Permittee or their representative shall be present. 4. The Permittee shall refer to all additional standard requirements included with this permit and any enclosed additional terms, conditions, exhibits, and noted attachments. 5. Incorporated as part of this permit are the following: Application for Access Permit (CDOT Form No. 137) Permit (COOT Form No. 101) and its attachments Exhibits: "A" -- Vicinity Map 6. This permit is issued in accordance with the State Highway Access Code (2 CCR 601-1), and is based upon the information submitted by the Permittee. This permit is only for the use and purpose stated in the Application and Permit. Any changes in traffic volumes or type, drainage, or other operation aspects may render this permit void, requiring a new permit to be applied for based upon the existing and anticipated future conditions. 7. The Permittee is responsible for obtaining any necessary additional federal, state, andjor city/county permits or clearances required for construction of the access. Approval of this access permit does not constitute verification of this action by the Permittee. 8. The development of this property shall not negatively impact adjacent nearby properties. Correction of the problem and cost resulting from damages shall be borne by the Permittee. 9. It is the responsibility of the Permittee to determine which environmental clearances andjor regulations apply to the project, and to obtain any clearances that are required directly for the appropriate agency prior to commencing work. Please refer to or request a copy of the "CDOT Environmental Clearance Information Summary!' (ECIS) for details. The ECIS may be obtained from the CDOT Permitting Offices or may be accessed via the CDOT Planning/Construction- Environmental Guidance webpage at litto://www.dot.state.co.usienvironmental/Formsiasp. FAILURE TO COMPLY WITH REGULATORY REQUIREMENTS MAY RESULT IN THE SUSPENSION OR REVOCATION OF YOUR CDOT PERMIT, OR ENFORCEMENT ACTIONS BY OTHER AGENCIES. ALL discharges are subject to the provisions of the Colorado Water Quality Act and the Colorado Discharge Permit Regulations. Prohibited discharges include substances such as: wash water, paint, automotive fluids, solvents, oils or soaps. State Highway Access Permit Attachment to Permit No. 419110 - Additional Terms and Conditions 2 Unless otherwise identified by CDOT or the Colorado Department of Public Health and Environmental (CDPHE) Water Quality Control Division (WQCD) as significant sources of pollutants to the waters of the State, the following discharges to storm water systems are allowed without a Colorado Discharge Permit System Permit: landscape irrigation, diverted stream flows, uncontaminated ground water infiltration to separate storm sewers, discharges from potable water sources, foundation drains, air condition condensation, irrigation water, springs, footing drains, waterline flushing, flows from riparian habitats and wetlands, and flow from fire -fighting activities: ANY OTHER DISCHARGES, including storm water discharges from industrial facility or construction sites/ may require Colorado Discharge Permit System permits from CDPHE before work begins. For additional information and forms, go to the CHPHE website at: http://cdphe.state.co.us/wg 'Permitsunitw+pu. 10. This permit is subject to revocation due to: 1) Noncompliance with the provisions of this permit; 2) Abandonment 3) Supersedure by new permit covering the same installation; or 4) Conflict with necessary planned highway construction and/or improvements. The permittee shall promptly terminate occupancy upon notice of cancellation of the permit from the Department, unless a new permit is applied for and granted. 11. The Department inspector may suspend work due to: 1) Noncompliance with the provisions of this permit; 2) Adverse weather or traffic conditions; 3) Concurrent highway construction or maintenance in conflict with permit work; 4) Any condition deemed unsafe for workers or the general public. The work may be resumed upon notice from the Department Inspector. 12. If necessary, minor changes, corrections, and/or additions to this permit may be ordered by the Department inspector, other Department representative or local authority to meet unanticipated site conditions. Changes may not be in violation of the State Highway Access Code. All major changes to the plan must be approved in writing by the Department prior to commencement of any work on or within the State Highway right-of-way. 13. Reconstruction and improvements to the access may be required when the Permittee has failed to meet the required design and/or material specifications. If any construction element fails within two years due to improper construction or material specifications, the Permittee is responsible for all such repairs. 14. The Department retains the right to perform any necessary maintenance work in this area. 15. Routine, periodic maintenance and emergency repairs may be performed within the State Highway right-of-way, under general terms and conditions of the permit. Any significant repairs such as culvert replacement, resurfacing, or changes in design or specifications, will require written authorization from the Department The Department shall be given proper advance notice whenever maintenance work will affect the movement or safety of traffic on the State Highway. In an emergency, the Department Region Office and the State Patrol shall immediately be notified of possible hazards. State Highway Access Permit Attachment to Permit No. 419110 -- Additional Terms and Conditions 3 16. Access construction methods and materials shall conform to the Colorado Department of Transportation Standard Specifications for Road and Bridge Construction (current edition). 17. All materials, equipment, installation, construction, and design, including the auxiliary lane(s) and intersection improvement(s) within the State Highway shall be in accordance with the following Department standard references as applicable. A. State Highway Access Code, 2 CCR601-1 B. Roadway Design Manual C. Materials Manual D. Construction Manual E. Standard Specifications for Road and Bridge Construction, latest edition F. Standard Plans (M&S Standards) G. Manual on Uniform Traffic Control Devices (M.U.T.C.D.) for Streets and Highways and the Colorado Supplement thereto H. A Policy on Geometric Design of Highways and Streets, American Association of State Highway and Transportation Officials (AASHTO), latest edition I. AASHTO Roadside Design Guide J. Institute of Transportation Engineer's Trip Generation Manual, Gtr, Edition Some of the reference materials listed above (A through E) may be purchased from: Colorado Department of Transportation Bid Plans Room 4201 East Arkansas Avenue Denver, CO 80222-3400 (303) 757-9313 The State Highway Access Code may be purchased from: The Public Records Corporation 1666 Lafayette Street PO Box 1818E Denver, CO 80218 (303) 832-8262 The website address is: www.cdot.gov 18. All workers within the State Highway right-of-way shall comply with their employer's safety and health policies/procedures, and all applicable U.S. Occupational Safety and Health Administration (OSHA) regulations -- including, but not limited to, the applicable sections of 29 CFR Part 1910 — Occupational Safety and Health Standards and 29 CRF Part 1926 — Safety and Health Regulations for Construction. At a minimum, all workers in the State Highway right-of-way, except when in their vehicles, shall wear the following personal protective equipment: • Head protection that complies with the ANSI Z89.1-1997 standard; • At all construction sites or whenever there is danger of injury to feet, protective footwear that complies with the ANSI 241-1999 standard will be worn. State Highway Access Permit Attachment to Permit No. 419110 - Additional Terms and Conditions 4 • High visibility apparel as specified in the Traffic Control provision of this permit (at such a minimum ANSI/ISEA 1074999, Class 2). Where any of the above referenced ANSI standards have been revised, the most recent version of the standard shall apply. 19. Backing maneuvers within and into the State Highway right-of-way are strictly prohibited. All vehicles shall enter and exit the highway right-of-way in forward movement. Backing into the right-of-way shall be considered a violation of the terms and conditions of the access permit and may result in revocation of the permit by the Department and/or the issuing authority. 20. The access shall be maintained in such a manner that will not cause water to enter onto the roadway and will not interfere with the existing drainage system within the State Highway right- of-way. Drainage to the State Highway right-of-way shall not exceed historical rate of flow. 21. Cattle guards are not permitted in State Highway right-of-way. 22. The Permittee is authorized to utilize flaggers for ingress and egress of drilling rig vehicles in a convoy fashion. A copy of an approved traffic control plan and a current, signed CDOT Form #0568 must be present on the job site at all times for inspection. 23. The Permittee is required to install a tracking pad on private property to mitigate the effects of mud and other debris being tracked onto the State Highway system. Should debris tracking onto the highway be a problem, CDOT will contact the Permittee who shall clean the highway within 24 hours of COOT contact. Appropriate traffic control shall be used per the M.U.T.C.D. COLORADO DEPARTMENT OF TRANSPORTATION STATE HIGHWAY ACCESS PERMIT APPLICATION Instructions: Please print or type Issuing authority application acceptance date: U aket - Contact the Colorado Department of Transportation (COOT) or your local government to determine your issuing authority. Contact the issuing authority to determine what plans and other documents are required to be submitted with your application. • Complete this form (some questions may not apply to you) and attach all necessary documents and Submit it to the issuing authority, - Submit an application for each access affected. w If you have any questions contact the issuing authority. el For additional information see CDOT's Access Management website at https:1.Iwwwcodot.aovlbusiness/permitslaccosspermlts 1) Property owner (Perrnittee) Cervvi Enterprises I Inc 2) Applicant or Agent for permittee (If different from property owner) Sam Samet Street address Mailing address 1099 18th St City, state & zip Phone # E-mail address City, state & zip Denver CO 80202 E-mail address if available Sam. Samet@anadarko . atom Phone # (required) 720-A929-331'7 3) Address of property to be served by permit (required) 4} Legal description of property: If within jurisdictional limits of Municipality, city and/or County, which one? county subdivision block lot section Weld 11 6) What State Highway are you requesting access from? 6) What side of the hi ! hway? 34 ❑H jjS D E OW township range 4 63 7) How many feet Is the proposed access from the nearest mile post? 1106 feet ON S (] E Ulf) from; 129 6) What is (he approximate date you intend to begin construction? November 2019 How many feet Is the proposed access from the nearest cross street? 600 feet Ds DE UW) from: Weld County Road 69 9) Check here If you are requesting a: D new access Ellemporary access (duration anticipated: change in access use Qromov& of access D U Improvement to existing access Iretocat1on of an existing access (provide detail) 10) Provide existing property use Agricultural and oil and gas operations. 11) Do you have knowledge of any State Highway access permits serving this property, or adjacent properties in which you have a property Interest? no Oyes, if yes - what are the permit number(s) and provide copies: and/or, permit dale: 12) Does the property owner own or have any interests in any adjacent property? Ono a yes, if yes • please describe: Several thousand acres of land all south of the proposed access 13) Are there other existing or dedicated public streets, roads, highways or access easements bordering or within the property? no a yes, if yes - list them on your plans and Indicate the proposed and existing access points. 14) If you are requesting agricultural field access - how many acres will the access serve? 1 a) If you are requesting commercial or industrial access please Indicate the types and number of businesses and provide the floor area square footage of each, business/land use - __ _ square footage business _ square footage 16) If you are requesting residential developement access, what Is the type (single family, apartment, townhouse) and number of units? type number of units type number of units 17) Provide the following vehicle count estimates for vehicles that will use the access. Leaving the property then returning Is two counts. Indicate if your counts are peak hour volumes or fl average daily volumes, h of passenger cars and light trucks at peso hour volumes 167 4 of multi unil !rucks at peak hour volumes 36 # of single unit vehicles in excess 01 30 ft, 72 # of farm vehicles (field equipment) Total count of all vehicles 282 Previous editions are obsolete and may not be used Page 1 of 2 CDOT Force #131 12118 18) Check with the issuing authority to determine which of the following documents are required to complete the review of your application. a) Property map indicating other access, bordering roads and streets. b) Highway and driveway plan profile. c) Drainage plan showing impact to the highway right-of-way. d) Map and letters detailing utility locations before and after development in and along the right-of-way. e) Subdivision, zoning, or development plan, f) Proposed access design. g) Parcel and ownership maps including easements, h) Traffic studies. i) Proof of ownership. 1- It is the applicant's responsibility to contact appropriate agencies and obtain all environmental clearances that apply to their activities. Such clearances may include Corps of Engineers 404 Permits or Colorado Discharge Permit System permits, or ecological, archeological, historical or cultural resource clearances. The CDOT Environmental Clearances Information Summary presents contact information for agencies administering certain clearances, information about prohibited discharges, and may be obtained from Regional COOT Utility/Special Use Permit offices or accessed via the CDOT Planning/Construction-Environmental-Guidance webpage: https://vvvvwecodotegov/programs/environmental/ resources/quIdance-standards/environmental-clearances•infoosummary-auqusti-2o17/view 2� All workers within the State Highway right of way shall comply with their employer's safety and health policies/ procedures, and all applicable U.S. Occupational Safety and Health Administration (OSHA) regulations - including, but not limited to the applicable sections of 29 CFR Part 1910 - Occupational Safety and Health Standards and 29 CFR Part 1926 - Safety and Health Regulations for Construction. Personal protective equipment (e.g. head protection, footwear, high visibility apparel, safety glasses, hearing protection, respirators, gloves, etc.) shall be worn as appropriate for the work being performed, and as specified in regulation. At a minimum, all workers in the State Highway right of way, except when in their vehicles, shall wear the following personal protective equipment: High visibility apparel as specified in the Traffic Control provisions of the documentation accompanying the Notice to Proceed related to this permit (at a minimum, ANSI/ISEA 1074 999, class 2); head protection that complies with the ANSI 289.1-1997 standard; and at all construction sites or whenever there is danger of injury to feet, workers shall comply with OSHA's PPE requirements for foot protection per 29 CFR 1910.136, 1926.95, and 1926.96. If required, such footwear shall meet the requirements of ANSI Z41-1999. Where any of the above -referenced ANSI standards have been revised, the most recent version of the standard shall apply. 3- The Permittee is responsible for complying with the Revised Guidelines that have been adopted by the Access Board under the American Disabilities Act (ADA). These guidelines define traversable slope requirements and prescribe the use of a defined pattern of truncated domes as detectable warnings at street crossings. The new Standards Plans and can be found on the Design and Construction Project Support web page at: https://www.codot.govt/businessic vilrights/ada/resources'engineers If an access permit is issued to you, it will state the terms and conditions for its use. Any changes in the use of the permitted access not consistent with the terms and conditions listed on the permit may be considered a violation of the permit. The applicant declares under penalty of laerjury In the second degree, and any other applicable state or federal laws, that all information provided on this form • o m and submitted attachments are to the best of their knowledge true and complete. I understand receipt of an access permit does not constitute permission to start access construction work. Applicant or g for Permittee nature arasaCt-dif Print name Sam Samet Date 5/1/2019 If the applicant is not the owner of the property, we require this application also to be signed by the property owner or their legally authorized representative (or other acceptable written evidence). This signature shall constitute agreement with this application by all owners -of -interest unless stated in writing. If a permit is issued, the property owner, in most cases, will be listed as the permittee. Property owner sig ature Print name, "Ilk& e'en? Date 74-)ett\-5(0•, Previous editions are obsolete and may not be used Page 2 of 2 COOT Form #137 12/18 ANGUS 1-22HZ ACCESS MAP E1/2 NE1/4 SECTION 22, TOWNSHIP 4 NORTH, RANGE 63 WEST, 6TH P.M. II • OPERATIONAL DISTURBANCE AREA �I PROPOSED I � NJ( ANGUS ;1-22HZ---►- AGILITY:. Le„_ PROPOSED s, ACCESS ROAD I� jl 1� 1" . 12001 LEGEND PROPOSED WELL ACCESS DISTURBANCE AREA PROPOSED FACILITY INTERSECTION OF ACCESS ROAD AND STATE HIGHWAY 34 LATITUDE: 40.32458W LONGITUDE: -104.413859° DATE SURVEYED; 3/24/19 DATE: 4/23/19 DRAFTER: DJD REVISED: DATA SOURCES: • AERIAL COURTESY OF ESRI. INC. PREPARED FOR: Kerr-McGee Oil & Gas Onshore LP. ACCESS ROAD PICTURE OF ANGUS 1-22HZ - CAMERA ANGLE EAST ACCESS ROAD PICTURE OF ANGUS 1-22 HZ al CAMERA ANGLE WEST 11 WELL PAD Al ANGUS 1-22HZ - ACCESS ROAD PICTURES ANGUS 22,1 HZ, ANGUS 22-2HZ, ANGUS 22-3HZ & ANGUS 22-4HZ LOCATED IN SECTION 22, T4N, R63W, 6TH P.M. WELD COUNTY, COLORADO Kerr-McGee Oil & Gas Onshore L.P. 1099 18th Street Denver, Colorado 80202 11_ _ SCALE: N'H'S REVISED: CONSULTING, LLC SHERIDAN OFFICE 1095 Saberton Avenue Sheridan, Wyoming 82801 Phone 307.624.0609 DATE: 4/23119 • LOVELAND OFFICE 6706 North Franklin Avenue Loveland, Colorado 80538 Phone 97007744331 SHEET NO: 1 1 of ACCESS ROAD PICTURE OF ANGUS 1.22HZ • CAMERA ANGLE SOUTH (INTO PROPERTY) WELL PAD - ANGUS 1-22HZ ACCESS ROAD PICTURES ANGUS 22-1 HZ, ANGUS 22-2HZ, ANGUS 22-3HZ & ANGUS 22-4HZ LOCATED IN SECTION 22, T4N, R63W, 6TH P.M. WELD COUNTY, COLORADO Kerr-McGee Oil & Gas Onshore L.P. 1099 18th Street Denver, Colorado 80202 CONSULTING, LLC SHERIDAN OFFICE 1095 Saberoon Avenue Sheridan, Wyoming 82801 Phone 30706740609 _ _ 0 _ DATE: 4/23/19 LOVELAND OFFICE 6706 North Franklin Avenue Loveland, Colorado 80338 Phone 970.776.4331 SHEET NO: 2 2 OF 2 REVISED: Response to Stormwater Detention Exception Letter of Explanation Comments from Weld County Project Name: 1041WOGLA22-0044 Kerr McGee Bronco CDP Comments Received: 5/23/23 Comments Addressed: 6/21/23 Comments and Responses: 1. Please include a signed Certificate of Compliance form. A signed Certificate of Compliance form has been added to the Enclosures (Page 5 of 65).. 2. Please include updated versions of the drainage basin soils map and property owner maps dated 8/24/2022 that were part of our earlier discussions. I think these exhibits show the overall picture of what is happening very nicely. The Drainage Basin and Soil Type Maps that were included in earlier discussions have been updated with Rodeo Dunes ownership and individual pad names (Pages 11-12 of 65). *Please note that the Cervi Enterprises Inc properties that were originally part of the Surface Use Agreement (SUA) are still shown on Figure 1 (Page 2 of 65) and the Stormwater Acceptance Signature Exhibit B (Page 10 of 65) that was provided for Rodeo Dunes to sign even though several of these parcels were purchased by Rodeo Dunes after the SUA was signed. 3. Please provide the drainage acceptance waiver for the downstream parcels owned by Rodeo Dunes LLC, or please provide documentation that Mike Cervi is an authorized signatory for the entity. Me Stormwater Acceptance Signature has been added to the Enclosures (Pages 9-10 of 65). Page 1of1 4818805 04/14/2022 10:48 AM Total Pages: 3 Rec Fee: $23.00 Carly Koppes - Clerk and Recorder, Weld County , Co Exhibit 2 MEMORANDUM OF SURFACE USE AGREEMENT Attached to and made a part of that certain SURFACE USE AGREEMENT dated April 13, 2022 between CERVI ENTERPRISES, INC. and MICHAEL EUGENE CERVI (a/Ida Mike Cervi) as Surface Owner, and KerrwMcGee Oil & Gas Onshore LP as operator. MEMORANDUM OF SSURFACE USE AGREEMENT State: County: Surface Owner: Operator: Effective Date: Colorado Weld Cervi Enterprises, Inc., Michael Eugene Cervi Anadarko Land Corp., a Nebraska Corporation Kerr-McGee Oil and Gas Onshore, LP April 13, 2022 As the Effective Date stated above, Operator, named above, executed and delivered to Surface Owner, named above, a Surface Use Agreement (the "SIJA") in which Surface Owner granted ingress and egress to the Operator in the lands (the "Lands") located in the county and state names above, described as follows: To nshi 2 North lean a 63 West 6th PAL. Section 3: E 1121E 114• ThocJands in the ICE 1/4SE 114 lying north of Railroad Town_ 3 North e 62 West ,6th PA .& Section 5: W1/2W1/2 Section 7: All Section 17; I12SW 114 Section 19: NW 114 Section 30: N 114; SW 1 /4S W 114 Township 3 North Range 63 West 6th P.M. Section 1: All Section 3; All Section 4: All Section 9: All Section 10: All Section 11: All Section 12: N 114; N I/2S 1/2 Section 13: All Section 14: IOW 114 Section 15: All Section 21: All Section 22: '12SE114; E12S 114 Section 23: All Section 24: Nlf2N 1/4NE114; N1/2S1/2NTWIMNE1/4-; NE114SEI14; less and except S 1121 W 1 /4NE 114S E 1 /4; Section 25: 112 112 Section 26: N1/2; SE114 4818805 04/14/2022 10:48 AM Paget of3 Section 27: All Section 33: NE 1 /4NE 1 /4 Section 34: N1/2N1/2; SEI14NE1/4; E1/2SE1/4 Section 35: N1/2N1/2 2≥nshi4 North Ran a 62 West 6111 P.M. Section 31: 1/2 1/2; SE 1/4S 1/4; S 1/2SE 1 /4 Section 32: SW1/4SW1/4 114 jyjhi4NorthSane63Wes.PO4. Section 10: Those lands in the E1/2 south of Highway 34, less and except the USA Parcel Section 11: Those Lands in the W 1 /2S 1 /4 south of Highway 34 Section 13: S 1/2S1/2 Section 14: 1/2.'1/2; SE1/4SW1/4; S1/2SE1/4 Section 15: E1/2: E1/2' 1/2; S 1/4S 1/4 Section 21: All Section 22: All Section 23: All Section 24: All Section 25: All Section 26: All Section 27: All Section 28: All Section 33: All Section 34: All Section 35: All For other good and valuable consideration, the sufficiency of which is hereby acknowledged, the Surface Owner hereby grants Operator the exclusive rights to explore for, drill for, produce and market oil, gas, and other hydrocarbons from the Lands during the term of the SUA; construct, operate and maintain such facilities as are provided for in the SUA. Reference is hereby made to executed copies of said SUA in possession of Operator and Surface Owner, respectively, for all of the provisions thereof, and by this reference same are incorporated herein and made a part hereof in all respects as though fully set forth herein, This Memorandum of Oil and Gas Lease is being made and filed for the purpose of giving third parties notice of the existence of the Lease described above, CERVI ENTERPRISES, INC. By: Mike Cervi Its: President KERR-MCGEE OIL & GAS ONSHORE LP By: By: Nicholas I Bouterie its: Attorney in Fact 4818805 04/14/2022 10:48 AM Page 3of3 Michael Eugene Cervii By: By: Mike Cervi Its: President STATE OF TEXAS COUNTY OF HARRIS ) ) ) Anadarko Land Corp. By: Nicholas]. Bouterie Its: Attorney in Fact ACKNOWLEDGEMENTS The foregoing instrument was acknowledged before me on April 13, 2022, by Nicholas J. Bouterie, Attorney in Fact of Kerr-McGee Oil & Gas Onshore LP and Anadarko Land Corp. Witness my hand and official seal, Notary Public 'V State of Texas My commission expires: STATE OF COLORADO CITY & COUNTY OF WELD COLLEEN JOHNSON Notary 10 #4794388 My Commission Expires March 17, 2024 The foregoing instrument was acknowledged before me on April 13, 2022, by Mike Cervi, Owner of Michael Eugene Cervi and Cervi Enterprises, INC. Witness my hand and official seal. Notary Public State of Colorado My commission expires: ROBERTEVANJOHNSON NOTARY PUBLIC - STATE OF COLORADO Notary ID #20194002546 My Commission Expires 1/22/2023 Weld County Treasurer Statement of Taxes Due Account Number R4979686 Assessed To Parcel 121723000003 CERV1 ENTERPRISES INC PO BOX 1930 GREELEY, CO 80632-1930 Legal Description 7354 ALL 23 3 63 EXC UPRR RES Situs Address Year Tax Charge Tax Interest Fees Payments Balance 2023 $300.82 $0.00 Total Tax Charge $0.00 ($300.82) $0,00 $0.00 Grand Total Due as of 07/03/2024 Tax Billed at 2023 Rates for Tax Area 2442 - 2442 Authority WELD COUNTY SCHOOL DIST RE3J-KEENESBURG S. E. WELD FIRE AIMS JUNIOR COLLEGE HIGH PLAINS LIBRARY Taxes Billed 2023 * Credit Levy Mill Levy 12 0240000* 16.7930000 10.3270000 6.3360000 3.1960000 Amount $74.31 $103.78 $63.82 $39.16 $19.75 48.6760000 $300.82 Values AG -GRAZING LAND Total Actual $23,392 $0.00 Assessed $6,180 $23,392 $6,180 ALL TAX LIEN SALE AMOUNTS ARE SUBJECT TO CHANGE DUE TO ENDORSEMENT OF CURRENT TAXES BY THE LIENHOLDER OR TO ADVERTISING AND DISTRAINT WARRANT FEES CHANGES MAY OCCUR AND THE TREASURER'S OFFICE WILL NEED TO BE CONTACTED PRIOR TO REMITTANCE AFTER THE FOLLOWING DATES: PERSONAL PROPERTY, REAL PROPERTY, AND MOBILE HOMES - AUGUST 1 TAX LIEN SALE REDEMPTION AMOUNTS MUST BE PAID BY CASH OR CASHIER'S CHECK. POSTMARKS ARE NOT ACCEPTED ON TAX LIEN SALE REDEMPTION PAYMENTS PAYMENTS MUST BE IN OUR OFFICE AND PROCESSED BY THE LAST BUSINESS DAY OF THE MONTH Weld County Treasurer's Office 1400 N 17th Avenue PO Box 458 Greeley, CO 80632 Phone: 970-400-3290 Pursuant to the Weld County Subdivision Ordinance, the attached Statement of Taxes Due issued by the Weld County Treasurer are evidence that as of this date, all current and prior year taxes related to this parcel have been paid in full. Signed: i 1400 N. 17th Avenue, Greeley, CO 80631 or PO Box 458, Greeley, CO 80632. (970) 400-3290 Page 1 of 1 Hello