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Home My WebLink About20210173.tiffq� Energy Pars LP NGL Water Solutions DJ, LLC 3773 Cherry Creek North Drive, Suite 1000 Denver, CO 80209 C6 Facility - Commercial Water Wells and Septic Disposal Plan Date: 3/23/'2020 Narrative Introduction In accordance with the Colorado Division of water Resources (DwR) Water Well Construction Rules 2 CCR 402-2 and the weld County Code Ordinance 2017-10, the water wells and the septic disposal system are both necessary features to the C6 Facility. There are two (2) approved and operational commercial water wells present at the C6 Facility that provided necessary drinking and sanitary water. Sanitary wastewater generated from the buildings on the C6 Facility (the bathrooms/sinks from the office, shop, and the solids facility) all connect and empty into the septic system and leach field on the south side of the solids processing facility. Water Well 78801-F The purpose of the commercial water well 78801-F is for the distillation and reverse osmosis plant that produces clean water for operations at the solids processing facility. The water well also provides potable/sanitary water for one toilet and one sink in one of the solids processing buildings. The location of the commercial water well 78801-F is northwest of the loading/unloading pan for the solids processing facility. The DwR approved annual apportionment limit for the well is 22.5 acre-feet per year. The permit was issued on 12/17/2015 with the Construction and Test Report being received/approved on 3/22/2016. (see next pages for images, location map, and permit documents) 1IPage 400.0 200.00 400.0 Feet III'I!II I'I{J1-1/ $illip'"IIiI II; l;',11111 el 494,9lap lcu :1e Acres HIGH SIERRJZWArTER3SERV CES LLC �Iliiiiiluulllllli Ili Ilur,u" �• ,,, ,�. .un ui n CAMP HOLDINGS LLC:1/2 INT , ....:..0 lii BRUNSON ulliiilpL limiii TIlilll 80.696 GIS Calculated acres ,,. NM .r. mAll! I!Iln!Ilnml' glllllInllllll', "r F3665994 i rI 81.394 GIS�C�Icul�i�d'A�r!es� HIGH{SIEfiag VATERTSERVICEa�LLC r.dtl ' J rd Idly B IdIJ' ,::..,....u.WiIf t:..... ihiINlbw till MRJ CAMP HDLDINGR_iLe 112,INT r�i IIIAlII111I1�' , WGS 1984_Web_Mercator,Auxiliary_Sphere {' Weld County Cola rado I I hts snap Ik a user c,er•era:ec. s:a iC ouliputfrom ar Internet mappint site: and is for reference oriy. Ja.a layers .l a. appear on ills map may or may rio. t)P accurale.. c timer or oter..d5P rehal)le. THIS MAP IS NOT TO BE USED FOR NAVIGATION Legend Parcels Septic Point 8 Ll l Septic Tank Septic Olean Out repticDivcrtcr Valve Water Well Septic Distribution Box Septic Lift Station • Septic System 3 Septic Line Septic Polygon Septic Field Septic Percolation Arca Other.IUnknown nOther:Unknown Water Well Receipt Label Water Wells 6 Chi r r� 6 i Unknoin Application Denied Application Unacceptable Application Withdrawn Permit Canceled Permit Expired Permit Extended Permit Issued Completion Status L W ell Abandoned kNeB Constructed Highway Township f Range Section Quarter Section County Boundary Creek f Canal - Large Scale Perennial Intermittent Ephemeral Artificial Path Canal Ditch Coastline Notes .5 p, Olt WELD COUNTY NGL Water Solutions - C6 Facility Iiiuui�lll, 81.394 Gl5 Calculated Acres HIGH SIERRA WATER SERVICES LLC — !!!!SIERRA OUR! ►�lrlllll, ► I Il hluill I►�V►o um I I 81:394 GIs Calculated Acres HIGHr5IERRkWATERTSERVICES?LLC I 11.5 35 IS 11.5 Feet IIII II nr HI X3661200 6551 Iv. I��I!��dlllllllhlllupil!Ilq!!III!II��!Illlllu!!ildlllll!Illllllb! 03N . 81:394'GIS Calculated Acres „ 65\N HIGH SIERRA WATERTSERVICES LLC WGS 1984_Web_Mercator Auxilia ry_Sp here { Weld County Colorado I hs map Ik a uSet c,er era.et. S:a iC 011pUtfrom tiro Internet hnappinc, Si e and is for rF. e..rerx e.. only. iayers .[ a. appear on the rnai7 may c]r may tic,. tie accura:e. c amps'., or o.i•er..d5P re. hal)lc. THIS klAP IS NIOT TO BE USED FOR NAVIGATION Legend int 1— f Parcels Septic Point Septic Tank Septic Clean Out Septic Diverter Valve Water Well Septic Distribution Box Septic Lift Station • Septic System ? OtherlUnknown Septic Line Septic Polygon Septic Field Septic Percolation Area nOtheaUnknown Water Well Receipt Label Water Wells Unknolm 6 Application Denied Application Unacceptable Application Withdrawn Permit Canceled Permit Expired Permit Extended Permit Issued Completion Status l • Well Abandoned i Won Constructed Highway Township !Range Section Quarter Section County Boundary Creek f Canal - Large Scale Perennial Intermittent Ephemeral Artificial Path Canal Ditch — Coastline 1: 429 0 Notes Water Well 78801-F NGL Water Solutions DJ, LLC 3773 Cherry Creek North Drive, Suite 10100 Denver, CO 80209 II�I�III I !ill111 !!!fllIII.wY IF t'i I C YY 1IIN I !{ yII I f 1' IIYfl li!� II� 1 f pl.. 1. .I1�I �III I. I^'X I i j .�. �1 11YY � CIII IINL.. ,....,� r....I,Iti �YX {�{7�� t/llf i��, IIII!IIAI...1�•�� u „ I4 1.♦Ifi• I.J-A!9 ^.il .A AJX..'I �.. r" M1 Y .� S' t �i �'1t A �f 1 .. -;i5 �IM1i1AYAe::61". 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WS -25 OFFICE OF THE STATE ENGINEER COLORADO DIVISION OF WATER RESOURCES APPLICANT 818 Centennial Bldg., 1313 Sherman St., Denver, Colorado 80203 (303) 888-3581 WELL PERMIT NUMBER 78801 -F R DIV. 1 UVD 2 DES, BASIN MD NGL WATER SOLUTIONS 3733 CHERRY CREEK NORTH DRIVE DENVER, CO 80209- (303) 868-1286 PERMIT TO CONSTRUCT A WELL APPROVED WELL LOCATION WELD COUNT'S SE 1/4 SE 1/4 Section 30 Township 3 N Range 65 W Sixth P.M. DISTANCES FROM SECTION LINES 840 Ft. from South Section Line 708 Ft. from East Section Line UTM COORDINATES (Meters,Zone:13,NAD83) Fasting: 525592 Northing: 4449047 ISSUANCE OF THIS PERMIT DOES NOT CONFER A WATER RIGHT Page 1 of 2 CONDITIONS OF APPROVAL 1) This well shall be used in such a way as to cause no material injury t0 existing water rights. The issuance of this permit does not ensure that no injury will occur to another vested water right or preclude another owner of a vested water right from seeking relief in a civil court action. The construction of this well shall be in compliance with the Water Well Construction Rules 2 CCR 402-2, unless approval of a variance has been granted by the State Board of Examiners of Water Well Construction and Pump Installation Contractors in accordance with Rule 18. 3) Approved pursuant to CRS 37-g0-137(4) and the amended findings of the State Engineer dated December 17, 2015 4) Approved for the replacement of an existing well, permit no. 78801-F. Upon completion of the new well, the old well must be plugged .and abandoned in accordance with Rule 10 of the Water Well Construction Rules. A ''well Abandonment Report farm must be submitted within sixty (00) days of abandonment of the old well. 5) The use of ground water from this well is limited to commercial purposes. 0) The pumping rate of this well shall not exceed 10 GPM. 7) The average annual amount of ground water to be appropriated shall not exceed 22.5 acre-feet. 8) Production is limited to the Laramie -Fox Hills aquifer which is located approximately 280 feet below land surface and extends to a depth of approximately 830 feet. Plain casing must be installed and grouted to prevent the withdrawal of ground water from other aquifers and the movement of ground water between aquifers. (NOTE: If coals and/or carbonaceous shales are encountered in the borehole, plain casing and grout should be installed through these intervals to exclude poor quality water from entering the well.) 0) The entire length of the hale shall be geophysically logged as required by Rule g of the Statewide Nontributary Ground Water Rules prior to installing casing, 10) The owner shall mark the well in a conspicuous plane with well permit number(s), name of the aquifer, and court case number(s) as appropriate. The owner shall take necessary means and precautions to preserve these markings, 11) A totalizing flow meter must be installed on this well and maintained in good working order. Permanent records of all diversions must be maintained by the well owner (recorded at least annually) and submitted to the Division Engineer upon request. 12) This replacement well shall not be constructed any closer to any other existing well than the well it is replacing, if such other well is within 500 feet of the replacement is completed in the same aquifer, and is not owned by the applicant. 13} This well shall be constructed not more than 200 feet from the location specified on this permit. APPROVED KAA r pa., ,Receipt No. 3672559 State Engineer DATE ISSUED 12-17-2015 ioN DA -17-216 Receipt No. 3672659 WELL PERMIT NUMBER 78801 =F R Page 2 ISSUANCE OF THIS PERMIT DOES NOT CONFER A 'WATER RIGHT CONDITIONS OF APPROVAL 14) pursuant to CRS 37-90-137(9)(b) and the Denver Basin Rules, no more than 98% of the nontributary ground water withdrawn annually shall be consumed and the well owner shall demonstrate to the reasonable satisfaction of the Mate Engineer that no more than 98% of the water withdrawn will be consumed, 15) This well is subject to administration by the Division Engineer in accordance with applicable decrees, statutes, rubs, and regulations. NOTE: The ability of this well to withdraw its authorized amount of water from this non-renewable aquifer may be less than the 100 gears upon which; the amount of water in the aquifer is allocated, due to anticipated water level declines. NOTE: To ensure a maximum productive life of this well, perforated casing should be set through the entire producing interval of the approved zone or aquifer indicated above. NOTE: This permit will expire on the expiration date unless the well is constructed and a pump is installed by that date. A Well Construction and Test Report (GWS-31) and Rump Installation and Test Report (GWS-32) must be submitted to the Division of V'Vater Resources to verify the well has been constructed and the pump has been installed. A one-time extension of the expiration date may be available. Contact the DWR for additional information or refer to the extension request farm (GWS-64) available at: httpRwvww.water.state.co.us u, ' i+ Eic Ky - ~ 0. .f . '. I L, L 1 F0L0RADO DIVISION OF "DATER RESOURCES DEMRTMENT OF NATURAL RESOURCES 131 SHERMAN ST, RIB 821, DENVER, CO 80293 mein: 343 808-351 Fax: 303 866-2223 erimilsonl Inn staie.co.us GENERAL PURPOSE Water Well Permit Application Revitw Instructions on reverse side priori° completing form. The lam must be computer generated; typed or in black or blue ink. ArAppflant Informatism Nair* ((applies -4. NGL Water Solutions Office Use Only. 191IFICEIviEri I r 1,.. .62015 lisou • 60 �,e Form GWS-45 (0mo 1 a) �1f f ngaddress 3733 Cherry Creek North Drive City Denver 7eetephVe (area aye si rfur 303 868 1296 Slate Zrp erode CO 89209 iI nail Canine ti��p required) info@highslerraenergy.com 2: Type Of Application (cheep applicable boxes) _r Conslruc1 new well Q Replace existing well ❑ Grange source (aquifer) CCGCG II1J'ell ❑ Use existing well ❑ Change or increase use ❑ Reapplication (expired permit) ❑ Other: 6. Use Of Well (check applicable boxes) Mach a detailed desctipt on of uses applied for. D industrial Q municipal Irrigation NJ Commercial ■ © Delrtering System Geothermal (production cr relnp lion Q Other (describe): 7. Well Data (proposed) kWorn PLIAT4nu sere I0 gpm Tolai ill feet Must amount to be Withdraw 18,8 Itcpil Fort Hills sae -fee( 3. Refer To (if applicable) vVatl Persil, 78801-F Water Coul1 arse 0 Dest9rWei &3gn Deleannaton A Weil ages or0 4, L,,ocatlplt PP�osed dell C,rnt� Weld SE won)* SE 111 Sean 30 lownst+tp N far S 3 ri rl Rave 85 E or VV Prinds Makin 6th DIVariceofwell tram Eldon CMS isecuan lines ere taialltnot motif linea) Fl. tromr11t FS FL i onclE 8, Land On Which Ground Water Will Be Used t egel Description of Land (may tie pna►rded sa art stisch rt+d): S 1ar2 OF THE SE 1/4 OF SECTION 30 -3N -65W OF THE 6TH PRINCIPAL MERIDIAN, WELD, CO Construction & operationof a salt water disposal facility A. RAMIS 81.39 (If used for crop trr;pationi attach a sated rn8p lital stlows wooed areal__ B. Nile( NGL Water Solutions G. wi any airier with or%Marr;ghls weed can this lased: NA For repirement walls only — dsla.oe fine drsion lrorn std vN O to nev well 133 reel NORTH - NORTHVVE T direction VIA locafon address (Include Gly, Stale Li)) ❑ deck if wel address is see as in Urn', 13159 CR 39 Platteville, CO 89651 Optioreet` GP$ wait location Information in UTM format. You must cheek GP$ unit fur required settings as follower Form' must he heft Moue 12 a n Zone 12 Units mint De Meters Datum nal be NAM uittoat e gel to mirth lii'ss CF's vets air/opdits *nap YES Ea sung 525592 Northing 4449947 Remember to set Datum to NADd3 9, Pro o�s�ed Well Driller License #(optional): WI Sign or Entered Dams Of Applicant(s) Or Authorized Agent The making of false statements herein conslilutes perjury In they second degree, which is punishable as a class 1 misdemeanor ,pursuant to C,R,S. 24.4.104 (13)(a). I have read the statements herein, know the contents thereof and state that they are true to rnj knowledge. Spin gartiger narne(c ofr? applicator] Its Feint name anti Edo Cale (fir kidiffiy) 12/i4/2015 Nick Valencia,, M3 Construction, LLC, Project Manager Office Use Only 5. Parcel On Which Well Will Be Located USGS neap rare OM map du, &Jibe* Ow. area only (PLEASE ATTACH AC URf�ENT DEED FOR THE SUB,�ECT Pa�RCEL _ Rts�sfal . ptorist �•�y+y�'n , Ice nesii 14, A. Legal Description trraytvaprorldoa,anaua+ nl): iliced' ". ""I ' I S 112 OF THE SE 114 OF SECTION 3Q -3N -65W OF THE 6TH PRINCIPAL MERIDIAN, WELD, CO R. w eracres `n parcel 81,39 C. Diener (JCL Water Solutions ion{+ rrak4 16c V1/44\ detl�0(30;5�J ita�3 I" \Atmca�n -+ tioaSi 1.08' I D. w` N lh`s SONY Wilt 4rl p oen tg ES NO (lino o Esi other At! +5I E. Sisle Parcel (optGnat): A4LIAMAI 4�t ClM1'�6 TOP MAAR Sai DI rat, anti i t riarigi tioti TON. CREDIT CARD 1726559 1 c.00 jfl0.0D. l DlV f WD �. eA MD 12133040,017 0 156 '2911 6 AIV Quality i to", , I L O Quality Well & Pump (siiik I "` 201523275 U8 Fl 85 La Salle, CAD 80645 14,0110114;G Phone: (970)353.3118 Cr (9'0)356-7842 Fax: (9701.284.5A45 KrIstle@qualitywellandpump,carn Lice ItiA61. FAX COVER SHEET To: PERMITTING DEPARTMENT COMPANY: CDWR FAX NUMBER: 303-866`2223 FROM: KRISTIE i DATE. 12/14/2015 TOTAL NO. OF PAGES INCLUDING COVER: 2 PHONE NUMBER: 3013-866-35$1 RL: PERMIT TO REPLACE AN EXISTING WELL 78801-E C� URGENT Q FOR REVIEW ❑ PLEASE COMMENT ❑, PLEASE REPLY ['PLEASE RECYCLE NOTES/COMMENTS: Please find anached an application tO to-ddl permit 788014,',e ask that you expedite his appliuition due to the constuction limatame of our customa. Pose process the application fee to MastetCate Awase contact CUT Office With any glieStioriS Of CQnCeillt Sincerely, Kthtie Davis Quality Well and Pump Gay ti' FORM GWS-31 4/2012 NO, STATE WELL OF 1313 Main COLORADO, Sherman CONSTRUCTION 303 866-358 St OFFICE • Ste 8.21, Fax Denver, („303) OF AND THE 866-3589 CO TEST STATE 80203. limitwiwater.s REPORT ENGINEER a e�co,us For Office Use Cniy - ii. WELL PERMIT NUMBER: 788,01 ,,FR R E E Pc' F i ) k� MAR Tt s`TA 2 2 - 2016 u R NE s ER . NAME WELL OF OWNER WELL INFORMATION OWNER: N L WATER OLL ON MAILING ADDRESS: 3733 CHERRY CREEK NORTH DRIVE IT'S: _ DENVER STATE: CO ZIP CODE: 80209 TELEPHONE NUMBER in/area code: 303-86$-1286 SE :3, WELL LOCATION AS DRILLED- 114, SE 1/4, Sec_, 30 T werp � liT1 N or S, Ill Range 65 E or W� DiSTANCES FROM SEC: LINES: ft from i N or section lane and I•t. from i E or El VV section line. SUBDIVISION: , LOT , BLOCK FILING (UNIT) Owner's ail Designation: Optional P Location: GP Unit must use the folliowin � settings: � Format must be DTM, Units 'E��ti.n�� 5 2559'1 he Datum be NADB3, Unit N, l I Zone 12 i l Zone 13 must meters, must must be set to true or STREET ADDRESS AT WELL LOCATION: Northing 4449060 4, GROUND SURFACE !ELEVATION rat DRILLING METHOD ROTARY - ----� DATE COMPLETED 02/17/2016 TOTAL [DEPTH 610 feet DEPTH COMPLETED 610 teet 6. HOLE DI AM in) From fed _ _TOT 5, GEOLOGIC LOG: Depth Type Grain Size _ Color Water Loc. 9 _ 0 20 C� TOP SO 7 7/8 20 280 6 1/8 280 61 a 3-74 ND/CLAY BROW4 74118 SHALE 7. Ei OD PLAIN 5/8 On) CASING STEEL Kind: Wall _188 Size (in) +1 From (ft) 140 To (ft) 118-125 SHALE Wf COAL VS -126 ROCS, 26 SHALE 4 1/2 pvc .250 0 350 355-418 • ANDSTONE kW 4 1/2 PVC .250 510 570 4 1/2 PVC ..250 590 _ R10 - X18-420 ROCK i I 422-51Q SANDSTONE XXXX PERFORATED CASING: Screen Slot Sipe Oro. .030 PVC, us250 350 610 510-ei 1 sHA,LE -I__41 4 112 PVC 259 590 610 - _ a _ B. Material FILTER RACK: , 9. Tyre PACKER PLACEMENT: C E IVI EDIT - Sizes - - Interval Depth 200-280 - - Material CEMENa GROUTING Amount 4 YEWS RECORD S Density 1,86 Interval 0-140 Placement POS DI SP ,10. a Remarks: _ 11. DISINFECTION: Type STERILEN I Amt. Used 10 O2 12, WELL TEST DATA: Check box if Test Data is submitted on Form Number GWS 39 Supplemental Well Test. TESTING METHOD AIRLIFTE.D/OVERPLIMPED Static Level 237 f#, DateiTime measured. 03/03/2016 Production Fate 20 gpm. Pumping Level 350 ft, DaterTime measured 03/03/2016 Test Length (hrs) 4 Remarks: 13,. name document of the I have entered contracting, read that the if contains filing license. statements online) false If statements 'Mint and made herein certified online is the a and In violation State 'know accordance Engineer the of contents with section considers Rule 37.11-108{1 thereof, 17.4 entering of and to e)a they Water of CRS, licensed are true Well and Construction is contractor to my punishable knowledge. name mules, by fines to This 2 CM tip be c+ormilaance document 40244, to It The $5000 andior with Sighed filing Rule (or of revocation 17A a - - CompanyName: 970-353-3118 Phone yr./area code: I 11461 License Number: (DUALITY WELL AND PUMP Mailing Address: 395 HWY 85y AULT, CO 80610 Sign (or enter ne �l f 'Minis Nine) it Print CHRISTOPHER Name and Title R. JOKES 03/17/201 Dote ��rr �� u�� OnlyGWS- FtECEI\ : � r., PUMP INSTALLATION AND TEST REPORT FO 04/2012 STATE OF 1313 COLORADO; Main Sherman (303) dwriDen St., 866-3531 itsonlin OFFICE Room 821, Fax ~ OF (303) stateica.us Denver, THE STATE CO 866-3►5893 $0203 ENGINEER MAR 222016 I 1, WELL PERMIT NUMBER. 78801 --FR v Tf ou Mpg s " �2. N WELL NAME LWATER OWNER OF OWNERcet60)INE SOLUTIONS INFORMATION - -- _ 3733 MAILING CHERRY ADDRESS CREED NORTH DRIVE - DENVER CITY - STATE CO - - . ZIP" 80209 COLE 303-686-1286 TELEPHONE # (area code) !3. II YELL LOCATION AS DRILLED: SE 1/4, SE 1/4 Sec. 30 Twp. 3 R N or r S Range 65 r E or fri VS, DISTANCES E P O IVI SEC. LINES: ft. from x, N or FI S section line and ft. from � E or r IN section line. SUBDIVISION: LOT , BLOCK FILING (UNIT).,—„ _ , Optional GPS Location: GPS Unit rust use the following settings; Format must be laTM, Units Easting_ 25591 must be asters, Datum rust be NAD83, Unit must be set to true I'+el, 7 Zone 12' or 7 Zone 13 Northing: g 4449060 STREET ADDRESS AT WELL LOCATION: 4. PUMP DATA: Type: SUBMERSIBLE Date Installed(rnrnidd/ yy): 03/08/2016 -- _�— - Pump Manufacturer: FRANKLIN Pump 'Model Na 1SF S4=P'E Design GPM: ! at Rpm 3420 HP 2 Volts 460 Full Load Amps 4.1 Pump Intake Depth: 532 Feed, Drop/Coburn Ripe Size Inches, 1,.25 bind! of Drop 'Pipe GAIN : LT L 11FORMATION FOR( !PUMPS GREATER THAN 50 GPM: Turbine Driver Typ a Electric a Engine ClOther Design Head feet Number of Stages Shalt size inches 5. OTHER EQUIPMENT: Airline Installed Yes Igo, Orifice Depth ft- Mon[tcr Tube I'ns'talled Yes Nei Depth ft. Flow Mater Mig_ CARLON Meter Serial No. 15 001191 Meter Readout DI Gallons, ElltoU nd Gallons, IjAcre feet Beginning Reading 000000 6. TEST DATA: check box if Test Data .is submitted on Supplemental Form, Date: 03/08/201 Total Well Depth: 610 ft Time° Static Level: 237 tt.. Rate (g pm): 10 y Tate Measured, 03/08/2016 Pumping Level if1): 335 7. DISINFECTION: Type STERILENE Amt. Used 10 OZ B. Water Quality analysis available Y 'ryes, please submit with this report, a Rarl} - 10. I am have read certifying the statements in accordance made with Rule herein 17.4 and of know the Water the contents Well thereof, Construction and Rules;, they are 2 CCR true 402_2. to my knowledge. [The fling of r y :signing a document or entering that contains my name false I license.] statements is a violation of section 37-91-108(1)(e), C,P.S., and is punishable by fines up to $5000 and/or revocation of the contracting Phone 970-353-3118 wiarea node: i License 1461 Number: - - arnpany QUALITY Mare: VVELL AND PUMP Mailing 23275 Address: US HWY 85 LE, CO 80645 Sign or Enter Name wit � CHRIS JONES, OVVNER Date 07/17/2016 (r� mid�d ' ') q� Energy Pars LP NGL Water Solutions DJ, LLC 3773 Cherry Creek North Drive, Suite 1000 Denver, CO 80209 Water Well 272956 The use of this commercial well is for drinking and sanitary purposes for the main office and shop. A total of 0.33 acre-feet per year is allowed for this well. The water amount is has been calculated based on eight (8) full-time employees, twenty (20) non -employees (visiting customers or contractors), and a water allowance for cleaning the floor/equipment in the shop. The location of the commercial water well 272956 is south of the shop and north of the cluster of above ground storage tanks. To the northwest of the office there is a pump house that contains the pressure tanks water treatment equipment Permit 272956 was issued on 3/12/2007 with the Construction and Test Report being received/approved on 6/12/2007. A buried underground water line goes from the wellhead into the pump house where the untreated groundwater is filtered and conditioned. The now conditioned water travels north into the main shop and then east over to the axillary building that contains the centrifugal pumps for the C6 injection wells. (see next pages for location maps and permit documents) 4IPage WELD COUNTY NGL Water Solutions - C6 Facility 03N "033 U°I°' 1 I I II HIGH I 81.394 r :S .. 1 GIS�Calculated I r I . 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C-L1:y-J ;„f -_'7i1 ��`•:r, +•M1.l. ,j. .�.y� ti� ;- -.rte 71 - r"'' - - • J - i Form No. GWS-25 APB LI CANT OFFICE OF THE STATE ENGINEER COLORADO DIVISION OF WATER RESOURCES 818 Centennial Elldg_a 1313 Sherman St,, Denver, Colorado p0203 (303) 866-3581 CONQUEST DISPOSAL SERVICE 8203 VV 20TH STREET ST E A GREELEY, CO 80634- (970) 355-5550 PERMIT To CONSTRUCT A WELL 1� 2) 3) 4) 5) 8) 7) 8) 9) 1 0) VC) 12) 1397 APPROVED WELL LOCATION WELD COUNTY SE 1/4 SE 1/4 Secticc 30 Township 3 N Range 65 W Sixth P.JIJr_ DISTANCES FROM.SECTION ON LINES 1174%1%4 Ft. from South Section Line 4541,42„Ft. from East Section Liao UTN1 COORDINATES Meters .Zone:13,NAD83 Easting: Northing: ISSUANCE of THIS PERMIT DOS NOT COFFER A WATER RIGHT 0 [�I 01fl AS R VAL This well she be used in such a way as to cause no ,material injury to exiating water rights, The issuance of this perrnit does not ensure that no injury will occur to another vested water right or preclude another der of a crested water right from seeking relief in a civil court action. The construction of this well shall be in compliance with the Water Weir Construction Rules 2 CCR 402-2, unless approval of a variance has been granted by the Stale Board of Examiners et VVater Construction and Rump Installation Gontraotors In accordance with Rule le. Approved pursuanl to CRS 37-g2 2(3)(b)(I) and the policy of the State Engineer dated 4'23/86 under the following conditions. The use of ground water from this Well is rrnited to drinking and sanitary facilities, as described in CRS 37-92-602(1)(c), for a commercial business. Water from this we I shall not be used for lawn or landscape; irrigation or for any other purpose outside the business building structure, Production from this well is restricted to the Laramie Fox Hills aquifer, which correspards to the internal between Qfeet andl feet below the ground surface. 'lain casing shall be installed and grouted to prevent production from other zones. 250 bob The depth to the tcp of 1 h Laramie -fµ ox Hills aquifer is approximate. T9 ensure the exclusion of poor quality water from zones immediately above the aquifer+ plain casing and grout shall extend through the lowerhiost coat and}or carbonaceous shale that overlies the Laramie sand portion of the aquifer. The pumping rate of this wolf shall not exceed 15 GPfti. The annual amount of ground water to be withdrawn shall not exceed 0.33 acre-feet (108,600 gallons), as applied for. Approved as the onty well on a tract of land of 80.00 acres) descries as the S 112 of the SE 1/4, Sec. 30, Twp, 3 Forth, Lange 65 West, 6th P. A.* VYeld County, reference attached exhibit "At_ The return flow from the use of this well must be through an individual Ikaste,mater disposal system of the type so that not less than 2% of the total amount of water withdrawn is returned to the same stream system" in which the well is located. totahzing ficrw meter ,angst be installed an this weld and roarintiirred in good rdorlcmg order. Permanent records of all d'Iversions must be maintained by the well owner (recorded at least annually) and submitled to the Division Engineer upon request. This well shall be constructed riot more than 200 feet from the location specified on this permit. NOTE:To ensure a maximum productive rite of this well, perforated casing should be set through the entire produci appro. ed zone or aquifer indicated above. ervar of the (&1707 * Well location and aquifer interval amended balled on information from the Applicant., BDH 05108107 . I :� a . fir 7 - f i T �.+��.. 1• • • ; n• � fi[ C}• � t.�..-L• 4 yy • ` l� L M ..__ I n ii7451t.k•v/t . Mit r_ - - 1 r Form No. GS -25 APPLICANT OFFICE OF THE STATE ENGINEER COLORADO DIVISION OF 'I ATS RESOURCES S 18 Centennial Bldg., 1313 Sherman St., Denver, Colorado10203 003) 866-3581 1397 WELL PERMIT NUMBER 27295 DIV, 1 VVD 2 CES. BASIN MD CONQUEST DISPOSAL SERVICE 8203 W 20TH STREET STE A GREELEY, CO 80634- (970) 356-5560 , PERMIT TO CONSTRUCT A WELL ' APPROVECI WELL LOCATION WELD COUNTY SE 1/4 SE 1/4 Section 30 Township 3 N Range 65 W Sixth P,N1_ DISTANCES FROI I SECTI0N_L1NE 908 Ft. from South Section Line 1112 Ft. from East Section Line UTI DOORall'�ATE deters Zons 131 NAD83} Eastlng: Northing: ISSUANCE OF THIS PERMIT DO I S NOT CONFER A WATER RIGHT IDIITI PAP AP R VAL j 1) This well shall be used in such a way as to cause no material injury to existing water rights. The issuance of this permit sloes not ensure that no injury will occur to another vested water right or preclude another der of a vested water right from seeking relief in a evil court action. 2) The construction of this well shall be in compliance with the Water Well Construction Rules 2 CCR 402-2, unless approval of a variance has been granted by the State Board of Exaimtirners of water Well Construction and Pump lnstattatiorContractors In accordance with Rule 18, 3) Approved pursuant to CRS 37.92-602{3)(bXl) and the policy of the State Engineer dated 4/23186 render the following conditions. 4) The use of ground water from this well is limited la drinking and Sanitary facilities as described in CRS 37-92--602(1)(c), for a commercial business. Water from this well shall not be used for lawn or landscape irrigation or for any other purpose oLaside the business building structure. 5) Production from this well is restricted to the Laramie FOX Hits aquifer, vhfiich corresponds to the interval between 290 fe-et and 615 feet glow the ground surface. Plain casing shall be installed and grouted to pi-eveint production from other Jones. 6} The depth to the top of the Laramie -Fox Hills aquifer is approximate. 1-a ensure the exclusion of poor quality water from zones immediately above the aquifer, plain casing and grain shall extend through the lowermost coal andior carbonaceous shale that overlies the Laramie sand portion of the aquifer, 7) The pumping rate of this well shall not exceed 16 GPM_ � ,I $} The annual amount of ground water tO be withdrawn shall not exceed ��3 acre-feet (108}600 gallons), as applied for. g) Approved as the only well on a tract of land of 80.00 acre(s) described a,s the S 1/2 of the SE 1/4, Sec. 30, Twp_ 3 North, Range 65 West 6th ,i pAl, } Meld County, reference attached exhibit "A". 1D) The return flow from the use of this well must be through art individual aste water disposal system of the type so that not less than 2% of the total amount of water withdrawn is returned to the same stream system; in which the wall is located. 11) A totalizing Stow meter must lie installed are this we anti maintained in good working order. Permanent records of all diverstions must be maintained by the well owner (recorded at feast annually) and submitted, to the Division Engineer upon request. 12) This well shall be constructed not more than 200 feet from the location specified On this permit. NOTE: To ensure a maximum productive life of this well, perforated casing should be set through the entire producierval of the approQed zone or aquifer indicated above. Wed7 N DATE -12-20139 FORM NO_ Gws-31 0412005 i+'IfELL CONSTRUCTION AND TEST REPORT STATE OF COLORADO, OFFICE OF THE STATE ENPINEER 1313 Sherman St., Room 818, Denver, CO 80203 ► Phone - Info (303) 866-3587 Main (303) 866-3581 Fax (303) 888'-3589 intpi/lwwwmitatet.stalie ,oa. us , � riE ar lase Only JUN 12 ?COI 1. WELL PERMIT NUMBER: 272956 _.. 2. WELL OWNER INFORMATION ' NAME OF WELL OWNER: Conquest Disposal Service MAILING ADDRESS: 8203 W 20th Street .� SEES°URGES Vw,tT Sr�TF ENGINEER coLo. CITY. Greeley STATE: C_°_ 1 ZIP CODE: 80634 TELEPHONE NUMBER. e70 366-5560 i . DELL LOCATIOI�I !�� DRff_f�ED: � E 1l�, � .--'1�4, Sec. � � Twp. � ] N Qr ❑ S, R�tr�� - ❑ E �s �] W I�ISTAI�ICES FR�I�1 SEC. LII`�IES: � �-� �-._-- #t. fi-crt� ❑ N er � S se�tian line end � � � f't_ frarrt �] E �r ❑ I�If se�aiQn line. . BLOCK. FI LI NO {I,�IVI`T� F �wr�e�� 1111e11 Des��ne�on.�. - _ ��tI�i721i GPS LO�ti�l■ �l�S Untt rnt��t �� tfte fellev�n�� set�n�s. Format nIL.�St lee UTI�I, tJnit� Eastln�_ must �� r�et��, Datum rr�ust IV�LD��, ltnit rn�st � set fie tree N, � Zone 1 � ar ❑ Ze�re 13 -- ---- - .. - ... . STREET ADDF�ESS ,T VIELL LOCATION= Iortir .: • GROUND SURFACE ELEVATION feet I DRILLING METHOD Mud Rotary. DATE COMPLETED 5-15-07 TOTAL DEPTH 400' feet DEPTH COMPLETED 40 0 feet 5. GEOLOGIC LOO: Depth Tarps Grain) Size ; 6, HOLE DIAM in.1 From ft To ft Color Water Loc. In 6-18 Sand/Cla 'fan , 18-83 Clay G r a f 83-86 Soft Shale Gray OD din} lend W�►II Sipein Frernft Teft 86-100 Coal 1 Flack 1 00-1 07 Soft Shale Gra__ 1 07 -1 09 COA.l Black 109-123 Soft Shale Gra 123-125 Coal Black PERFORATED CAS#N Screen Slot Size (ink: 2 125-137 Soft Shah Gra 137-138 coal Black 13$-141_ Shale Gray141-160 Sand/Shale Gray 160-161 Rcdk 8. FILTER PACK 9; PACKER PLACEMENT: 1 61 -1 $ 2 Soft Shale i Material G r a e Type 182-217 Sandstone .. _ _ _ - White/ ray sin _ 21 7- 21 8 Rack -. I rte rva I Depth 218-233 Shad, e i.San0 - tone Mir _ .. _. ' O. GROUTING RECORD 233-234 Rock Remarks: ` 1 Material Amount Density Interval Placement Cefi" ent 3 0 sks 1.86 0- 190 pumped - - --- --- --- type 1-11 11. DISINFECTION: T •- 7 L�quhlorir�e Arnt. lid 1 pups - _ - � �. WELL TEST. BATA: ■ Gheck box if Test Data is s�.�bmlt#eci cn I+e IVurnber �WS 39 Suppfarnsrrtal Vl�ell Teat. -- Static Level 1 � � it, Da#efTlme r�neasured: � —1 � — � � Pl�ductian Bate 1 � g�rri_ P�rnp'sn� Level � � � f�. Date{Time r�easrJred � -� 1 5 — � 7 � Test Length �F�rs� � - Rerna- 13. I I�a.�re read the sl,�terr�ents made �rei� and Imow the �orttents thereof, ark t�er� are trt� #a rn� knewl�d�e. T#�is c#acx�ment is signed ar�d c�rt��d '+n • �ardan� r�i#h Mule ��_4 �f the Vl�ater If �nstnx�on Rubs, � CCR ��-2_ {"Tt�e h�ir�� of a d�c�€n# the# contains false ststerrer�ts is a �ielatior� of seetior� 37�t-10${�}��, C.R.S., and is �rxnishable b� fines up � ��000 ar�dlor re�+a�atiofi of the corrtraoti • license. l Company IVarne . Phone. License Number: hum• 97 , 531 1 1 397 Mailin • Address: 1 4 5 16th St Gr ee l e Co 8 0.6 31 Signature: Print Name and Tile Robert A !Jackson/ Supervisor Date 6 7-07 Page 1 of 2 FORD NO_ GINS -31 0412005 WELL CONSTRUCTION AND TEST REPORT STATE OF COLORADO, OFFICE OF THE STATE EN9INEER 1313 Sherman St., Room 818, Deriver, CO 80203 f Phone — Info (30a) 866-3587 Main ( 4) x-3581 Fax (303) 0$£x35$9 trttp://wwvv_wateristate.co. ILJ WELL PERMIT NUMBER: 272956 2, WELL OWNER INFORMATION I NAME OF WELL:OWNER: Conquest Disposal Service MAILING ADDRESS: B203 0 3 W 20th Street CaY reele STATE: CO ZIP CODE 80634 TELEPHONE NUMBER: (9 70) 0) 366-5560 For Office Use Onty RECEIVED .liJN 1 G 2007 1�1�AT art ASSOURCES STATE E—HGlisiEER • 3. WELL LOCATION AS DRILLED: SE _ 1 �4, SE1 /4, Sec. 3 0 , : Twp, 3 N or © S, Range 65 ❑ E or 3 VIA DISTANCES FROM SEC. LINES: 1 1 7 4 fit. from N or S section line and 454, _ ft, from 31: E or ■ W section line. SUBDIVISION: ■ Optional GPS Location: ORS Unit must use the following setting: Format must be UTM, Units must be meters, Datum must be NAD83, Unit must be set to true N, ❑ Zone 12 or ❑ Zone 13 STREET ADDRESS AT V11ELL LOCATION: GROUND SURFACE ELEVATION DATE COMPLETED 5-15-07 5. GEOLOGIC LOG: 324-250 250-25`i 251-265 265-291 291-321 321-382 X82-400 Rerna rks: S andstone Rock S hale/San S hale/San Fine Sand Fine Sand S hale_ 11. DISINFECTION: Type _ _ 12. WELL TEST DATA:. Checc box if Test Data is submitted on Foini Number GWS 39 Supplemental Well Test. stone stone t one t ore , LOT , BLOCK �, FILING (UNIT) Owner's Weil Designation: " Eastng: Northin feet TOTAL DEPTH 4 0 0 Color Gray/W Gray/B Gray/W Gray White 1 i DRILLING METHOD Y .' feet DEPTH COMPLETED 4 O 0 feet 6. ROLE DIAM (in_) t From ft To ft Amt. Used 7. PLAIN CASING: OD (in) Kind Wall Size (ire) From (ft) - To (ft) PERFORATED CASING: Screen Slot Size On): B. FILTER PACK: Material Size Interval De th O. GROUTING RECORD 'Material Amount Density I ntenral Placement 9. PACKER PLACEMENT: Type TESTING METHOD Statue Level . ft_ Date/Time measured: , Production Rate gPrn. Pumping Level —_-- ft. Date/Time measured _ .. _ _ f , Test Length (hrs) Rernarks: 13. I have read the statements made herein and know the contents thereof, and they are true to mfr knowledge. This document is signed and certified in accordance vvith Rule 17.4 of the Vomiter Well Construction Rules, 2 CC 402-2. the filing of a document that contains false statements is a violation of action 37-91-108(1)(e), C. R.S :, and is punishable by fires up to $5000 andfor revocation of the contracti • license. Company Name: Rhone: Licen 9Niumber: Quality Weil & Pump r070)353=3118 Mailin Address: 14 5 1 nth St Greeley CO 80631, Signature: i S L Print Name and Tice Robert P;LTacksOn/Suervis0r r M Date 6.-7-07 Pace 2 of 2 I i Denver Basin Team l A March 12, 2007 eotechnical Services Branch Consultation Evaluator: JOLENE MACKAY IAA Y Receipt No: 3612977 Location: SE '. , SEV4, Section 30, Township, 3 NORTH, Range 65 West, 6th F.M. Aquifer(s) Requested: KLF. Consultation Recommendations: , Gict t 'Mt) teat a la istrt444:st Cx. ii‘b ineff YisSo 21C) _ ,dcae• YJ2S ItL' Co.t4 C.4ri S/N.-Cc_sikula 11444-14-44. 0 NIL le te 142, 4tAdif tits � �Gip M . w ��+ �'�i nrw.' /7414 Nook d eaEme�_.( treat r cy Special Ferrnit Conditions: Atiltum4tat° id /O;i 410 wr.4oldQ, zeoktitii, air uu.i% a va.e/ -WA .zz. P/4 K Geologist Signature. _ Date 41/0097- Colorado Division of Water Resources 1313 Sharman St. fpm, 818 Denver, CO 80203 1343} awase i http://water.state.co.usidefauitihtm Application Receipt No, 3 Lep 9 77 Applicant's Name: COMMERCIAL DRINKING AND SANITARY WELL WORKSHEET Name and Type of Business 1, Is this application for a new well? i Yes No If no, is this application for a change of use for an; ex i $ti ng well? Yes Permit Number of well (if applicable) No For wvells used for drinking aid sanitary purposes prior to May 8, 1972, s field inspection of the well to verify historic uses is required. See form Gw -1 Registration of Existing Well for f uirther information. SJ2ract RECEIVED MAR 0 6 2007 2. Is another source of water available to the property? (i.e. water district or another well) Yes If yes, indicate ghat this other `source is r No 3. 1Ype of disposal system; WATER RESOURCES STATE ENGINEER COLD. (name of water district Dr well permit number) Se tic tank/absorption leach field Central Ststem name.) Vault -(district (ration sewa$e hauled to: ) other tench of a 'meting design) - -. 4, water Demand Calculations (for average factors for grater demand see below) .a.I [y vrv+i —;r1.. Number Ern of +lo ees X Number * er Err? R to of Gallons ee er lea 1 Number Em of to' ee Days Works er Year = Gallons per Ye 15 X ! I — be) Customers htiii nfl would be vermitted for these types of wells) Number of Days Business is Open per Year i 3 i3,_ Iv.' !gag v\Ille lr if =ter •...* •n i:n -r----- �- ---: ��-`----- - Type of Use X IDa Gallons per Use per X Days per Year = Gallons per Year ictir lea/IL/IC 6O . Total amount of water required - Gallons per Year (A+B+ ) A For welts used for commercial drinking and unitary purposes on and after May 8, 1972, the total water demand cannot exceed 108,600 gallons (113 of an acre-foot) per year. For wens used for commercial drinking and sanitary purposes prior to May B, 1972, the total water demand cannot exceed 325,900 gallons (1 acre-foot) per year. Day Workers at Offices - 15 gallonsiperson/day Food Service Establishments (with tcifat and kitchen wastes) = 10 gerlonslpatiordday Churches (does not include food service) - 5 gatIonslseaticlay Overnight Lodging -- 80 gallons/customer/day On -Site proprietor of Overnight lodging (i.e. art -site owner of a led & Breakfast) - 80 gallons/personiclay Adtfitienal water demand figures may be obtain from a private water consultant or from a technical reference on this subiect. CWVS-57 11/99 GL Water Solutions DJ, LLC 3773 Cherry Creek North Drive, Suite 1000 Denver, CO 80209 NGL Water Solutions DJ, LLC 3773 Cherry Creek North Drive, Suite 1000 Denver, CO 80209 q� Energy Pars LP NGL Water Solutions DJ, LLC 3773 Cherry Creek North Drive, Suite 1000 Denver, CO 80209 Septic Permit 1500186 The Septic Permit 15O0186 is permitted for the capacity to serve 20 or more persons/day. The septic tank has a capacity of 2,000 gallons with an absorption bed of 816 sq/ft. The location of the permitted septic system and leach field is on the southwest side of the solids processing facility. (see next pages for images, location map, and permit documents) 9 aga f Fr, WELD Ik 0„.t.l,a COUNTY •,I i.PCINki N G L Water r Solutions - C6 Facility ... ace II, 1 III 11 IIIIIIIII it'll III � 6.11' �I Y v..b .1 ' ii .y 1 it ��l � R°: 11 .y - 1_ �' T s' _ w ,: I I 4II li f 111� f 3N �3N it 03N _ A � ' . _ �, 65W a 1.394 GISSalcutated Acres: * I � L II X81.394 ISsCalculaled Acres ,,,... — � Legend 30 6 HIGH SIERRA(, IATERTSERVICES LLC 30 65 HIGH u SIERRA WATER+SERVICES'LLC � Hi c II II I, m I II"I l I II III I IIIIII If,.,({.n,_ cilifiltl Parcels Septic Point ilisi M Illilll Ii I PHIIII, ll r .I I I _P I III III .- II III loll IIIIIIUIIIIIIIIIIIii- fl IIIlllllulllllllllhl I I I IIII II II GI I rite)! II . I� Septic Tank p 0 Septic Olean Out NA SepticDivcrtcr Valve Iq iiiii1, IIIII,,,m' II I I ,IL I I I � 0 Water Well r. Septic Distribution Box Septic Lift Station II I �I I II — • Septic System ?' Othcr,'Unknown Septic Line I I I I � I �I � � h I Septic Polygon I I SepticFicld IIII I I I III �I I III II I I t.,....:1 Septic Percolation Arca h °IIIIIIIIIII �I IIIIIIII III III II I' II II I IIII I Iii ll IIIII'IIryI IIIIIII III IILI In II II h I II II 1 II VIII I HI IIII l III III 'IIIIIII _ I qll "'IIII' II� II II(IIII 03N III I �� I; III II I! II ii IIIIIII II�}I IIII ill d p Iff II I i IIIIII��IIIIIIIIIIIIII �.:V I , L? I 'W "';' �, J W U , n Other:Unknown Water Well Receipt Label Water Wells iti Unknoin 6 Application Denied Application Unacceptable ,P; Application Withdrawn 4,Permit Canceled Permit Expired III ,,I ..leu W 65W 1��yy a]{J ' HIGHrSIERRArWATERTSERVICES a1.39d , GIS'C ` , Calculated Acres LLC IIIIIIIIIII�III ,HI, � ,1 fi;;l I' l; ' �� HIGH'SIE' :�i.3•: �G15� ,T4�f.T 'SSE' �+ i Ores �ICL`S�LL�C (IIIIIIIII • � �' i Permit Extended Pornit Issued; Completion Mils l II :: •IIIIII .. .•' .'1,"a 1.J1:1I)1 .• l'i '. - �I Ili, I I ��.,� Icy. 1.r a, l ' ,•. i_, Well Abandonod i Well Constructed — Highway III0 u� r I - 4 y y I Range Township f a e P' 9 _; 7 Section I I II li IIII OltfiI !I (IIII ID❑ MIVIVII Quarter Section IIIIIII b ohIl III I �' II ! I - _ I County Boundary Creek f Canal - Large Scale Perennial II I III II IIII I' I I I I IIIIIIII I IIIIIII a II II I (IIII ll I IIII I III11IIlly III I IIII I ill 11111((( � I Illlllgplllh Ili h ill I uitti ;, prlllllllllr IIIIIIIIIIIIIMIIIIIIIIIIIIIII III IN" i I"I Intermittent .... Ephemeral _ Artificial Path II q II IIIIIIII III II, ` II�IIIIIIIIIIIIIIIIIIIIIImIl1Il Canal Ditch II II IIII III H,IIIIIII II _ Coastline III I I Oh �I p !III III I Iiiii' III II i 11 I 'ttllllilllllld„„ I I I pII IIIIJPCD II -II 1:215 35.8 a t 17... 35.8 Feet I I f r:- rn�ji? is a uSFr cer•rre.�:c. �:a:iC output from r-rr Interne!r�napplrfc yi:�: and 6 for Notes 1 la),Hs on ills may or may r•a. be accurate., Septic Perrnrt,il each Field: SP' 1500186 ry :.re.rc e. orgy. ..),.-La .1a. appear rrop WGS 1984_Web_Mercator Auxilie ry_Sp here comer+., or o.Fer'.,dserr lial)le. :c Weld County Colorado THIS MAP IS NOT TO BE USED FOR NAVIGATION GL Water Solutions DJ, LLC 3773 Cherry Creek North Drive, Suite 1000 Denver, CO 80209 '+,.w tfS[it L1,af f,+ sh..rc u DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT 1555 N.17th Avenue Greeley, CO 80631 www_weldhealth.org Health Administration Vitat Records Tele 970 304.5410 Fax 970.304.6412 Public Health $ Clinical Senrices Tele, 970 304 6420 Fax 970.304 5416 Environmental Health Services Tele 970.304 6415 Fax 970.304 6411 Communication, Education b Planning Tele 970 504 5470 Fax 970.504 5452 Pa61icHesith Emergency Preparedness & Response Tele 970.304,5420 Fax 970 304 %459 Our vssoon- Together writ the comnundies we serve, wee are working to rrrake Weld County the healthiest place to live. team work and p'ay Septic Permit - Final Application Number:SP-1500186 Owner Name:NGL WATER SOLUTIONS DJ LLC Site Address: 13159 CR 30 PLATTEVILLE, CO 80651 App Type: HealtKommercial\New OINTS\Septic COOPER MURRAY M3 CONSTRUCTION LLC 2861 W 120TH AVE VVESTMINSTER, CO 80234 Parcel #: 121330400017-O0145393 Legal Desct 11486-A LEASEHOLD INT SERE 30 3 65 HSR-MULBERG 16-30/MASCHMEYER 15-30 TANK BATTERY26607 HSR-MULBERG 1f-3026607 Work Description: SOLID PROCESSING FACILITY EIS SEPTIC GENERAL: Associated Disaster Permit Location Description Number of Persons Public Water Supply Waive Fees EHS SEPTIC ACTUAL (FINAL): Septic Tank Size, gallons Absorption Bed, sgft Chamber Model Number of Chambers Installed No 13150 CR 39 PLATTEVILLE CO 9 Parcel Acres 81 Private Water Supply Permit Reference 78801-F No No Design Type NOTICE The issuance of this permit does not imply compliance with other state, county, or lord regulatory or building requirements. nor shall it act to certify thal the subject system will operate in compliance with applicable state, cou'rty and local regulations adopted persuant to Article 10, Title 25, CRS as amended, e cep` for the purpose of establishing final approval of installed system for issuance of a local occupancy permit persuant to 25-10-112(1)(b), C.R.S. This permit is non -transferable and non-refundable. The Weld County Department of Public Health and Environment reserves the right to impose additional terms and conditions required to meet your regulations on a continuing basis. Final permit approval was contingent upon the final inspeoiion of the completed system by the Weld County Department of Public Health and Environment. mr Finated o nia r e - Application Status: Finaled Applied Date: 06/11/2015 Issued Date. 10/06/2015 Finallled Date : 05/19/2016 20[0 816 Quick4 Standard or High Capacity 68 Chambers -Beck Alex Cl+emments May 19, 2016 Environmental Health Specialist Date Print Date Time: 5/19/2016 11:18:05AM Septic Permit - Final EHS033 Page 1 of 1 B ACA l l kt 7 Res G-6 / s q t.ci c. R ea? o2.rsv� 9a fie ��pat—r ,r -rah. b S tt i HTi'l�"+-Ors .ig S hied 4129,e 27 A_ cfr �`� (9 70) 0) 330-2494 �*- _ - `� Cell: (970) 381-8103 r� - UNRUH BACKHOE SERVICES, LLC SEPTIC TANKS • LEACHING FIELDS WATER LINES DUANE UNRUH 4322 W. 14TH ST. LN. Owner GREELEY, CO 80634 a n ksi Jaa Yom;1 roepeal; on, Fe, terinA. .2.4. 0 Y asap -751a. L2 gr 1 r I issatH-71 1 6 dirr Toe s7 i gale c '' IIIUIIwlitlll�l111r1lUYIL�4141414414�Q L�ylYlil4�ll�l� lll1�ll�1��1411444QQllY4Y4Y;uitti is higingilinsoisoirossigissuissisksmissumissimmissim CG May 13 2016 Mr. Alex Clemments Feld County Department of Public Health and Environment 1555 North 17t Avenue Greeley, CO 80631 Subject: Septic System Installation NCI, Water Solutions C -b Facility 13159 WCR 39 Platteville, Colorado 80651 Dear Mr. Clernments: ENVIRONMENTAL SWAM via email: aclemmentsco.weld.co.us This letter is to certify that the onsite water treatment system (OWTS) recently completed at the referenced site and Inspected by Weld County Department of Public Health and Environment officials and CGRS, Inc. on May 6, 2016, was constructed in general conformance with the "Onsite "Water Treatment System Report and Design Document" prepared by CGRS, Inc. and dated August 21, 2015. Please contact me at (970) 493-7780 if you have questions or comments regarding this certification. Sincerely, CGRS, In Roger '= rising, P. E, Project ManageriEngin 1301 Academy Court For, Collins, CO 80524 T 804-286-2657 F 9'70-493-7986 www.cgrs.eom DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT 1 555 N.1 7th Avenue Greeley, CO 80631 www.weldhealth.erg Health Administration Vital Records Teie. 970 304 6410 Fax 970 304 6412 Public Health & Clinical Services Tele 970 304 6420 Fax 970 304 6416 Environmental Health Services Tele 970 304 5415 Fax: 970 304 5411 ommunication, Education & Planning Tele 470 304 6470 =ax 970 304 6452 v PnhhcHealth Pr„teg Poem. PItort, Emergency Preparedness & Response Tele 970 304 6.420 Fax 970 304 6459 Our vlsron Together with .the communthes we serve we are workings to make Weld County the healthiest place to hie learn, work and play Application Number: Owner Name: Site Address: Septic Permit New SP -1500186 NGL WATER SOLUTIONS DJ LLC 13159 CR 39 PLATTEVILLE, CO 80651 App Type: HealthlCommercial\New 0V1lTS\Septic COOPER MURRAY X13 CONSTRUCTION LLC 2861 W 120TH AVE WESTMINSTER, CO 80234 Parcel Number: Legal Oesc: Work Description: ENS SEPTIC GENERAL. 121330400017-O0145383 11486-A LEASEHOLD INT SE/SE 30 3 65 HSR-MULEERG 16-30/MASCHMEYER 15-30 TANK EATTERY26607 HSR-MULSERG 16-3026607 SOLID PROCESSING FACILITY Application Status: Final Pending Applied Date: 06/11/2015 Intake Person: SCERRILLO Permit Expiration Gate: Associated Disaster Permit Location Description Dumber of Persons Parcel Acres Private Water Supply Permit Reference Number Public Water Supply Waive Fees No 13150 C R 39 PLATTEV'ILLE CO 9 81 78801-F No No Septic Permit'Afith Eng Design EH! Print Date - Time: 10/6/2015 9:22:22AM Page 1 of 2 EHS PERC TEST (SITE) : Engineer Design Required Ground Slope In 100 Year Flood Plain Limiting Zone Feet Limiting Zone Qualifier Long Term Acceptance Rate Percolation Rate Qualifier Percolation Pate Value Slope Direction Soil Type Soil Type Suitable Treatment Level Yes 1 No 8 Greater Than 0.8 Equal To 5 Southeast 1 Yes Level 1 SEPTIC SLING INFORMATION: From the application information supplied and the on -site sail percolation data the following minimum installation specifications are required according to the Engineer's evaluation: Engineer's Specified Installation Recommendations: Dosing Specified No Engineer Design Absorption Area Specified 009 Engineer Design Chamber Specified Quick 4 Standared or High Capacity Engineer Design Number of Chambers Specified 60 Engineer Septic System Design Type Specified Chambers -Bed Lift Station Specified No Pump Specified No Septic Tank Size 2000 CONDITIONS: Description: Permit Conditions Comment: Construct according to Engineer design. System must be 10 feet from property line. Install the septic field in the area of the soils perc tests. Recommend sleeving sewer pipe under the driveway or us ng SCH 80 pipe. Septic tank must be at least 50 feet from any well. Septic field must be at least 100 feet from any well. EPA Class V Injection Well approval for commercial OWTS with capacity to serve 20 or more persons/day. All Weld County regulations are applicable. INSPECTION RESULT. Description: Site Comment: NOTICE Status: Approved to Issue This permit is granted temporarily to allow construction to commence. This permit may be revoked or suspended by the Weld County Department of Public Health and Environment for reasons set forth in the Weld County Onsite Wastewater Treatment System Regulations including failure to meet any term or condition imposed thereon during temporary or final approval. The issuance of this permit does not constitute assumption by the department or its employees of liability for the failure or inadequacy of the sewage disposal system. This*emit is non -transferable and nonirefundable. Before issuing final approval of this permit the Weld County Department of Public Health and Environment reserves the right to impose additional terms and conditions required to meet our regulations on a continuing basis. Final permit approval is contingent upon the final inspection of the completed system by the Weld County Department of Public Health and Environment. Jaynes Taloumis October 0+6, 2015 Environmental Health Specialist Date Septic Permit With Eng Design EHti Print Date - Time: 10/6/2015 9:22:22AM Page 2 of 2 r �t.a sik tteliIi1;;trip L s 1 ON., it ,0 my u rift DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT 1555 N. 17th Avenue Greeley. CO 80631 www.weldhealth.org rearm Administration Vital Records Tete 970.304 6410 Fax 970,304 6412 Public Health b Clinical Services Tele. 970.304 6420 Fax970.304.6 416 Environmental Health 5erwices Tele 970.304.6415 Fax 970.304.6411 Communication Education $ Planning Tele 970.304.6470 Fax 970.,304.6462 4 PaWLCgealth Prrrwr PrasUEt etnirrn Emergency Preparedness & Response -ele 974.304.6420 Fax 970 304 6459 Our mien, Togetner with the commurrtres Ne serve we are wonaag to make Weld County the healthiest place to Ewe team. work and play Septic Permit Application Application Number: SP -1500166 App Type: HealthlCommlerciallNew OWTS‘Septic COOPER MURRAY M3 CONSTRUCTION LLC 2861 W 120TH AVE WESTMINSTER, CO 60234 Owner Name: NGL WATER SOLUTIONS DJ LLC Parcel #: 121330400017-O0145393 Legal Dese: 11486-A LEASEHOLD INT SEISE 30 3 65 HSR-MULSERG 16-30/MASCHMEYER 15-30 TANK BATTERY26607 HSR-MULBERG 16-3026607 'fork Description: SOLID PROCESSING FACILITY Site Address: 13159 CR 39 App Specific Info: PL.ATTEVILLE, CO 806,51 Location Description Number of Persons Parcel Acres Public Water Supply 13159 CR 39 PLATTEVILLE CO 9 81 No TERMS AND CONDMONS A permit fee, as set by separate ordinance of the Board of Weld County Commissioners, shall be required of applicants `or onsite wastewater treatment systems, payable at time of application. Permit fees are non-refundable; permit applications are non -transferable. It bath a building permit and an OWTS are issued for tie same property and construction is not commenced prior to the expiration date of the building permit, the Ov'v'TS permit slat, expire at the same time as the building permit. if an OWTS permit is issued for a property that does not require a building permit The OWTS permit shall expire one year after its issuance if construction on the septic system has not commenced. Any change in plats or specifications after the permit has been issued invalidates the permit unless approval is secured from the Health Officer or his/her designated agent. Expired permits can be rerewed by payment of the permit fee only if. A. There has been no change in the plans and specifications of the proposed system as set out in the original application or such change is reviewed and approved by a Division Representative. B. The surrounding land, its use or zoning has not changed so-as-tc cause the original application not to be acceptable under these regulations. NOTICE The completeness of this application as conditional upon further mandator/ and additional tests and reports as may be required by the Weld County Department of Public Health and Environment (WCDPHE). The issuance of the permit is subject to such terms and conditions as deemed necessary to insure compliance with rules and regulations adopted' under article 10 title 25, CAS as amended. The applicant certfies that the proposed system will not be located within 400 feet of a communitl sewage system, The undersigned certifies that all statements made. information and reports submitted herewith are or will be, represented to be true and correct to the best of hisfiner knowledge and are designed to be relied on by the'dVeDPHE for evaluation for purposes of issuing the permit applied for herein. Applicant further understands that falsification or misrepresentation may result in the denial of the application or revocation of any permit granted, and in l'e'gal action or perjury as provided by law. Owner/Applicant /s Ndes A i Date Print Date Time: 6/11/2015 9:37:05AM Septic Permit Application EHS00056 Page 1 of 1 Ise() edi COMMERCIAL OAT -SITE WASTEWATER TREATMENT SYSTEM (OWTS) INSTALLATION FERRET (New or Repair) NEW OR REPAIR COivIMER.CI L OWTS PERMIT FEE: S850.00 All payments are due at the time of application submittal; by cash, check or credit card Incomplete applications will not be accepted (Site and soils evaluation, engineer design document, along with site plan must be included) PARCEL NO.: 1213-30-4-00-017 (12 DIGIT NUMBER) LEG.kL ICES CRIPTION : SECTION 30 TG11\71\131E' 3 RANGE 65 ACRES 81 SUBDIVISION NA LOT NA BLOCK NA FILING NA EN -FORMATION CANS BE OETANED FROM TIC ASSESSOR'S OFFICE AT (970) 353-3845 E T 3650, OR ON THE COUNTY WEESTIE UNDER PROPERTY INFOR virION. Link to property information: tittn:11www.00.1-‘el,d.codiclinap; Dranenvin#'ormation SITE ADDRESS 13159 CR 39 Platteville, CO 80851 DETAILED DIRECTIONS TO SITE (ATTACH ?) Take CR 41 to CR 28 and then turn loft, Take CR 28 to CR 39 and take a n ht, the access to 13159 CR 89 is on he [eft. Or take Hwy 85 to CR 28, PROPERTY OWNER: NGL "Water Solutions Di, LC MAIUCG ADDRESS: 3773 Cherry Creep North Drive CITY Denver ST CO ap 88209! HOME PHONE: ( ) WORK PHONE ( 03) 815-1010 FAQ ( � EMAIL ADDRESS: Doug.White@nglep.com APPLICANT NAME: M3 Construction: LL (1. MAILING AD1 W 120th Ave. -orposir CITY 'des i nster sT CO ZIP &8234 HOME PHONE: ( _ 'CORK PHONE (720j 708-8535 FkX ) .ENTAIL ADDRESS: nvalencia@m3construct.com PROPOSED USE (Refer to Table 30-6-2 of the Weld County OWTS Regulations for Average Wastewater low): O MULTI-FAMILY(BO RDM HOMES/MOBILE HOME PARKS TYPE OF USE (Ex. mobile home parr boarding home, triplex): NUMBER OF PERSONS (i.e. boarding homes): NUMBER OF BEDROOMS or SPACES (i.e. mobile home parks): C M ERC[ALINDUSTRIAL TYPE OF USE (Ex. repair shop, office, dog kennel, restaurant): Solids Process ng Facility NUMBER OF EMPLOYEES: 9 FLOOR DRAINS EXISTING OR PROPOSED, YES NO O RECREATIONAL/INSTITUTIONAL TYPE OF USE (RV Park, day camp, church, school, public pool):: EPA CLASS V INJECTION WELL INVENTORY REQUEST FORNvI CONITLE WATER SOURCE: 0 PuBue WATER SUPPLY (NAME OF SUPPLY) (21 INDIVEDUAL WELL (PERMIT 0) 78801-F O CISTERN (PER'1i1T n) ED: YES NO PLEASE DRAM A DETAILED MAP TO _YOUR PROPERTY with directions from the nearest two county roads.. If the property is in a security or gated area, please indicate the code or other instnictions for envy on the map. c� 3a • Label all roads • Label subject property with address • Indicate nearby landmarks, such as businesses, strictures, natural features Hello