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Home My WebLink About20200110.tiffUSE BY SPECIAL REVIEW (USR) APPLICATION DEPARTMENT PLANNING SERVICES * 1555 N. 17TH AVENUE * GREELEY, CO80631 www.weldgov.eo m * 970-400-6100 * FAX 970-304-6498 FOR PLANNING DEPARTMENT USE: AMOUNT APPLICATION RECEIVED BY DATE RECEIVED: CASE # ASSIGNED: PLANNER ASSIGNED: - 0 Panel Number*: � _; �� s ,O4 Address of site: None (*A 12 digit number on Tax ID. information, obtainable at wwwpweI qov cor ). Legal Description: Lor4, ems. ixteiteiknerfu wig Section: /6, Township: Range:rig W AL Pi Zone District. A6, II Acreage: 7-3 Floodplain: I eolo ical Hazard: YCNI FEE OWNER(S) OF THE PROPERTY: Name: Company: A/st tiVivra 60tevanews4 1, Phone #: 3fl. S/ 6 /0/0 Email: J1efk-La& z$f .O /"'Urn 4t,ecg ' 4 Street Address: 7 " f tsck . b Ste IMO City/State/Zip Code: CO ' Airport Overlay: Yal Name: Company: Phone #: Street Address: _ City/State/Zip Code: Name: Email: Company: Phone #: Street Address: Email: City/State/Zip Code: APPLICANT OR AUTHORIZED AGENT: (See below, Authorization must accompany all applications signed by Authorized Agents) Name: Company: Phone #: Street Address: Email: City/State/Zip Code: PROPOSED USE: 5r206, A pip Li a °NIL y zseiA r a -Pisra45AL FA ern-ITy? / CtuDM A_PiewiPitsoott evieePhivei, nine EA -gm, /44/0 6Leg vL /Kass. I (We) hereby Oppose and state under penalties of perjury that all statements, proposals, and/or plans submitted with or contained w;i t tlie\ application are true and correct to the best of my (our)knowledge. Signatures of all fee owners of property ation. If an Authorized Agent signs, a letter of authorization from all fee owners must be included with the rpor on is the fee owner, notarized evidence must be included indicating that the signatory has to legal orti;cosore re owner or Authorized Agent Date Signature: Owner or Authorized Agent Date Print Name Print Name Rev 4/2016 DEPARTMENT OF PLANNING AND BUILDING DEPARTMENT OF PUBLIC HEALTH AND ENVIRONNMENT 1555 NORTH 17Th AVENUE GREELEY, EELEY, Co 80631 AUTHORIZATION FORM FOR BUILDING, PLANNING AND HEALTH DEPARTMENT PERNUTS AND SERVICES I, (We), r i }� 1 4Fig' tug 5 k, (owner — please print) J, / LC , give permission to 4 it.Ker / (.•-;,fr (Applicant/Agent — please print) to apply I forPlanning, Building or Health Department permits or services on our behalf, for the property any located at „tor /4 ear letzna> cxidet, /Om '� Legal Description:Pr OF r 'A of Section i& Subdivision Name; Township N, Range w Property Owners Information: Phone Applicant/Agent Contact Information: f rr g '71O, 2O1 X7/9 Phone' I 4i- Lot Block s. E-mail: - & Wr/t , a, ` 6.4O4.1 Ala rn o t 2z eleti&LIP eeditei E-mail: s' g, ? 41.7 P - ow 1 Email correspondence to be sent to: Owner Applicant/Agent Both real Postal service correspondence to be sent to: (choose only one) Owner Applicant/Agerit Additional Info;i Owner Signature; Owner Signature: _ Date: Date: 7/29/2019 Central Weld SWD - USR Application Lot A of Recorded Exemption No. 0805-16-4 RE -3634; Part of the SE 14 of Sec. 16, Twp. 6IV, Rye. 66W Planning Questions 1. Explain the proposed use of the property. NGL plans to construct and operate an unmanned, pipeline -only Saltwater Disposal Facility on the property, including pump building, tank containment area, and injection well. There will be no related truck offload pad or equipment. 2. Explain how this proposal is consistent with the intent of the Weld County Code, Chapter 22 of the Comprehensive Plan. Section 22-2-70 of the Weld County Code allows industrial development that is compatible with the surrounding environment. The proposed use does not and will not hinder the agricultural landscape of its surrounding neighbors as a fully contained facility. 3. Explain how this proposal is consistent with the intent of the Weld County Code, Chapter 23 and the zone district in which it is located. Section 23-1-40 provides that the intent of Chapter 23 of the Weld County Code is to promote the health, safety, convenience, morals, order and welfare of the present and future inhabitants of the county. This includes, but is not limited to: (i) lessening congestion in the streets or roads (ii) fostering the county agricultural, business, mining and other economic bases (iii) encouraging the most appropriate use of land. Section 23-3-10 provides that the intent of the A (Agricultural) Zone District is "to maintain, and promote agriculture as an essential feature of the county." The characteristics of the proposed land use are consistent with the intent of the Weld County Code, Chapter 23 and the A (Agriculture) Zone District for the following reasons: (i) wastewater will be delivered to the facility by pipeline only, reducing the number of trucks on Weld County roads, (ii) the proposed structures and uses have very small footprints, will be fully contained, and thus will not hinder the agricultural production or use of surrounding lands, (iii) the 7.3 acre property had no land use prior to being purchased by NFL Water Solutions DJ, (iv) the proposed use foster the economic bases of Weld County. 4. Describe what type of land uses surround the site; explain how the proposed use is consistent and compatible with surrounding land uses. The property surrounding the site is a mix of agriculture and Oil & Gas infrastructure. As described above, this site is fully contained and will not hinder the production or landscape of its neighbors. 5. What are the hours and days of operation? NGL proposes 24/7 operations of the facility. 6. List the number of employees proposed to work at this site. The site will be unmanned, but a "pumper" will do daily site checks 3 times per 24 -hour day. Approximately once a month, an oil transport truck will use the site to load skim oil removed from oilfield wastewater and haul away from the site. 7. if shift work is proposed include the number of employees per shift. N/A 8. List the number of people who will use this site. The only employees that will be on -site at any time are pumpers doing site checks and occasionally an oil transport truck will be onsite to haul away skim oil (approximately once a month). Basic construction crews will be used to set tanks, build the pump house, and drill the permitted well. 9. Dairy/livestock/Kennel? N/A 10. Describe the type of lot surface and the square footage of each type. Native grasses will cover the site apart from the pump building (3,600 sf), tank containment area (8,215 sf), and gravel access. 11. Is this site in a Regional Urbanizing Area? No. 12. Explain the existing and proposed landscaping for the site. The site as it exists now is almost entirely native grass with a small gravel access. Apart from the tank farm, pump building, temporary drill pad and gravel access, the site will remain undisturbed. 13. Describe the type offence proposed for the site. Proposed fencing includes a 6 -foot opaque fence with 18 inches of clearance underneath. 14. Describe the proposed screening for all parking and outdoor storage areas. The fencing proposed above is the only screening planned for parking; there are no planned outdoor storage areas. 15. Explain any proposed reclamation procedures when termination of the USR activity occurs. When termination of USR activity occurs, NGL will sell or transfer onsite equipment, plug and abandon the injection well, and reined iate/restore the land to its original condition before the commencement of the USR activity. 16. Who will provide fire protection to the site? Eaton Fire Protection District will provide fire protection to the site. 17. List all proposed on -site and off -site improvements associated with the use and a time of when the improvements will be completed. There are no current proposed on -site or off -site improvements associated with the use apart from those described herein, Public Works Questions 1. Describe how many roundtrips/day are expected for each vehicle type. NGL expects 3 roundtrips for pickups/passenger vehicles used by pumpers for site checks. Approximately once a month an oil transport truck will haul away skim oil from the site, 2. Describe the expected travel routes for site traffic. The expected routes are from the east or west on 392 turning north on WCR 31 or from the north on WCR 31. 3. Describe the travel distribution along the routes. NGL expects equal distribution of travel along the expected routes. 4. Describe the time of day that you expect the highest traffic volumes from above. Site checks will be spaced evenly throughout a 24 -hour day. S. Describe where the access to the site is planned. Access is planned on WCR 31 about 330 feet north of the intersection with Hwy _3921 The existing gravel access that is about 250 fee north of the intersection will be moved north. 6. Describe the plans or containment for the storm water runoff. NGL will have a drainage plan completed by Wernsman Engineering. Environmental Health Questions 1t What is the drinking water source on the property? There are no plans for drinking water at the unmanned facility. 2. What type of sewage disposal system is on the property? There are no plans for sewage handling at the unmanned facility. 3. If storage or warehousing is proposed, what type of items will be stored? There are no plans for storing excess/spare parts, equipment or chemicals on the property. 4. Describe where and how storage and/or stockpile of wastes, chemicals, and/or petroleum will occur on this site. There are no plans for long-term storage of wastes, chemicals, or petroleum on this site. Oilfield wastewater will be temporarily contained in processing tanks prior to disposal in a permitted injection well. Hydrocarbons skimmed from the wastewater will be temporarily contained in oil tanks before being transported off -site for sale. All tanks will be within a walled concrete secondary containment area. 5. If there will be fuel storage on site indicate the gallons and the secondary containment. There are no plans for fuel storage on site. 6. If there will be washing of vehicle or equipment on site indicate how the wash water will be contained. There will be no washing of vehicles or equipment on site. 7. If there will be floor drains indicate how the fluids will be contained. Fluids captured by floor drains in the pump house building will be recycled into production tanks. 8. Indicate if there will be any air emissions. There will be air emissions — APENs have been submitted. 9. Provide a EDOP if applicable. Not applicable. 10. Provide a nuisance management plan if applicable. Not applicable. Building Questions 1. List the type, size, and number of existing and proposed structures. r NGL proposes constructing one pump building (3x600 sf) to house an injection pump and one tank train, including system tanks, HWSB, oil tanks, and gun barrel tank (8,215 sf tank containment area). 2. Explain how the existing structures will be used for this USR. There are no existing structures. 3. List the proposed use of each structure. Pump building will house injection pump. Tank farm (one train) will be contained in concrete containment area and will be used to treat oilfield wastewater and skim excess hydrocarbons before wastewater is disposed by injection well. From: Tammy Zimbelman czi mbeI want@za pecs.com> Sent: Friday, October 11, 2019 4:26 PM To: Kim Ogle ckogle@weldgov.com> Subject: RE: 0DI - BAYOU USR19-0062 Tower Info Importance: High Caution: This email originated from outside of Weld County Government. Do not click links or open attachments unless you recognize the sender and know the content is safe. Kim, I have searched the FCC site and I can't find a tower in the 10 mile radius of our compressor site. Please see attached. The tower near Grover is over 16 miles away (I think this is the one you were talking to me about). The tower near Carr is over 13 miles away. Since the Bayou compressor station is to be unmanned, Outrigger needs to have the reliability to communicate with its station without adding in a factor of concern if a tower not in there control goes down. Please let me know what additional information you need from me. Thank you, Tammy Tammy Zimbelman, PMP I Project Manager P .J: 303.656.4806 WERNSMAN ENGINEERING AND LAND DE\ELOJMENT iLQ August 1, 2019 Ms. Hayley Balzano Engineer Weld County Public Works 1111 H Street P.O. Box 758 Greeley, CO 80632-0758 Re: Preliminary Drainage Report for NGL — Central Weld Facility Dear Ms. Balzano, Eric Wernsman 16493 Essex Rd Platteville CO30651 Attached is the preliminary drainage report for the NGL — Central Weld Facility for your review. This report serves to document the proposed drainage design for a saltwater disposal facility. If you have any further questions or comments regarding this matter, please contact this office. Sincerely, Eric Wernsman, R.E. FI INTRODUCTION This project will consist of a saltwater disposal facility. The developed site will include a 5,000 sf pumphouse building, a 161000 sf tank containment area, and associated access roads and parking. The access roads and parking areas will consist of Class 6 aggregate road base. The project site is 6.73 acres in size and is located in the southeast quarter of Section 16, Township 6 North, Range 66 West of the 6th R.M., Weld County, Colorado. The site generally drains from west to east, and is located at the northwest corner of Colorado State Highway 392 and Weld County Road 31 in unincorporated Weld County. Irrigated farmland borders the property to the north and west. See Appendix A for a vicinity map for the project site. The Greeley No. 2 Canal lies approximately 500 feet west of the site, and a portion of the property is located within FEMA Flood Zone AE. See FEMA map in Appendix A. Both the pumphouse building and tank containment areas will have finished floor elevations that are a least 1 foot higher than the 100 -year base flood elevation. The existing site is lightly vegetated with native grasses and is primarily comprised of Kim loam (1 to 3 percent slopes), identified through the U.S. Soil Conservation Service publication, "Soil Survey of Weld County Area, Colorado". The soil that primarily comprises the site is in hydrologic soil group A (see Appendix A). The purpose of this design is to construct a detention pond and outlet structure which will provide water quality capture volume and flood control detention for the proposed development. The 100 -year developed storm drainage flows will be detained and released at the 5 -year historic rate. The water quality capture volume will be designed to have a 40 -hr drain time. The attenuated storm drainage flows will be released in the southeast corner of the site, where they will be conveyed under Weld County Road 31 via an existing 18" corrugated metal pipe. II. DRAINAGE BASIN There is no Weld County Master Drainage Plan for this site. The Greeley Canal No. 2 lies northwest of the project site and the Coalbank Creek drainage -way lies to the east of the project site. The site historically slopes from west to east at a #1% slope. The onsite basin has an area of approximately 7,3 acres and is expected to have an imperviousness of approximately 13% (see Appendix A). Offsite flows enter the site from a 97 -acre basin located northwest of the project site and below the Greeley Canal No. 2 (see Vicinity Map in Appendix A). This offsite basin is assumed to have an imperviousness of 5%. The storm drainage flows from the 97 -acre offsite basin will be routed through the site and passed through the emergency spillway of the proposed detention pond. The storm drainage flows from the north half of adjacent Colorado State Highway 392 will continue to be conveyed within the highway right- of-way and passed under Weld County Road 31 via an 18" corrugated metal pipe. The storm drainage flows from the west half of adjacent Weld County Road 31 will enter the site. These flows will be routed to the proposed detention pond, detained, and released with the attenuated flows from the remainder of the project site. III' DRAINAGE CRITERIA The Rational Method will be utilized to determine the required detention pond volume. The Urban Drainage and Flood Control District design criteria will be used to determine runoff coefficients. The rainfall intensity -duration data used in the design will be obtained from the National Oceanic and Atmospheric Administration. APPENDIX A Basin Imperviousness NGL Central Weld Facility - 8/1/2019 Land Use Pervious Area Grass Concrete/shalt Surfaces Driven s r Gravel Wghtd Avg & Total Area 7,30 Area ft2 271764 5000 26224 15000 317986 Acres VICINITY MAP "P",L L J'i ( oil i l N, 11r` Le% I...NUN sArNit t OFFSITE BASIN GREELEY NO. 2 CANAL 3M) iflfl$ ASS?.? NOR WIGS 1MS Web_Met tur_AuKIiarySphere V W$$ County Colorado SITE LOCATION t1w, rut;' A th re grnl;r*;rd iMir D.11pag1 firatF irdnnsl rh:t tni 'area and -ti 'n1 rkiervit on y j'J,st; wept mil array tin rtiri en p nay cc .i`.arahl .'_Uf+titt car r1he'`ttetr ttFhbk: THIS MAP IS NOT TO BE USED FOR NAVIGATION Legend Parcels Highway Road Road t#vgtwrer County Boundary N Notes FEMA FLOOD MAP National Flood Hazard Layer FiRMette Anil ',CM in o'�► FEMA Nik "111, PLF) Nutirn AREA OF MINIMQ FLO S i�W Ci7 '7 I .Mr 17 Legend SEE Ita.ttOa'Ti4*INTOa l tstab b MO eta MAP rat RIItM1t PAWL 'MOW tom' IL. FLOOD Warp .sra CAS Zs A. iC WE.V a a o. s 'Aka HTNER AREAS SW FLOOD HAZARD • to its t OTHER AREAS GENERAL STRUCTURES OTHER MATURES MAP MRS 9 0,,AaireuMcitaaulae Haa! Hand. Areas or 1% annual chance flood "Meth ahrinite depth Ins than ern Net et *OM Satrap seas el gm vow am gquaa* mast IA" —� Remo Comlitiona ii Annual 'It It *mem Flood Mani Irae. Y r Arta with Reduced Hoed Rkk rdae to aria LIe1IM. SOO HONS. bus x irdir Adi Ana gala Mail Risk duets is titile*Itrwe v 7377,12 Atom elf Mlnirrrai Ham zunrx Erfeethe LOMRs Area et (Indehtmil ed Rood Hazard )any D a a n E teriouk, *Marti ear Sewn Swear mini! Lane. OW or Vi ude* CronSoolio.n with 1% Anneal Chance Water Sallow Elands Coastal Vn ed ens flood flenstien Una i Molt ell Study ri dlcitarn Boundary Coastal Transact Rn4Ma Preftlii $nuJne HMydrrahie Feature Digital Onto Areal* Pro Data Available ttrunntead The pin 'displayed ea Ive map la as.ppnrtdntolba paint selected try the use and den net areweire t ar+ autheritatlrre arcoartY Decetleel. Int map tear ills i*b Men standards Mt IRO tin at mgrs Reed maps W it Is net IPA" at alt described Wm. The Samoa shawl caornpiin ern MA's heat accuracy sten rd. 1l1w fixed bawd Mrtonmallon Is drbuad directly foam the dab 1Mid. we s+erikes pre'ttSsil hp MAC Ttib map ws eaporta+d en 7/12/2019 M 1:4643 PM Bond don not rraallatt than.* or amemdra area lebneganS le this date and gnao. lltra NMI and stt#cUws Interrnallan tniuyttiangt Gr became Waperunied by mar data over dune. TMsr•ws* linage Is weld lithe ONO or MOM a !plc Skating map eisrnenb do net ao+ art WS knitter, rtfad lone IOW& t+ap➢ands sok bar. map mate aTifitaa. cwarnn+ulnity Whindoell FIRM panel muter. arai FERN 4taaaarthit date Map in?rrges for aninspood and wrrnodwnt:ed van cannot be teed tirar regulatory putpaaa oaers. i HYDROLOGIC SOIL GROUP a C r4� sq I A Hydrobgic SIGN Group ---Weld runty, Cokw du1 Southern Part rfiNt ran, Dirt) twuivie Mme 0 Ate 0 leo a:0 a ' _ Onswecadrieter S ies= gr4iare131 VICSet Natural Resporeatis Cansavitdom Service 4�e#a Sid Surrey tlaitkinal Cper olive Soil Surrey 71311201 Page 1 of 4 ■ HydrologicGroup—Weld County, Colorado, SuuSram Part MAP LEGEND Ant at anima to Anis of irientid (Pa) Soils $011 Rang Pews A l 1• aD H BO El CO Si O Son Riling LMa. — A Nat ruled Q► net evaS ab( — A o B r BIB Ise c our CO ours a • to Nei ruled tY nee availabtio tE+oR RotImp lab b ■ A ■ !D • ■ SID a ■ ■ C D Notated or root Amiable Water Features Stews one Cams 'h*rimpartu8arr 4+1 Rails onto itarstas Highways gfto US barge -NS Roads sett Lacs Roads liscitgraued Aerial Pfidngraph1 MAP INFORMATION The"A surveys that comprise yaw AOl were mapped et 124,000. VriVsining: Sot Map may not be valid at Ibis sc t Entrapment e1 maps beyond the ale Or thepping,tin cause misunderstanding at the detail of mopping end .ccOmoy of. !pail tine piacarnsst The twee do not show the smell arm of c naramln soils tart coukt have been shown at a more distilled male. Pease nary on iii* bar scats an each map sheet for map measurements. Source of Pik: Natural Resources Conservation Service Web Soil Survey URL; Coord n System- Web Bar er (EPOS:3057j Maps iie,nn the Web Sod Std erne based an the Web Mitrakir projecilon, which prnvves direction and scrape but States and mar A pnaMd4on that preserves arm such as the ors equeJ-anee conic ptulocttt n, should be used if ry are numb °Mutations of cisbnce arena are required This product Is generated from ttwe USDA -fits coaled data as of the vean date(s) Pitied Slew Sal Survey Ant Weirs Om*, Colorado, So ittem Part Survey AM Data: Version 1 ', Sep 1042018 Solt map ~nibs s. ! (as epRce allows) for map sus 1:504000 or larger, DaI*) aerial Images were photographed: Sep 204 2015 —Oct 21_ 2017 The otthochola or filer base sap on Which the eoli lines were crsrlpaetd and diglitind pcociably dams born the background imagery displayed on Mese rrreps, As ra result, some Minor thlfrIng at tn unit boundaries may be evident. altSWUM Thisostrcem CODIMPIVOI0014 Sankt Web Soli Sway National CcQperabva Soli Survey 713/12019 Pegs 2 of 4 Hydrologic Soil Group -Weld County. C lorado, Southern Part Hydrologic Soil Group Msp uit symbol Map unit rya Retina Acne in AM Pe rust 0A M 32 Kim loam, I to 3 percent slopes A 51 78.1% C 1.8 n : i 41 Nunn clay loam! O tO 1 permeni slopes 1 1s for Ara of intersit IA 1004% Description Hydrologic soil groups are based en estimates of runoff potential. Soils are assigned to one of four groups according to the rate of water infiltration when the soils are not protected by vegetation, are thoroughly Wet, end receive precipitation from long -duration storms. The soils In the United States are assigned to four groups (A, B, C, and D) and three dual classes (A/D, B/D, and CID). The groups are defined as follows: Group A Solis having a high infiltration rate (flow runoff potential) when thoroughly wet. These consist mainly of deep. well drained to excessively drained sands or gravelly sands. Those soils have a high rate of water transmission - Group B. Soils having a moderate infiltration rate when thoroughly wet, these consist chiefly of moderately deep or deep, moderately well drained or well drained soils that have moderately fine texture to moderately coarse texture. These soils have a moderate rate of water transmission. Group C, soils having a slow infiltration rate when thoroughly wet.. These consist chiefly of soils having a layer that impedes the downward movement of water or soils of moderately fine texture or fine texture.. These soils have a stow rate Of water transmission. Group O.. Soils having a very slow infiltration rate (high runoff potential) When thoroughly wet These consist chiefly of clays that have a high shrink -swell potential, soils that have a high water table, soils that have a claypan cr clay layer at or near the surface, and soils that are shallow over nearly impervious material.. These soils have a very slow rate of water transmission. fF a soil is assigned to a dual hydrologic group (MD. BID, or C/D), the first letter is for drained areas and the second Is for undralred areas. Only the soils that in their natural oondtlon are in group D are anigned to dual classes. Rating Options Appregatr'on Method, Dominant Condition Mauro! Resources Web Soil Sunny Conservation Unita National Gooperaltve Soli Survey 7131)2019 Page 3 of 4 Hydrologic Soil Group—Wekd County, Colorado Southern Part Component Pint Cutoff: None Specified Tie-breek Rule: Higher tg Survey Natural Regaurcoa Web Soil Conservation ' rice National perelive Soil Survey 713112019 Page 4 of 4 ebIPT New !PT Inc 5/26/2019 Weld County 1150 U St, Greeley, CO 80531-9596 RE: COGCC Rule 325.1. Notification: Dedicated Injection Well RE: Notice of Increase Injection zone from 3/8 mile radius to 34 mile radius. RECEIVED wi 0 1 2019 WELD COUNTY COMMISSIONERS NGL C1B well: API N 05-123-29536, Surface Hole Location at 423' FSL, 414' F E L, SESE Sec, 8-T4N-R64W, Weld County, Colorado Dear Surface / Mineral Owner, a. Colorado Oil and Gas Conservation Commission Rule 325,1, stipulates that Notice of the application for a dedicated injection well shall be given by the applicant by registered or certified moil or by personal delivery, to each surface owner and owner as defined in §34-60-103(7), CRS, within one -quarter (1/4) mile of the proposed well or wells and to owners and operators of oil and gas wells producing from the injection zone within one-half (1/2) mile of the disposal well or to owners of cornering and contiguous units where injection will occur into the producing zones, whichever is the greater distance. With this notice the Surface Owners are being noticed within Va mile radius, and there are no Mineral Owner notifications required as there are no producing wells from the injection formations within 'A mile radius. You are entitled to the following information: Operator name and contact info: NGL Water Solutions, RC 3773 Cherry Creek N Dr. # 1000 Denver, CO 80209 Contact: Joe Vargo at 303-815-1010 b. Rule 325.1- Notice of application requirements: Location legal description is shown above and a general description of the proposed Wells & Facilities, Proposed Injection Zones, Depth of injection follows: This is an Underground Injection Control (UIC) well which is already permitted to accept exempt E&P waste per RCRA Subpart C: to include produced water, drilling fluids, exempt gas plant waste, used workover fluids & flowback fluids from surrounding oil & gas wells and has been in operation since March of 2009. The NGL C1B currently injects into these formations: Amazon, Council Grove & Missouri, from 9,050' to 9,688'. c. Anticipated date operations will commence: The subject well is completed and has been in operation since March of 2009. d. Additional information on the operation of the proposed disposal well may be obtained at the commission office: Colorado Oil & Gas Conservation Commission 1120 Lincoln Street, Suite 801 Denver, CO 80203 Bob Koehler, UIC Lead -- Geology Advisor 303-894-2100 x5147 e. The Local Governmental Designee (LGD) contact information: Jason Maxey —Weld County LGD 970-400-3579; mmaxev we_1dgow.com Mailing address: Weld County Department of Planning Services 1555 North 17th Avenue, Greeley, CO 80631 Corporate Headquarters 1707 Cole Boulevard, Suite 200 I Golden, CO 80401 USA I P: 720.420.5700 I F: 720.420.5800 I www,iptengineers.com Page 1 (iiS T New I P'T Inc. 2 You are also entitled to file a request as follows: Subparagraph i - Any person who would be directly and adversely affected or aggrieved by the authorization of the underground disposal into the propose injection zone may file, within fifteen (I.S') days of notification, a written request for a public hearing before the Commission, provided such request meets the protest requirements specified in subparagraph rn. of this rule. The notice shall also state that additional information on the operation of the proposed disposal well may be obtained at the Commission office. Subparagraph - Evaluation of written requests for public hearing. Written requests for public hearing before the Commission by a person, notified in accordance with subparagraphs i, and). of this rule, who may be directly and adversely affected or aggrieved by the authorization of the underground disposal into the proposed injection zone, shall be reviewed and evaluated by the Director in consultation with the applicant Written protests shall specifically provide information on: Possible conflicts between the injection zone's proposed disposal use and present or future use as a source of drinking water or present or future use as a source of hydrocarbons, or b. Operations at the well site which may affect potential and current sources of drinking water. As a Surface / Mineral Owner you may contact the following individual concerning the proposed operations: NGL Water Solutions, LLC Joe Vargo 3773 Cherry Creek N Dr. # 1000 Denver, CO 80 209 303-815-1010 Thank you for your attention to this matter. Sincerely, Paul Gottlob Regulatory & Engineering Technician NEW IPT, Inc Consultants to N G L Water Solutions DJ, LLC Corporate Headquarters 1707 Cole Boulevard, Suite 200 I Golden, CO 80401 USA I P: 720 420.5700 I F: 720.420.5800 I www.i pteng ineers. oom Page M 2 Weld County Public Works Dept, 1111 H Street P.0, Box 758 Greeley, Co 80632 Phone: (970)304-6496 Fax: (970)304-6497 Property Owner Name NGL Water Solutions DJ, LLC Company ACCESS PERMIT APPLICATION FORM Authorized Agent/Applicant (if different from Owner) Name Company Address 3773 Cherry Creek N Dr, Ste. 1000 Address City State Zip Phone E-mail Information Proposed Access Information The access is on CR31 Culvert size & type (15" CMP/RCP P/RCP min.) 15" GIMP Nearest intersection: CR31 & CR68 Materials used to construct access Gravel City Denver Phone 303.815.1010 State CO zip 80209 E-mai1]acl dopez@nglepicon, matt.kiIker@nglep.com Distance from intersection: 330 Parcel number:0805-16-4 00 060 ft. Access construction schedule 20' Section/Township/Range: 16/6/66w Total number of existing accesses to parcel: 1 Total number of proposed accesses: 1 Latitude 40.482436 Longitude -104.773425 Planning/building case number l E19-0000 Approx. width of access Proposed Access Count Existing Access Count Residential ° Residential 0 Commercial o Commercial 0 Oil and Gas 1 Oil and Gas ° Agricultural 0 Agricultural 1 Description of Work Temporary o Unmanned, pipeline -only SWLJ with tank farm, pump building, wellhead, and gravel access. Required Attached Documents Property map or sketch (template available on pg. 2) indicating all proposed and existing accesses Access Pictures (N, S, E, W at the location where the access meets a county maintained road) Access Authorization Form (Not required if the application is signed by the property owner) Additional application materials may be required by the Public Works Department Fee schedule $75 - Temporary/ Small Commercial & Residential $150 - Industrial & Large Commercial Submit application to accesspermits@weldgov.com By accepting this permit, the und- i;ned roperty Owner/Authorized Agent, under penalty of perjury, verifies they have received all pages of the permit application; they have read and undrrstarts I t permit quirem .ts and provisions set forth on all pages. By virtue of their signature the Property Owner/Authorized Agent is bound by and agrees t• cply witfrllsaid rm t retirements and provisions, all Weld County ordinances, and state laws regarding access construction. Signature,,c" Signature (In case of nni ` perty Owners/Authorized Agents' Printed Name Date Printed Name Date Accesses must be constructed within 1 year of issuance. An extension can be requested from the Weld County Public Works Department. Accesses must be in accordance to Chapter 12, Article V and Appendix 12-A of County Code Page 1 of 2 Parcel Sketch _ Existing Access A= Proposed Access CR N CR Cd ME ce V Page 2 of 2 V _ _i 11-� cr 1 — _ f LL r a• �__ . • •r f t' r r« - _ r ` I_ __ a �. 24-' 1 cl. r e .: • ' #aP ¢ -11 ft.� y _. ' i. Raie''�i .4‘61* +S(: p. /� f1 . s ---r `_3 t'A ,p ' _ y �•�ti L- :us- it Ste+ n_ s i-v;i � _ �.., w> d 4H r... a= rz .�L-^'3�r- a -a_ +�"c .4Y ela e : t ant t ;.�• } g Y r, y4.. i r , It .. A3 ti ter. r i, ti .JIV�.y--t t..- s .0 a _Il'"e _tiT' OFFICE OF THE SECRETARY OF STATE OF THE STATE OF COLORADO CERTIFICATE I, Scott Gessler, as the Secretary of State of the State of Colorado, hereby certify that, according to the records of this office, NGL Water Solutions DJ, LLC is a Limited Liability Company formed or registered on 03/16/2011 under the law of Colorado, has complied with all applicable requirements of this office, and is in good standing with this of€ice. This entity has been assigned entity identification number 20111160724. This certificate reflects facts established or disclosed by documents delivered to this office on paper through 04/04/2014 that have been posted, and by documents delivered to this office electronically through 04/07/2014 @ 11:13:23. I have affixed hereto the Great Seal of the State of Colorado and duly generated, executed, authenticated, issued, delivered and communicated this official certificate at Denver, Colorado on 04/07/2014 11:13:23 pursuant to and in accordance with applicable law. This certificate is assigned Confirmation Number 8814901 I Secretary of State of the State of Colorado *$************** ;II ;II PIE* *************************Efld of Certificate******************************************** Notice: a i tern care issued electronically hr/Ii the Colorado Secrciarr of 'tare's Web site is ullj' and immediate weld anjfl ! x However, as an option, the issuance and validity of a certificate obtained electronically may be established by visiting the Certificate Confirmation Page of the Secretary of State's Web site, inepv/www.ArwsigneNaptythizOrtificareSeart* ; r `wwwr n g.sig aNc r .ythizO.r tiff .•are a r*"rUci•ra. do entering the certificate's confirmation number displayed on the certificate, and following the instructions displayed. Connf r'mrr rite issuaetce c�r as certificate is merely °piton& and is not recess rry re) the valid and effective isarranee of a cert'SarLA.. For more information, visit ow' Web site, http://www.sos.state.co.us/ click Business Center and select "Frequently Asked Questions." CERT GS D Revised 0&'202008 6. (Optional) Delayed effective date: Document must be filed electronically. Paper documents are not accepted. Fees & forms are subject to change. For more information or to print copies of filed documents, visit www.sos.state.co.us. Colorado Secretary of State Date and Time: 03/27/2014 02:52 PM ID Number: 20111160724 Document number: 20141 04160 Amount Paid: $25.00 ABOVE SPACE FOR OFFICE USE ONLY Articles of Amendment filed pursuant to §7-90=301, et seq. and §7-80-209 of the Colorado Revised Statutes ( .R. .) ID number: 1. Entity name: 2. New Entity name: (if applicable) 20111160724 High Sierra Water Services, LLC (If changing the name of the limited liability company, indicate name before the name change) 3. Use of Restricted Words (fany of these terms are contained in an entity name, true name of an entity, trade name or trademark stated in this document, mark the applicable box) : 4. Other amendments, if any, are attached. 5, If the limited liability company's period of duration as amended is less than perpetual, state the date on which the period of duration expires: NGL Water Solutions DJ, LLC "bank" or "trust" or any derivative thereof "credit union" ❑ "savings and loan" "insurance", "casualty", "mutual", or "surety" (m dd ) or If the limited liability company's period of duration as amended is perp 03/31/2014 11:59 PM (m,Wddl. ) al, mark this box: Notice: Causing this document to be delivered to the secretary of state for filing shall constitute the affirmation or acknowledgment of each individual causing such delivery, under penalties of perjury, that the document is the individual's act and deed, or that the individual in good faith believes the document is the act and deed of the person on whose behalf the individual is causing the document to be delivered for filing, taken in conformity with the requirements of part 3 of article 90 of title 7, (,RS., the constituent documents, and the organic statutes, and that the individual in good faith believes the facts stated in the document are true and the document complies with the requirements of that Part, the constituent documents, and the organic statutes. This perjury notice applies to each individual who causes this document to be delivered to the secretary of state,whether or not such individual is named in the document as one who has caused it to be delivered. 7. Name(s) and address(es) of the individual(s) causing the document to be delivered for filing: AMD_LLC Laughlin (Last) William G. (First) (Middle) (Suffix) Page 1 of 2 Rev. 12/01/2012 3773 Cherry Creek North Drive la I ' '� treet name and number or Post Office Box information) s Denver (City) CO 80209 UniftiVStates (PostaItZip Code) (Province -- (applicable) (Country — f not US) (The document need not state the true name and address of more than one individual' However, 'you wish to state the name and address of any additional individuals causing the document to be delivered forf ling, mark this box ❑ and include an attachment stating the name and address of such individuals.) Disclaimer: This form, and any related instructions, are not intended to provide legal, business or tax advice, and are offered as a public service without representation or warranty. While this form is believed to satisfy minimum legal requirements as of its revision date, compliance with applicable law, as the same may be amended from time to time, remains the responsibility of the user of this form. Questions should be addressed to the user's attorney. AMD LLC Page 2 of 2 Rev. 12/01/2012 4388117 04/04/2018 10:53AM ICI Total Pages: 2 Pee Fee: $18.00 Carly Koppes - Clerk and Recorder, Weld County, CO t r STATEMENT OF AUTHORITY ( B -3O-172, C.R.S. J This Statement of Authority relates to en entlty1 named NGL WATER SCLtf'1ONE DJ, LLC, A COLORADO LIMITED LIABILITY COIiPANY 2. The type of entity i9 a, Corporation Nonprofit Corporation Limited tom, b i t it y Co m pa n y General Partnership Limited Partnership ■ ■ LJ Registered Limited Liability Partnership ❑ Registered Li mited Liability Limited Partners* ❑ Limited Partnership Association Government or Governmental Subdivision or Agency Trust 3. The errdtyr Is farmed under the brimsof COLORADO 4. The mailing adds for the entity 43773 CherryOreakistrth diver Sub 10Dalickrtverate 80209 5. The M name © position of each person authorized to execute Instruments conveying, encumbering Or otherwise affecting title is rani properly on behalf of the errlUty is I CL WATER SOLUTIONS LW, A COLORADO LIMITED i + `i y{.�� ■yp M1 UJ r� �1 5 1y, ` ■h C II Lt;iPrl3Ii.IT�' COMPANY, ■� ��,IYL�� by - !� '''7 �Ill�t II tea ievP 6. The authority, of the foregoing person(s) to bind the entity: X ls2 not I rnited ❑ is limited an folk: 7_ Other -matters ioncernina he manner in which the entity deals with interests In real property 8, This Statement of authority is executed on Sheaf af tho ontity pursuant to the provisions of §38-3D-172, C.F .SI3 a This Statement of Authority amends and supersecias in all respects any artd all prim dated Statements of Authority executed on behalf of the entity, (Signature and 'Votary Acknow. edgement on Second Page) Mk form pm be used unrw4 bw rtity le capable al hotting dile V Mel prop1 ny, 2Thr iSin a of any Kii ,bon me be pr1 rrn fad iitwidengsIhui rr i much @Sten, Wit*. 3Thei eleternent c1 a1w t c ry must be recorded lo obi , nha derma or the vtitutv Form 884 olosirigiteoorcilngstsoa,html 25155790 (13224095) •i'C1 nis*,* lU 111111 @iIRIHiflh1IIU NI• .I• M v 4388117 04/04/2018 10.53 AM Page 2 of State of Colorado • Executed this day of Do County of SOLUTIONS DJ, (1A CGLQR0.D0 LfTlf COMPANY hits, EVP TIVA tRIONI Notary Public State of Colorado Notary ID 0 2014400 t 023 My Cornmlesion Expire. -0B-2922 2 TM foregoing Instrument was aclinowledgutd before me on this day of March nth, x'018 by NQL WATER SOLUTIONS ti 1, LLC, A COLORADO L1:TED U NILITV COMPANY by Douglas W, Mel EVP. Witness my hand and official seal My Commission expires: WHEN RECORDED RETURN TO; NFL WATER SO _C, A COLORADO LIMITED LABtire COMPANY Attn: Mr, Jim Winter 3V3 Cherry Creek North Drive, Ste 1000 Denver, CO 80209 Form 884 elceingirecordIngslsoarfla 1. 25188790 (13324095) Notice of Inquiry Development within a Coordinated Planning Agreement or Intergovernmental Agreement (CPA or IGA) Boundary 6/18/2019 Date of Inquiry Municipality with CPA or lEA Severance CPA Name of Person Inquiring Jack Lopez! Matt Kilker NGL Water Solutions alo LLC Property Owner Planner Kim Ogle kogle@weldgov,com Lot At RE -3584 part 5E4 16-6-56 Legal Description 0805-16-4-00-060 Parcel Number Nearest Intersection County Road 31 at State Highway 392 U►SP for a Class Ii 8rinewa er Disposal osal Facility Type of Inquiry The above person inquired about developing a property inside your designated CPA or IGA boundary. This person has been referred to community by Weld County Planning to discuss development options on this site. Visit Cha 3ter 19 of the Weld County Code for specifics on your agreement. Weld County Comments The property is within the Coordinated Planing Agreement area for your Town. Does the town wish to annex, enter into a pre -annexation agreement or release the applicant back to the County for case submittal and application processing Name/Title of Municipality Representative H +''i-g HeLis bpi Municipality Comments tkcs rttcrS-tci- 'FAL-Lea a" I's ow 114 u.s. Stveartte daa AT ---watts -TImre. 70,216.4 Doe% Herr vita l i t 6 Cor4Prn h4irtat It1 Lr- i Fanjet a -t Kim ��. Dlgltell)rsgn�dbarK!moglC)�jle " , Date; 1019,0620 11K42�,21) Signature of Weld County Planner Signature of Municipality Representative Plase return the signed form to: Weld County Planning Department 1555 N 17th Avenue, Greeley, CO 80531 (970) 353-6100 x3540 " (970)304-6498 fax Notice of Inquiry Development within a Coordinated Planning Agreement or Intergovernmental Agreement (CPA or IGA) Boundary Date of Inquiry 6/18/2019 Windsor CPA Municipality with CPA or IGA Name of Person Inquiring Jack Lopez / Matt Killer NGL. Water Solutions DJ, LLC Property Owner Planner Kim Ogle kogle@weldgov.com Legal Description Lot A, RE -3684; part SE4 16-6-66 Parcel Number 0805-16-4-00-060 Nearest Intersection County Road 31 at Statte Highway 392 Type of Inquiry USR for a Class II Brinewater Disposal Facility The above person inquired about developing a property inside your designated CPA or IGA boundary. This person has been referred to community by Weld County Planning to discuss development options on this site. Visit Chapter 19 of the Weld County Code for specifics on your agreement. Weld County Comments The property is within the Coordinated Planing Agreement area for your Town. Does the town wish to annex, enter into a pre -annexation agreement or release the applicant back to the County for case submittal and pplication processing Name/Title of Municipality Representative re.4612litto. ' Municipality Comments Prf rt-M41Jer-- oicr&icE OF f\LAr�-OA's Gfl1M / No (n\JFtAtr. Kim Ogle Digitally signed by Kim Ogle Date: 2019 06.20 11:02:20 -06'00' Signature of Weld County Planner 4(1) rikatt_ts ;trire of Mt nicipality Representative Place return the signed form to: Weld County Planning Department 1555 N 17th Avenue, Greeley, CO 80631 (970) 353-6100 x3540 " (970)304-6498 fax Weld County Treasurer Statement of Taxes due Account Number R2796904 Parcel 08051 00060 Legal Description PT SE4 16-6-66 LOT A REC EXEMPTION RE -3634( 57R1 Account: R2796904 NUL WATER SOLUTIONS DJ LLC 3773 - E CHERRY CREEK NORTH DR STE 1000 DENVER, CO S0209-3820 Year Tax Charge 2018 Total Tax Charge Tax jn terest Fees Situs Address Payments Balance £4,061.26 S0.00 $O. l(1 ($4,06 l .26) $O.00 $0.00 Grand Total Due as of 09;10/2019 Tax ELMS at 2018 Rates For Tax Area 5055 - 5055 Authority WELD COUNTY TY SC13OO1 DIST RE2 NORTJ IWRN COLORADO WATER (NC EATON FIRE AIMS JUNIOR COLLEGE EA t N .REC DISTRICT 111011 PLAINS LIBRARY WEST OR hELEY CONSERVATION Taxes Billed 2018 * Credit Levy Mill Levy 15.0380000* 24 3010000 1.0000000 9 0000000 (6.3050000 8 2200000 3.2520000 0.4140000 Amount $904.39 $1,461,46 £60 14 $541.26 $379,18 $494,35 $ 195 58 £24.90 67,5300000 $4,061.26 Values 5 AC TO 1,/T 10 AC Total Actual $207,382 $207,382 $0.00 Assessed 160{140 $60,140 La WELD COUNTY TREASURER Pursuant to the Weld County Subdivision Ordinance, the attached Statement(s) of Taxes Due, issued by the Weld County Treasurer, are evidence that, as of this date, all property taxes, special assessments and prior tax liens currently due and payable connected with the parcel(s) identified therein have been paid in full. Capes, Date q — it) "ICI Hello