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HomeMy WebLinkAbout20183324.tiffUSE BY SPECIAL REVIEW (R) APPLICATION DEPARTMENT OF PLANNING SERVICES * 1555 N. VT" AVENUE * GREELEY, CO 80631 r ,w&d oy. m * 970-353-6100 EXT 3540 * FAX 970-304 -6498 TERPLANNING DEPARTMENT USE: DATE RECEIVED: AMOUNT CASE # ASSIGNED: PLANNER ASSIGNED: APPLICATION RECEIVED BY Parcel Number*:1 4 7 3_ 2 1 3. 0 0_ 0 4 6 Address of site: See attached t*A 12 digit number on Tax lc. Information, obtainable at www.weidgov, rn). `...� Legal Description: See attached _ Section: 21 Township: 1- N Range: 65 Zone District: Agriculture Acreage: 157 Fl dplain: Q3eologlcai Hazard:I Airport Overlay: YON FEE OWNE&S) S) OF THE Pfd QEEPTY: Name: Matthew T. Berghorn Company: Maw Phone 4: Email: Street Address: City/State/Zip Code: Name: Company: Phone #: Street Address: City/State/Zip Code: Name: Company: _ Phone #: Street Address: City/State/Zip Code: Email: Email: siT APPLI A OR AUTHORIZED AGENT: (See below: Authorization must accompany all applications signed by Authorized Agents) Name: Matthew T. Berghorn Company: Discovery LW Services, LLC Phone #: 303495-4853 Email: mberghorn@discoverymidstream.cem Street Address: 7859 Walnut Hill Lane, Suite 335 City/State/Zip Code: Dallas, TX 75230 PROPOSED USE: Installation of a 20" natural gas pipeline. I (We) hereby depose and state under penalties of perjurer that all statements, proposals, and/or plans submitted with or contained within the application are true and correct to the best of my (arur)knowiodge. Signatures of all fee owners of property must sign this application. If an Authorized Agent signs, a letter of authorization from ail fee owners must be included with the application. If a corporation is the fee owner, notarized evidence must be included indicating that the signatory has to legal authors` y to sign for the c q p ration. Signature: Owner or Auth+oriz d env. Matthew ` T. 8erghorn Print Name Date Signature: Owner or Authorized Agent Date Print Name - Rev 412016 DISC o VERY MIDSTREAM PARTNERS November 15, 2017 Mr. Kim Ogle Weld County Department of Planning 1555 North 17th Avenue Greeley, Colorado 80631 Dear Mr. Ogle, This letter serves as confirmation of Matt Berghorn's authority to sign on the behalf of Discovery DJ Services L LC. Per the Company agreement ` "The Board may assign titles to particular Officers. Unless the Board decides otherwise, if the title of an Officer is one commonly used for officers of a business corporation formed under the Texas Business Organizations Code(or any successor statute), tu. e�, the a,ss�g�.r�nent of such title shall constitute the delegation to such Officer of the authority and duties that are normally associated with that office, subject to specific delegation of authority and duties made to such Officer by the Board." any Matt has been delegated by the Board the title of Vice President, Engineering & Construction. Thanks for your time and consideration. If you have any questions, please feel free to contact me directly at the extension 105 via office number listed below. Regards, Michael B. Davis Chairman Cc: Cory Jordan Discovery Midstream Partners 7859 Walnut Hill Lane, Suite 335 I Dallas Texas 75230 1214,414.1980 J Di scoveryM i€ stre am.cQm DISC o VERY EAST LOCHBUIE PIPELINE PROJECT APPLICATION FOR USE BY SPECIAL REVIEW USR QUESTIONNAIRE Planning Questions: Proposed Pipeline: East Lochbuie — PRE1S-0136 20 -INCH NATURAL GAS PIPELINE DISCOVERY DJ SERVICES, LLC 1. Explain, in detail the proposed use of the property. Response: The East Lochbuie pipeline is a proposed 20 -inch natural gas pipeline that will eventually connect Discovery DJ Services, LL 's Fort Lupton Gas Processing Plant (USR17-0059) with the proposed Kiowa Cryo 400 Gas Plant (PREI B-0014) to increase production efficiency of both gas plants. The selected route is approximately 15 -miles long and is deemed to be the most direct route, which will minimize impact on the community, minimize cost and maximize safety during construction. This pipeline project begins in Arapahoe County (the Houlihan pipeline), traveling North through Adams County (the Watkins pipeline), to the Weld County Line at E168th Ave. and WCR. 63. The East Lochbuie 20" natural gas pipeline follows a north-west route for approximately 15 miles ending at the Lochbuie Compressor Station (USR17-0078). 17-00 7 . This pipeline project then continues as the Hudson Pip eline (USR1 7-00?') and the Milton West Pipeline (UR1 7- 0068) ending at the Ft. Lupton Gas Plant. This Use by Special Review application incorporate the portion of the proposed 20 -inch natural gas pipeline from the Adams County I Weld County line near the intersection of E. 1681h Ave I County Road 2 and Weld County Road 63 and following a north by northwest route approximately 15 miles to the Lochbuie Compressor �}0�'8). p Station ��S�.� �'- The proposed pipeline route crosses unincorporated Weld d o u my and a southern portion of the Town of Keenesburg. The preferred route will enter Weld County approximately 75 ft east of the intersection of E. 16&h Ave. I County Road 2 and Weld County Road 63 where in general it follows parcel boundaries and section lines traveling approximately 0.94 miles in a northerly direction before turning west from a point approximately 290 feet south of the intersection of County Roads 63 and 4, where the alignment crosses WCR 63` . . . The pipeline then continues in a westerly direction following parcel boundaries and section lines through agricultural fields crossing County Roads 4 in a north direction, 61, 59, 6 in a north direction and then crossing 6 again in a i 67, 55, 53, 4, 47, 45 before heading in a northerly direction crossing gsouth direction, ' ossing County Road 6 and terminating at the proposed Discovery Lochbuie Compressor Station (USR17-0078) located in Section 21, Township 1N Range 65W. Discovery fed Services, LLC has acquired a 30 -foot wide (55 +1 acres in linear area) permanent easement along the pipeline route, along with a 50 -foot per side (90 +/- acres in linear area) temporary ra work space. Upon n P �+'' p completion of the proposed natural gas pipeline, all lands disturbed will be reclaimed as near as practical to prior condition. et 1 DISC Q VERY Proposed Pipeline: East Lochbuie — PRE18-0136 The 2osinch natural gas pipeline will be constructed within the following Township, Range and Sections: Township Range Section 1N 63W 32 1N 63W 31 IN 63W - 30 64W 25 1N 64W 26 1N 64W 23 1N 1 64W 27 1N 64W 28 I N 64W 29 1 N 64W 30 1N 65W 25 1N 65W 26 65W 27 1N 65W 28 1N 65W 21 Discovery is in the processes Below is a list of the parcels proposed pipeline route. of obtaining agreements with all of the landowners which the pipeline route traverses. of land which we are entering into agreement to, as well as two maps outlining the Section / Township / Range S32 TIN R63W Parcel! # 14773200000 Owner Information Zoning Ryan E. Pring 1224 Snyder Way Superior, CO 80027-8154 Agricultural S31 T1N R63W 831 TIN R63W S30 T1 N R63W S30 & 525 TIN R64W S25&826 T1 N R64W S23 TIN R64W 14773200017 14773100015 147731200003 147730000002 147625100044 147730200030 147526000028 147525000022 147523400009 Michael Coan 28240 County Road 10 Keenesburg, CO 80643 Mark Madsen P.O. Box 122 Keenesburg, CO 80643-0122 3W Farms LLC 27570 County Rd 10 Keenesburg, CO 80643 Chris Glover 1 113 County Rd 61 Kee ri seb u rg, CO 80643-8400 Agricultural Agricultural Kenneth H Schreibvogel Trust 2408 County Rd 59 l eensehurg, CO 80643-9425 Oralia Duran cio El Senor Sol 15900 W Colfax Ave. Golden, CO 80401-3870 2 Agricultural Agricultural Agricultural Agricultural DISC VERY Proposed Pipeline: East Lochbuie — PRE18-0136 Section / Township I Range Parcel Owner Information Zoning 523 TIN R64W 147523300003 147523400002 147523400001 S23 T1N R64W Arthur B Wagner 1075 County Rd 61 Keenesburg, CO 80643-8400 147523300016 S26 T1 N R64W 147526200030 S27 T1 N R64W 1-3,78 TIN R64W S28 TIN R64W 147527000004 147528000005 Agricultural Luke A Sanders 910 Lancaster Ave Fort Lupton, CO 80621-2504 Terri J Wagner 28376 County Rd 6 Keenseburg, u rg, O 80643-9431 Bosky Farms LLC 1968 Carlson Rd Parker, CO 80138-4440 Agricultural Agricultural Blackburn Hubbs bbs LLC 2515 Creekwood Dr Ft Collins CO 80525-2031 Agricultural Agricultural 29 T1N R64W L.. 529 T1 N R64W S30 T1N R64W 14752 8200030 147529100013 Wild Animal Sanctuary 1946 County Road 53 Keen esb u r� a ) 806434.09 Lance W Carlson 9688 Frankln kl n St Thornton, CO 80229-7805 147529000010 S30 T1 N R64W 830 T1 N R64W B30 T1 N R64W 147530400014 Robert D Fields Trust 9190 County Rd 52 Milliken, CO 80543.9615 147 30400020 147530200044 147530400057 Cecil &Debra Brewer 24781 COUNTY ROAD 4 HUDSON, CO 806428612 Clapsaddle Farms LLC Agricultural Agricultural Agricultural Agricultural 9820 Wolff Ct Westminster, CO 80031-3500 Agricultural DEKO Ranch LLC 24503 County Rd 4 Hudson CO 80642-8612 Agricultural 147530000027 S25 TIN R65W 147325000047 S25 TIN R65W 147325400051 S25 T1 N R65W 147325000036 0 T 1 N R65W 147326400040 Alan & Marcia Davison PO Box 68 Hudson, CO 80642-0068 Keith J Thoene 1601 County Road 49 Hudson, CO 80643-8001 Town of Castle Rock Water Enterprise 100 Wilcox St Castle Rock, CO 80104-1907 Joe E Amen 3991 County Road 47 Hudson, CO 80642-8901 Agricultural Agricultural Agricultural Melecio Chavez 739 County Rd 47 Hudson, CO 80642-8603 Agricultural Agricultural DISC fl VERY Proposed Pipeline: East Lochbuie — PRE18-0136 Section it Parcel it Owner Information zoning Township / Range S26 TIN S27 T1 R65W & N R65W 147327000019 147326000001 1473260€ 0020 James E Rowe, cio John 2550 E Alameda Denver, CO Jr Family Trust C Drake Cir. 80209-3202 Agricultural S28 TIN R65W 147328000053 Michael A Campbell 20962 County Road 6 Hudson, CO 80642-9037 Agricultural 528 T1 N R65W 147328000054 Glen A. Young 1952 County Road 41 Hudson, CO 80642-8719 Agricultural — 147321300046 147321300045 S21 T1 N R65W --, Kenneth 20033 County Hudson, CO D. Lange Road 6 80642-9036 Agricultural Preferred Pipeline Route, Weld County DISC VERY isratirms a Mae" MISS WWII:Zell/Vain Proposed Pipeline: East Lochbuie — PRE1S-0136 Preferred Pipeline Route with Parcel identification, Weld County i9/r`SgrM t. 4 y !aMmEMIMEIMIP Piffle . i w..al "Oaffia Atli Ala +vimI. Pipeline alignment sheets showing, planned location and route of the natural gas, permanent easement, and temporary construction areas and associated above ground facilities and appurtenances (i.e. block valves, temporary staging areas, etc.) are provided with this application. Ail steel pipelines constructed to 49 CPR Part 192/195 DOT standards for gas or crude oil pipelines. The natural gas pipeline will be constructed of API 5L, X-65 pipe, with a 0.375„ wall thickness for the line pipe and a 0.500" wall thickness for all crossing pipes. The pipe will be coated with fusion bond epoxy for external corrosion protection. All city and county road, and other crossings will be crossed p' � by either bore or horizontal drill ("HDD"), thereby avoiding surface impacts in these areas. Discovery will comply with all requirements for construction within unincorporated Weld County, the Town of Keenesburg, the Colorado Department of Transportation, P p on, as well as the Nationwide Plan 12 permit for all waterway crossings, which allow waterways to be open cut or bored depending on the condition of the waterway. The following table summarizes key information for the natural gas pipeline. East Lochbuie Natural Gas Pipeline 20►.0" O.D. Pi eline Diameter Line Pipe Wall Thickness Crossing Pipe Wall Thickness Yield Strength Approximate pipeline length Total Parcel /Tract Count 0,375" W.T. 0.500" W.T. 65,000 psi (X-65 Grade) _ 15 miles 37 DISC Q VERY Proposed Pipeline: East Lochbuie — PRE18-0136 All pipelines will be buried to provide 48 -inch of cover. The pipeline trench will be excavated mechanically; pipe segments will then be strung along the ditch line and then welded together using welders and weld procedures qualified under the requirements of the Code of Federal Regulations; each weld will be examined utilizing industry standard non-destructive examination, or x-ray, procedures by qualified technicians; thecoating on the pipeline will be inspected for damage and repaired as necessary and then the line will be lowered into the trench and backfilled. The pipeline will subsequently be pressure tested using water (hydrostatically tested) to industry regulations. All available topsoil will be conserved through a process known as "double -ditching„, which excavates and removes and conserves topsoil where practical. Conserved topsoil will be windrowed separately form the underlying subsoil and stored along the construction right-of-way until the trench is backfilled. During construction, Discovery will follow BMP's described in the Stormwater Management Plan. Erosion control Bles include silt fencing, straw wattles, hay bales, or combinations of these items, depending on the particular area requiring erosion control during construction. Construction staking will occur to designate the pipeline centerlines and outside construction right-of-way boundaries. The limits of disturbance will be clearly marked/staked prior to construction including the construction right-of-way, temporary use areas / work space, and access roads. Utility lines will be located and marked to prevent accidental damage during pipeline construction. Sensitive areas to be protected from disturbance or that require monitoring will be indicated on engineering documents and location of access road entry points will be properly marked. Flagging, signs, and other markings identifying the limits of disturbance would be maintained through all phase of construction. A survey crew would be available during construction to replace any stakes that have been damaged or inadvertently removed. Clearing and Grading: Vegetation will be cleared, and the construction right-of-way would be graded, to the degree necessary, to provide for safe and efficient operation of construction equipment and vehicles and to provide space for the storage of subsoil and topsoil. Construction activity and ground disturbance will be limited to approved, staked areas. Where required, trees will be cut with a chain saw and/or mechanical shears and brush would generally be cut with a hydro -axe or similar equipment. Trees and brush will be cut as close to the ground as possible. Vegetative material will typically be shredded and scaftered back across the surface to increase roughness, facilities seeding establishment, and protect the construction right-of-way. Stumps that are not shredded or shipped and that are incorporated into the topsoil will be removed a n d disposed of at an approved disposal facility. Vegetation may also be brush -hogged to preserve habitat. Topsoil will be stockpiled separately from subsoil and will not be used to pad the trench or construct trench breakers. In areas where the construction right -of -ray crosses ephemeral drainages, the drainages will not be blocked with topsoil or subsoil piles. Topsoil and subsoil would be placed on the banks of the drainages, Gaps will be left periodically in the topsoil would be placed on the banks of the drainages. Gaps will be left periodically in the topsoil and subsoil piles to avoid ponding and excess diversion of natural runoff during storm events. Trenching: Trenching will be completed using track hoes or a mechanical trenching machine. The pipeline trench will be to one side of the construction right-of-way to allow for spoil to be placed opposite of the wider working side. it is not anticipated that blasting will be required during pipeline construction. Access will provide for landowners and grazing rights holders to move vehicles, equipment, and livestock across the trench where necessary and consistent with prior agreement with landowners. Livestock operators will be contacted, and adequate crossing facilitieswould be provided as needed to ensure livestock are not prevented from reaching water sources because of the open trench. The contractor will keep wildlife and livestock trails open and passable by adding soft plugs (areas where the trench is excavated and replaced with minimal compaction) during construction. Soft plugs with ramps on either side will be left at all well-defined livestock and wildlife trails and at no more than 0.5 -miles intervals DISC o VERY Proposed Pipeline: East Lochbuie — PRE1S-0136 along the open trench to allow passage across the trench and to provide a means of escape for livestock and wildlife that may fall into the trench. Trench breakers constructed of sand bags or polyurethane foam will be installed at specific spacing intervals to impede shallow groundwater from flowing down the trench. Lowering -in and adding: Before the pipe section is lowered into the trench, an inspection will be conducted to verify that the pipe is properly fitted and installed in the trench, minimum cover is provided, and the trench bottom is free of rocks and other debris that could damage the external pipe coating, The pipe sections will be simultaneously lifted in position over the trench and lowered in place. Sifted soils fines from the excavated subsoil will provide rock -free pipeline padding a n d bedding. Sandbags may be used to pad the bottom of the trench instead of, or in combination with, padding with soil fines. In rocky areas, padding material or a rock shield will be used to protect the pipe and coating, Topsoil will not be used to pad the pipe, Backfill n g Pipeline; Shading and backfi I I will begin after a section of pipe has been successfully placed in the trench, inspected, and approved for backlit!. Backfitl will be conducted using a bulldozer or other suitable equipment. Subsoil excavated from the trench will generally be used to backfill the trench, except in rocky areas where imported select fill material may be needed. Backfill l will be graded and compacted, where necessary, for ground stability, by tamping or walking with a wheeled or tracked vehicle. Compaction will be conducted to the extent that there would be no voids in the trench. Any excavated materials or materials unfit for backfill will either be utilized elsewhere or properly disposed of in accordance with applicable laws, regulations and landowners' agreements. 2. Explain how this proposal is consistent with the intent of the Weld County Code, Chapter 22 of the Corn prehe nsi ve Plan. Response: Advances in oil and gas extraction technologies have resulted in a substantial increase in oil and gas activities across Colorado. Crude oil and produced liquids (condensate, produced water) from these wells impede the natural gas production and require transportation to oil and gas facilities for processing, treatment, and either disposal or sale to regional markets. Currently, these liquids are transported by truck from the individual well pads resulting in an increasing number of trucks per day on the local city and county roads and state highways. Similarly, the existing natural gas infrastructure in and around these wells is a capacity or doesn't exist within areas of new drilling, Centralized collection of these liquids and more efficient means of transportation are required to reduce the local truck traffic and facilitate transportation of the natural gas produced liquids to locations where they can be processed and sold to meet market demands. The Project is a necessary component of the overall system to gather, process, transport and market the area's natural resources in the Niobrara and Codell formations. Section 22-2-10(D) of the Weld County Code states that "extraction of natural resources is an important part of the economy of the County," These proposed pipelines will contribute to the expansion of the County's industrial economic base by providing increased capacity for future marketing of natural gas and crude oil production in Weld County. Additionally, Section 22-5-100 (A) states that a County goal is to "promote the reasonable and orderly exploration and development of oil and gas mineral resources," Per Chapter 22 of the Code, oil and gas facilities are allowed as a use by right in the A (Agricultural) zone district, in which the majority of the properties along the proposed pipeline routes are zoned. In addition, Weld County Code Section 23-2-200 et seq. permits construction of oil and gas support and service facilities in agricultural zoned districts. Section 22-5-90 of the Weld County Code Comprehensive Plan states: "The most efficient and environmentally friendly way to transport crude oil is by pipeline, rather than by truck. Transportation of the product by pipeline has less impact on County roads. Less truck traffic also benefits air quality in the area." Weld County Code Section 22-5-100 further states: "Oil and gas activities should be planned to accommodate current and future subdivision activities to the extent such development can reasonably be anticipated." DISC OVERY Proposed Pipeline: East Lochbuie - PRE1.B-0136 The proposed pipeline meets the objectives outlined in the Weld County Code Comprehensive Plan without rezoning or changing the use of the land. The pipeline will be buried beneath the ground's surface and therefore the effect on any active agriculture will be temporary and isolated to the construction phase of the project. Following construction, the surface along the pipeline right-of-way will be restored to its prior condition, and agricultural activities may resume. 3, Explain how this proposal is consistent with the intent of the Weld County Code, Chapter 23 (Zoning) and the zone district in which it is located. Response: Section 23-3-20 identifies that oil and gas production infrastructure is allowed as a use by right in agricultural zone districts. Section 23-3-40 identifies that oil and gas support, service, and pipelines are acceptable as a Use by Special Review in the district. Any impacts to actively cultivated land by the project will be temporary, and agricultural operations can resume once the pipeline is operational. The proposed pipeline meets the objectives outlined in the Weld County Code Comprehensive Plan without rezoning or changing the use of the land. 4. Describe what type of land uses surround the site. Explain how the proposed use is consistent a n d compatible with surrounding land uses. Response: The proposed pipeline route is primarily located in unincorporated Weld County in the agricultural zone district. The surrounding land usage for the proposed route in question primarily consists of plowed fields, pivot irrigation systems, and country homes. The pipeline will be buried beneath the ground's surface and therefore the effect on any active agriculture will be temporary and isolated to the construction phase of the project. The project is consistent and compatible with the surrounding land uses as a use allowed by right under Weld County Code Section 23-3-20. A total of 21 crossings, including county roads, sections and irrigation canals are required within Weld County. The table below summarizes the Weld County road crossings required along the preferred route. A complete list of other feature crossings along the preferred route is outlined in the following table. No. Road Crossed 2 3 WCR 63 Weld County Road Crossings Nearest Intersection WCR 63&WCR 2 WCR 61 4 WCR 59 WCR6 5 WCR6 WCR 57 WCR 55 WCR61 &WCR 6 WCR 59 & WCR 6 WCR 6 & WCR 59 Distance to Intersection (Approximate) _ 5602 ft. North 2533 ft. North 1402 ft. North 827 ft. East WCR 6 & WCR 59 WCR 57&.WCR WCR 55 & SR6 WCR 53 WCR S3&WCR 6 3994 ft. East 1411 ft. North 1411 ft. North _ 1990 ft. North 9 10 WCR 49 WCR 47 11 12 WCR 45 WCR 8 WCR 49 & WCR 6 WCR 47 & %NR4 WCR 45&WCR 4 WCR 3&WCR 41 1511 ft. North 1794 ft. South 2687 f#. South 2595 ft. West DISC Q VARY Proposed Pipeline: East Lochbuie — PRE18-0136 Weld County Non -County Road Crossings No. Type of Feature Name Description Approximate Crossing Location 3 Prospect Lateral Canal crossing 404'00' 39.02" N, 104' 28' 15.66" W Section Line 4 Section Line crossing 40° 00' 54.36" N, 104° 28' 49.74" W Denver Hudson Canal Canal crossing 40° 01' 26.60" N, 104° 35' 36.89" W 4 Section Line 51 Section Line crossing 40° 01' 19,54" N3104Q o4Q 351 02.62" W 5 Horse Creek Flnodplain crossing 40° g1 19,54" N, 104° 35' 02.62"' Boxelder Creek Creek crossing _ 7 Denver Hudson Canal crossing 40° 01' 19,40" N, 104° 35 27,82" W 40° 01' 21.09" N, 104° 37' 55.59" W Section Line 43 East Neres Canal Section Line 40° 01 21.09" N, 104° 37' 55.59" W Canal crossing 40° 01' 35.52" N, 104' 40' 01.16" W 411111. _ Road Crossings: AD county road crossings will be completed by conventional bore or directional drill methodology with sufficient depth to maintain a minimum of 60 -inches of cover at the lowest bar ditch. Waterbody Crossin s : All streams and named ditch I canal crossings will be completed H D D to avoid disturbance of the stream and ditch bed and banks. Each HOLD will begin, end and be of sufficient depth to ensure the pipeline is not subject t the hazard of stream scour during anticipated flood events. If the HDD crossing avoids impact to all associated wetlands, A U.S. Army Corps of Engineers (USAGE) 404 permit will not be necessary for this project. In areas with trenched wetland crossings, the construction right-of-way will be reduced from 80 -feet in width to 50 -feet in width, where only the ditch line will be top -spoiled, and the drive space will be matted with pipeline mats to mitigate disturbance. Blading would occur only over the trench line and the construction traffic / access area would be matted to avoid vegetation disturbance. If standard open cut construction methods are used in wetland areas, Discovery will obtain necessary ACOE 404 permits. 5. What are the hours and days of operation? (e.g. Monday thru Friday 8:00 a.m. to 5:00 p.m.). Response: During Construction 7 days a week, 6:00 a.m. to 6:00 p.m., after construction, this is an unmanned project. The hours of operation for the pipeline will be 24 hours per day, 7 days per week, 365 days per year, 6. List the number of full time and/or part time employees proposed to work at this site, Response; During construction, approximately 35-50 construction personnel, including the construction contractor and Discovery's construction management team, will be required to construct the pipeline along the right-of-way, The operation and maintenance of the pipeline will be performed by trained and qualified operators and pipeline technicians stated at Discovers Ft. Lupton Gas Plant (U R.I -0031). There will be approximately 7-10 full-time employees working out of the gas plant, with two shifts per day anticipated. The day shift will have approximately 6-8 full-time employees, followed by a night shift with a single operator on duty. If shift work is proposed include the number of employees per shift. Response: See response to Planning Question number 6 above. DISCOVERY Proposed Pipeline: East Lochbuie — PRE18-0136 8. List the number of people who will use this site. Include contractors, truck drivers, customers, volunteers, etc. Response: see response to Planning Question number 6 above. 9. If this is a dairy, livestock confinement operation, kennel, etc., list the number and type of animals. Response: No animals will be on site. 10. Describe the type of lot surface and the square footage of each type. (e.g. asphalt, gravel, landscaping, dirt, grass, buildings). Response: The pipeline will be cut and filled with the original grading surface. The right-of-way will be re- seeded after completion of the pipeline to return the area to original condition. 11. How many parking spaces are proposed? How many handicapped (ADA) parking spaces are proposed? Response: The pipeline will run within the right-of-way and will not require parking. 12. Explain the existing and proposed landscaping for the site. Response: Following construction, the right-of-way and all disturbed areas will be restored to their pre - construction conditions and contours. Agricultural land will return to agricultural uses, native grassland habitats will be reseeded. Similarly, a l l wetland areas will be restored to pre -construction conditions a n d contours, topsoil will be replaced and the wetland will be reseeded. Wetlands should return to pre - construction conditions within 1-2 growing seasons. Permanent erosion control measures will be installed as required and seeding will occur in accordance with landowner requirements. Invasive and noxious weeks will be controlled after construction to minimize further propagation pursuant to Chapter 15, Articles I and II of the Weld County Code, until the right-of-way is restored. No additional landscaping is proposed. 13 Describe the type of fence proposed for the site (e.g. 6 -foot chain link with earth tone slats). Response: The pipeline will be below grade and therefore not require a fence. 14. Describe the proposed screening for all parking and outdoor storage areas, If the site is located in a floodplain outdoor storage is restricted. Response: Because no parking or storage areas are associated with this project, no screening will be necessary, 15. Explain any proposed reclamation procedures when termination of the Use by Special Review activity occurs. Response: During operations of the pipeline, should it become necessary to decommission a portion of the line for maintenance or repair activities, pressure on the pipeline would be reduced to a safe operating pressure, or completely blowndown utilizing blowdown valve(s). All decommissioning activities would be performed using written procedures designed for the specific requirements and situation, As part of the decommissioning plan, all local emergency responders would be notified in advance and affected landowners notified, as necessary, There is no intention of ceasing operations of the pipeline once it is operational. However, in the event that any portion of the pipeline system is permanently decommissioned, -10- DISC o VERY Proposed Pipeline: East Lochbuie '- P'RE1$-013& that portion will be evacuated, cleaned, isolated, and abandoned in place or removed per all State and local regulations and per the respective landowner agreements. 16. Who will provide fire protection to the site? Response: The Hudson Fire Protection District and the SE Weld Fire Protection District provides fire protections to this area. Discovery maintains an ongoing working relationship with these fire districts and will reach out to them to review the upcoming project to review Discovery's emergency response plan. The pipeline will be covered under an Emergency Response Plan. The pipeline will be designed and constructed per code. Control and shut off valves will be strategically placed along the pipeline route and are required to be inspected twice a year on our mainline system. Overpressure protection devices will be installed and inspected annually or as required by code, Additionally, a hydrostatic test will be performed prior to start up. The pipeline will be protected with a leak detection system and monitored by a 24 -hour control room through a SCADA system. The pipeline will be identified through pipeline markers. The pipeline will be cathodically protected to mitigate corrosion as well as above ground portions will be inspected through an atmospheric inspection program. Company employees are covered under training programs, including our Operator Qualification Program. Moreover, the company follows a detailed Public Awareness program. Discovery maintains an emergency response plan (copy included) which addresses responses to leaks or spills. This response plan contains detailed information on the steps needed to address any emergency event reasonably anticipated to be encountered during pipeline operations. The response plan contains contact information, detailed step by step spillfleak response information, emergency phone numbers for local responders and spill/leak contractors. The response plan is reviewed on a regular basis. 17. List all proposed on -site and off -site improvements associated with the use (erg. landscaping, fencing, buildings, drainage, turn lanes, etc.) and a timeline of when you will have each one of the improvements completed , Response: Cleanup and restoration will occur after the pipeline is installed and backfill is completed. Cleanup of the surface along the construction right-of-way will include removal of the construction debris and final grading to the finished contours. Permanent erosion control measures will be installed as required and seeding will occur in accordance with landowner requirements. Invasive and noxious weeds will be controlled after construction until the right-of-way is restored. Engineering Questions: 1. Describe how many rQundtrips/day are expected for each vehicle type: Passenger Cars/Pickups, Tandem Trucks, Semi-Truck/Trailer/RV (Roundtrip = I trip in and 1 trip out of site). Response: During construction, stringing trucks will be used to haul and string pipe along the length of the right-of-way. Stringing activities are anticipated to take approximately 3-4 weeks and would start following clearing and grading of the right-of-way and once ditching activities have progressed far enough along the length of the right-of-way to avoid conflicts, In addition, welding trucks and 1 -ton pick-up trucks will be required along the right-of-way for welding activities and construction management personnel. Following construction, during normal operations, vehicles will not be required along the right-of-way. Operations personnel will periodically drive the adjacent county roads along the right-of-way for visual inspection of the easement and to perform routine maintenance activities (approximately 2-3 round trips per month). DISC 4 VERY Proposed Pipeline: East Lochbuie PRE1S-013& The project will not impact the existing transportation network. The temporary increase in traffic during construction will be more than offset by the decrease in truck transport traffic associated with the crude oil and liquids production compared to the respective pipeline capacities over the life of the Project. 2. Describe the expected travel routes for site traffic. Response: During construction, the primary travel route to access the pipeline during construction will be from Discovery DJ Services LL }s Keenseburg Laydown Yard located at 8490 CR 57 in Keenseburg. Construction equipment will be transported to the construction right-of-way via tractor trailer and unloaded within designated staging area(s). Transportation equipment will be removed from the site or parked within a staging area once off-loading is completed. Expected Travel Routes Option 1: From the Laydown Yard on CR 57, vehicles will travel south to CR18, then head East to Market Street and to the o n rarn p to 176 Westbound, proceeding to the exit at the Town of Hudson onto Eastbound Hwy 52. Qption 2: From the Laydown Yard on CR 67, vehicles will travel south to CR 18, then head West on WCR 49 to Eastbound 176 Frontage Road, to CR 51 where they will travel South to Hwy 52. Potion 3: In addition to vehicles originating at the Laydown Yard in Keenseburg, various vehicles will travel from points East and West on 1-76, proceeding to the exit at the Town of Hudson onto Eastbound Hwy 52. For options 1-3 listed above, from Hwy 52, vehicles will then proceed South using various county roads to reach WCR 6, WCR 4 and WCR 2 to access the pipeline access points to the West and to the East, as follows: Option A: From Hwy 52, proceed South on WCR 47 to WCR 4, then proceed West on WCR 4 as far West as WCR. 41, and then North to WCR 6, proceeding East using these County roads to access the pipeline via permitted access points, option 8: From Hwy 52, proceed South on WCR 47 to WCR 6 or WCR 4 and proceed East using these county roads to access the pipeline via permitted access points. 2 Lion : From Hwy 52, proceed South on WCR 49 to WCR 6 or WCR 4 and proceed East usingCounty these roads to access the pipeline via permitted access points. Option D: From Hwy 52, proceed South on WCR 53 to WCR 6 and proceed West or East usingCounty these roads to access the pipeline via permitted access points, Option E: From Hwy 52, proceed South on WCR 53 to WCR 4 and proceed East using these County roads to access the pipeline via permitted access points. _12_ DISC VERY Proposed Pipeline: East Lochbuie - PRE18-0136 Option F: From Hwy 52, proceed South on WCR 55 to WCR 6 and proceed East using these County roads to access the pipeline via permitted access points. option G: From Hwy 52, proceed South on WCR 57 to WCR 6 and proceed East using these County roads to access the pipeline via permitted access points. Option H: - Previously listed as an Option per PREI8-0136. Removed per the request of the Town of Keenseburg. From Hwy 52, proceed South on WCR 59 to WCR 6 and proceed East using these County roads to access the pipeline via permitted access points. Per the request of the Town of Keenseburg, Discovery will not use this route due to the presence of a high school and a middle school. Oo tion I: From Hwy 52, proceed South on WCR 61 to WCR 6 and proceed East using these County roads to access the pipeline via permitted access points. Cation J: From Hwy 52, proceed South on WCR 63 as far as WCR 2 using these County roads to access the pipeline via permitted access points. DISC VERY Proposed Pipeline; East Lochbuie PREP.$ -0136 East Lochbute aline asfreappikaition Re Expected Travel Route, far Pt* Traffic 3. Describe the travel distribution along the routes (e.g. 50% of traffic will come form the north, 20% form the south, 30% from the east, etc) Response: 100% of all traffic will come from the North using these various County roads to access the pipeline via permitted access points. 4. Describe the time of day that you expect the highest traffic volumes from above. Respond The greatest volume of traffic will occur between 7 am — 5 pm, Monday through Saturday. 5. Describe where the access to the site is planned. Response: Temporary access to the pipeline right, -of -way will occur at the various County Road crossings. The access will depend on the section of pipe, but in every case, the nearest county road will be taken. Following construction, required access to the right-of-way will be limited to foot traffic for periodic maintenance and inspection activities and via existing access drives along the alignment. Appropriate Access and Right -of -Way permits will be obtained once final access points and road crossings along the pipeline have been identified. 14- DISC GVERY Proposed Pipeline: East Lochbuie — PREI8-0136 6. Drainage Design: Detention pond summarized in a drainage report is required unless the project falls under an exception to Stormwater detention requirements per code section 23-12-30 F.1. a. Does your site qualify for an exception to Stormwater detention? If so, describe in a drainage narrative the following: i. Which exception is being applied for and include supporting documentation. ii. Where the water originates if it flows onto the property from an offsite source. iii. Where it flows to as it leaves the property. iv. The direction of flow across the property. v. If there have been previous drainage problems with the property. b. Does your site require a Stormwater detention pond? If so, the following applies: I. A drainage report summarizing the detention pond design with construction drawings and maintenance plan shall be completed by a Colorado Licensed Professional Engineer and adhere to the drainage relate sections of the Weld County Code. ii. The drainage report must include a certification of compliance stamped and signed by the PE which can be found on the engineering website. iii. A general drainage report guidance checklist is available on the engineering website. More complete checklists are available upon request. Response: Per Weld County's Pre -application Meeting Minutes, dated May 10, 2018, no stormwater detention is required for pipelines and, therefore, an exception is requested. Environmental Health Questions 1. What is the drinking water source on the property? If utilizing a drinking water well include either the well permit or well permit application that was submitted to the State -Division of Water Resources. If utilizing a public water tap include a letter from the Water District, a tap or m ete r number, or a copy of the water bill. Response: During construction, bottled water will be made available to construction personnel. Due to the intermittency of personnel on site after construction, a permanent source of drinking water will not be necessary. Personnel and contractors will be responsible for bringing their own drinking water after construction. 2. What type of sewage disposal system is on the property? If utilizing an existing septic system provide the septic permit number. If there is no septic permit due to age of the existing septic system, apply for a septic permit through the Department of Public Health and Environment prior to submitting this application. If a new septic system will be installed, please state "a new septic system is proposed", Only propose portable toilets if the use is consistent with the Department of Public Health and Environment's portable toilet policy, Response: Due to the interrnittency of personnel on site, a sewage disposal system will not be installed. Portable toilets will be used during construction. 3. If storage or warehousing is proposed, what type of items will be stored? Reese: There will be no storage or warehousing for this project. DISC 0 VERY Proposed Pipeline: East Lochbuie — PRE18-0136 4. Describe where and how storage and/or stockpile of wastes, chemicals, and/or petroleum will occur on this site. Response: No waste is anticipated to exist post -construction. General trash will be gathered and disposed of in dumpsters psters during the construction phase. 5. If there will be fuel storage on site indicate the gallons and the secondary containment. State the number of tanks and gallons per tank. Response: No vehicle or equipment fuel will be stored on site. 6. If there will be washing of vehicles or equipment on site indicate how the wash water will be contained. Response: There will be no vehicle washing facility for this project. 7. If there will be floor drains indicate how the fluids will be contained. Response: There will be no floor drains for this pipeline project. 8. Indicate if there will be any air emissions. (e.g. painting, oil storage, etc.) Response: During construction, the short-term emission sources impacting air quality will include construction equipment, typically diesel driven, and traffic on the roadways and rights -of -way. Discovery plans to utilize water suppression to reduce the amount of fugitive dust generated during construction, as necessary. A Stormwater Management Plan (WIMP) will be prepared as required by the Colorado Department of Public Health and Environment and Stormwater r Best Management Practices will be installed for the construction phase in accordance with the SWMP for sediment and erosion control along the right- of-way, Water for dust mitigation and hydrostatic testing will be obtained from permitted sources in accordance with the applicable state and local requirements and will be supplied using water trucks. After construction, the pipeline will be below grade. The only air emissions will be from occasional pipeline depressurization during maintenance operations. All required air permits will be obtained from the Colorado Department of Public Health & Environment. 9. Provide a design and operations plan if applicable. (e.g. composting, landfills, etc,) Response: All of Discovery DJ Services assets in Colorado fall under various Operations and Maintenance Plans as well as Safety Plans. Discovery's Operations team maintains an Emergency Response Plan for all operating assets. The Operations team also maintains a Damage Prevention and Public Awareness Plan. This includes submitting any new pipeline additions to the Colorado One Call system. Discovery DJ Services also maintains an Integrity Management Plan for all of its pipeline systems. The Operations group has a comprehensive Operations and Maintenance Manual for all gas line operations. This plan is subject to an annual review for effectiveness for o u r operators. • The Operations team will patrol the right-of-way every 7 1/2 months, but at least twice each calendar year. On this patrol, Operations will verify pipeline markers are installed at public road and rail crossings, as well as at all necessary locations to identify the location of the pipeline. • An overpressure protection survey will be completed once every 3 calendar years, not to exceed 39 months. • A valve inspection will be completed at least once per calendar year not to exceed 15 months. _16_ DISC Q VERY Proposed Pipeline: East Lochbuie -- PRE18-0136 • A corrosion control program will be put into place for all of Discovery pipelines. This will include a cathodic protection system for all buried pipe. • The cathodic protection system will be checked at least once each calendar year, not to exceed 15 months. • The cathodic protection rectifier(s) will be inspected six times each calendar year, not exceed 2 months. • The pipeline system will also have test stations installed with the test leads connected to the pipeline to allow verification readings of the cathodic protection syste m . • Internal Corrosion control will be mitigated by utilizing pig runs. Samples will be taken and tested to determine frequency and the need for corrosion inhibitor. Corrosion coupons wild be utilized and checked at least two times each calendar year not to exceed 7 1/2 months. 10. Provide a nuisance management plan if applicable (e.g. dairies, feedlots, etc.) Response: Not Applicable 11. Additional information may be requested depending on type of land use requested. Response: Discovery DJ Services, LLC will respond with any additional information required by Weld County. Building Questions: 1. List the type, size (square footage), and number of existing and proposed structures. Show and label all existing and proposed structures on the USR drawing, Label the use of the building and the square footage. Response: No building is proposed. The pipeline will exist below grade. The pipeline will have one valve set, above grade, to ensure the safety of the public and environment, and maintainability of the pipeline. 2. Explain how the existing structures will be used for this USR? Response_ Not applicable. 3. List the proposed use (s) of each structure. Response: Not applicable. Additional Items: PREI8-0050 - Applicant wishes to combine Pre18-0050 (approximately one mile of the proposed Watkins pipeline portion located in Weld County) with this USR application, as this project has now been combined into one project within Weld County. Pre -Application Meeting Minutes Town of Keenesburg Response Planning Department Comment — "A portion of the proposed pipeline will be located within the Coordinated Planning Agreement area with the Town of Keenesburg. The Planning Director will contact the Town Manager to give notice of this pre -application meeting. Staff advised the applicants to contact Keenesburg regarding possible land use permitting including possible annexation per the Coordinated Planning Agreement with the Town of Keenesburg. _17_ DISC VERY Proposed Pipeline: East Lochbuie — PRE18-0136 Response; Applicant reached out to the Town of Keenesburg regarding the above and their email reply is included below. From: Debra Chumley [mailto: tckmanager@rtebb.net] Sent: Wednesday, June 13, 2018 11:36 AM To: tom. arko @ we l cd gov t c om Cc: Todd Hodges acteddh.cdge s de s i+gn gcie s Laf f i ce . net > { <se1ery67 @gmail . ccm> Subject: PRE1a-013 6 20" East Lochbuie Pipeline Hi Tom, Scott Elery The Town of Keenesburg has had discussions with Discovery DJ Services in regard to pre -application 18-0136s We note one area of concern, specifically the proposed truck route from Hwy 52 south on CR 59 (Option H) we request that this route not be used as this is the intersection where Weld Central High School and Middle School is located, additional truck traffic creates a safety concern for the students and facultya Please let me know if you have any questions. Thank you a SS Kind Regards, Debra Chumley, Town Manager Town of Keenesburg Per the Town of Keenesburg's request above, we have removed CR 59 (Option H) from Discovery's Expected Travel Routes plan, as listed above. Community Meeting Discovery conducted a community meeting to inform owners of properties located within 250 feet of the proposed pipeline right-of-way about the upcoming project. The community meeting was held on Monday, June 41h at the Best Western Hotel located in Hudson, CO. Notification n of the com munity meeting was mailed to all identified owners within 250 feet of the project by certified mail on May 24, 2016. A copy of the notification, proof of certified mailing, sign -if sheet, and CAA notes are inc luded below, Document #: 2.2 Revision It: I I J Revision Date: I 7/21/2017 vL }' Aily mot y Document Name: Discovery Emergency Response Plan (DERP) , Location: Section 2 — Incident Reporting and Management as4k~. ifr**.14 Itaigt.frqktitti 1 • Eilietiellcy e I e VI a su °very Page 1 of 43 4 1 e' :. - Document #: 2.2 Revision #: 1 Recision Date: 7/21/2017 - r j , ,t Document Name: Discovery Emergency Response Plan (DERP) Location; Section 2 -- Incident Reporting and Management , TABLE OF CONTENTS Purpose of Plan DJ Asset Information... Incident Response Incident Command System Responsibilities ,.,.. 3 5 6 8 10 Training Requirements of Emergency Responders,,.«11,11..,12 Drills and Exercises for Emergencies 13 . 1111.......... Drill/Exercise After Action Report 14 Media Relations Support Plan. « 1111«, 11111,111 15 Incident Reporting. ng, • « • • t • ■ • • ■ . • • . . • . . 4 1 i 4 . , • . • r . • ■ i i i r t , « 44141 17 Incident Response 41444,.,..,■..t.•..•. •. ■......t. 1..4111.«, «. r.0 ................ 4 M $ .. 4414 19 Specific Scenario Response s�t� 1\a.L'17p���Vl7y'. «• 4i4i♦i4 WO .. 20 Appendix A — Emergency Contact List4 ......14 1....,., 36 Appendix B - Discovery Gas Plant Muster Area Map,.,.,., 1...41444 14 37 Appendix C- Discovery CDP Muster Area Map 1. / i ... , 1 4 4 / 4 3 8 Appendix D - Accident Analysisi-Report Example14411 .. . « It 4 i i 39 Appendix E - Post Injury Treatment Authorization for Preferred Provider Form Example. 1 4! 4 4 41 4 4 gi 1 111 42' Appendix F - Employees Notice of Injury Form Example.4. 1 4 . , ... , • . 4 1 i 4 43 Page 2 of 43 Document #: 2,2 Revision #: 1 Revision Date: 7/21/2017 Document Name: Discovery Emergency Response Plan (DERP) Location: Section 2 — Incident Reporting and Management Purpose of Plan The purpose of this Discovery emergency response plan is to establish procedures and responsibilities to all foreseeable emergencies that may occur at Discovery Midstream DJ assets. An emergency is defined as any situation presenting a threat to human life, physical well-being, and company or personal property. The main objectives in any emergency response will be as follows (listed by order of importance): • Protection of personnel and the public • Protection of the environment • Compliance with federal, state, and local laws and regulations • Adhering to safety protocols • Restore normal operating conditions Discovery Midstream works to prevent emergency situations from occurring by implementing and adhering to a culture which values safety and by meeting and exceeding industry best safety practices. Examples include: • Use of all —steel pipe manufactured in the USA for Discovery oil and gas lines • Pipelines buried further underground than standard three (3) feet • Use of thicker, stronger, higher grade pipe than required by standard best practice • Adherence to strict welding standards and 100% X - Ray of all welds • Integration of a rigorous pipeline integrity management program This plan is supported by the Discovery Midstream Leadership team, The plan furnishes adequate emergency protection and provides training for the employees, contractors, and visitors at the facility. This plan applies to all employees, contract employees, guests and visitors to the facility during normal office hours, unless otherwise noted below: • Employees working outside normal hours will be responsible for carrying out the appropriate actions of this plan. Pre -Planning During pre -planning it is important to remember that no two emergency incidents are alike. Look at all the possibilities surrounding the emergency. This includes the size of the event, community and environmental impact, and the possibility of several types of emergencies which could occur at the same time. Page 3 of 43 NI A Document #: 2.2 Revision #: 1 Revision Date: 7/21/2017 ri r (A. 1 4 : _ Document Name; Discovery Emergency Response Plan (DERN Location: Section 2 — Incident Reporting and Management • Site or Area -Specific Planning Measures For all area operations and project work, including testing, construction, commissioning, or maintenance activities, Discovery Midstream personnel will, at a minimum and as applicable to the activities being conducted, initiate a review of the following planning measures: • Clarify project / operational parameters / hazard identification; • Conduct risk assessments and implement prevention measures as an integral part of company operations, where appropriate; * Identify the residual risk of the operation, and potential emergency scenarios that could happen; • Procure or contract resources to respond effectively to emergencies; • Meet with stakeholders (i.e.: government agencies, residents/landowners, emergency agencies) as required, to discuss emergency planning; • Compile and distribute site -specific emergency response information for the project or production operation to key stakeholders; • Prepare Site Safety / Evacuation Plan(s) for key job sites (Le. Gas Plants, Occupied Compressor Stations, etc.); Ensure company personnel and contractors attend emergency response plan review meetings before major facility modifications are commissioned; • Engage corporate support, as required, toensure emergency support plans address risks and conununications specific to the activities; and • Ensure that plans are compliant with applicable government regulation and, if required, registered and/or approved by regulatory agencies. Plan Administration Discovery Midstream personnel are responsible for the development, review and administration of all components of the plan. The administration of Emergency Response Plans and Programs involves the following processes: • Distribution: Copies of programs and plans should be accessible to all Discovery Midstream personnel and agencies assigned responsibilities under the program or plan. • Updating: Programs and plans should be reviewed and updated at a minimum once a year (or more frequently as required) to include regulatory changes, organizational and personnel adjustments, identified operational hazards and recommendations resulting from exercises or real incidents. • Approval: where required, programs and plans should be submitted for regulatory review and approval to the government entity having jurisdiction. Page 4 of 43 jJJS Jj r-: roc I '; t . : Document #: 2.2 I Revision #: J 1 I Revision Date: 7/21/2017 Document Name: Discovery Emergency Response Plan (CAE RP) 4 Location: Section 2 — Incident Reporting and Management DJ Asset Information Emergency Planning & Response The Fort Lupton Gas Plant, compressor stations and gathering system have various interlocks, relief valves, and alarms which function to alert personnel and/or protect equipment against process conditions exceeding design parameters. Many of these process safeguards are critical equipment subject to regular testing and preventative maintenance as defined in facility mechanical integrity program. The safeguards prevent emergency conditions from occurring. The Discovery Midstream Gas Plant and compressor stations also have equipment and systems available for personnel to actively respond to an emergency condition. These include: • Facility Emergency Shutdown System (ESD) • Portable Fire Extinguishers placed at required intervals • Fixed Gas Detectors with equipment shutdown capabilities • First Aid Station • Portable Gas Detectors • Smoke Detectors in occupied buildings Discovery Midstream personnel are trained in the use of each to the extent required by authorities having jurisdiction and manufacturer's recommendations. Accountability of Personnel Facility operator will conduct accountability of personnel at muster areas utilizing facility sign -in sheet. Equipment Shutdown Operations Department will be responsible for shutting down procedures. Incident Communication - Radio Use Two (2) -way radios will be utilized as the primary communication devices in the event of an incident. Cellular (cell) phones will be utilized in the event radios are not transmitting/receiving communications. Location of Discovery Operation Center (DO ) The Discovery Operation Center is located at 4501 Weld County Road 35 Fort Lupton, CO 80621. Ideally, the Operations Center should be equipped with a radio base, several phone lines, and be centrally located for personnel to be dispatched from. Page 5 of 43 wikraik i..q•8. 1,4;0.# . Document #: 2 2 Revision #: 11 I Revision Date: 1 7 21/2017 P Document Name: Discovery Emergency Response Plan {DE RP) 1 :Ill le att, Location. Section 2 — Incident Reporting and Management 4 Incident Response Incident Levels Discovery Midstream incorporates three incident levels as part of the "Incident Notification Proced re, " (ref. Document 2.1, Incident Notification.) The Incident Notification Procedure assures an incident is promptly addressed at appropriate level to provide resources and support to control and mitigate incident. Implementation of a three tier system helps ensure notification of State and Federal agencies (as applicable), while enabling Discovery Midstream to evaluate impact of incident on employees, general public, and customers. In order to properly respond to any emergency, incidents should be classified into one of three levels. The incident level is determined by complexity of the incident, risks to company personnel and public, and impact on the environment. The three level classifications will be used and communicated to all personnel within the company. Level I' Incident The most serious and highest level incident. Level 1 incidents are usually on going and typically involve at least one of the following: a. Any fatality b. Event requires support of government or Emergency Responder agencies c. A non -incipient fire, rupture or explosion involving a Discovery Facility that requires assistance from Emergency Responders de Any media attention at a Discovery Incident e. Results in more than $100,000 in estimated Property damage *A Level 1 Incident will automatically activate the Corporate Emergency Support Team and Emergency Operations Center. Notification Protocol: a. Immediately notify local Supervision, Discovery Operations Center (DOC), Director of Operations, COO b. Discovery Operations Center (DOC) will activate Discovery local First Responder(s) and local city/county fire/emergency organization if needed. c. Discovery Operations Center (DOC) will telephone local city/county officials, landowners and/or local citizens if off -site impact. d. Discovery Operations Center (DOC) will con unicate (text, email or phone call) all Corporate Personnel as appropriate. Page 6 of 43 r 1 L, t,s, 4 . t R Document #: Revision #: 1 Revision Date: 1 7/21/2017 Document Name: Discovery Emergency Response Plan (a Eft P) Location: Section 2 — Incident Reporting and Management -44 os ...,a w Level 2 Incident An event of moderate impact, usually controllable from the scene. Level 2 incidents may be ongoing and typically involve at least one of the following: a. Any Discovery spill/release from a Discovery pipeline or facility b. Any land slip or "frac out" that impacts a water way or has the potential to impact a water way c. Estimated damage or penalties in excess of $50,000 but less than $100,000 d. An incipient tyre involving injury or damage to Discovery Facilities e. Emergency Responder attention f. Motor Vehicle Accident (CCMVA) with employee or third party injuries g. A security risk that poses a threat to the Company or the Public Notification Protocol: a. Notify local Supervision, Discovery Operations Center (DOC), and local Safety/Environmental Representatives. b. Discovery Operations Center (DOC) will telephone local fire/emergency organization(s) if needed and complete preliminary incident report (PIR) in the ISR. c. Discovery Operations Center (IOC), Local Manager or Designee will communicate (text, email or phone call) to all personnel as appropriate. Level 3 Incident Relatively minor event involving one of the following characteristics: a. Injury Illness that requires onsite or offsite First Aid Treatment b. "Good Catch" Reporting Cr Land slips thatdo not affect water ways or have the potential to affect water ways. d. Estimated property damage is not expected to exceed $50,000 e. No media or emergency responder attention f. Event that significantly disrupts operations or deliveries (commercial business impact only) g. Near Miss Reporting h. MVA with no employee or third party injuries Notification Protocol: a. Notify local Supervision b. Local. Manager or Designee will communicate (text, email or phone call) to all personnel as appropriate. Page 7 of 43 Document #: 2.2 Revision It: 1 Revision Date: 7/21/2017 Document Name: Discovery Emerenc Response Plan(DERP) ' r... r) ; .r Location: Section 2 — Incident Reporting and Management . :.t Incident Command System Discovery Midstream follows an Incident Command System (ICS) structure when responding to any incident. While most incidents are small enough that only limited incident command will be required, larger incidents may require a full-scale ICS. The ICS is designed to enable effective and efficient incident management by: • Integrating a combination of facilities, equipment, personnel, etc. wi bin a common organizational structure • Enabling response measures to be scaled according to nature and size of incident • Involving only those functions required for level of response (i.e. operations, finance, public relations) • Allowing one person to take charge of incident for the company and determine size of response required • Merging into and working with ICS of responding agencies (most governmental agencies use an ICS) Discovery ICS matrices for Level 1, Level 2, and Level 3 incidents are provided. The formats are for full-scale ICS, while normally only a portion of the ICS will be required. For Level 1 and Level 2 incidents, personnel will assume responsibility for primary duties in ICS. One person may assume various or all responsibilities for Level 3 incidents. The .ICS structure is meant to be flexible. The Incident Commander is responsible for establishing the size and strength of the team. Primary jobs are: • Incident Commander • Director of Operations (Incident Response Leader) * Operations Lead (Logistics — Calls contractors and field assistance) • Manager of Engineeri g (Planning Decides on response strategies/schedules events) • Chief Operating Officer (Executive Lead) • Finance Office (Receives invoices, approves and signs) • Media Relations Officer (Interacts with media, community, etc.) *Note — First on -scene employee is the incident commander until other employees or agency responders arrive with increased training and experience in handling type of incident, Page 8of43 rai it t ,d 1 ‘ ) Document #: 2.2 I Revision #: I 1 Revision Date: 7/21/2017 ' neon id °iii Document Name: Discovery Emergency Response Plan (DERP) Location: Section 2 — Incident Reporting and Management Discovery ICS Matrix Level I Incident Commander i Operations Lead Manager of Engineering Safety i _ Discovery Operations Center Director of Operations Chief Operating Officer First Responders; - Fire Dept. - Police - Medical Finance Media Relations Environmental Level 2 Incident Commander Safety Operations Lead Discovery Operations Center f First Responders: Fire Dept. - Police - Medical Manager of Engineering Environmental Level 3 Incident Commander Operations Lead Page 9 of 43 -. 1 — r r- _It “. f Document #: 2.2 Revision #: 1 Revision Date: 7/21/2017 Document Name: Discovery Emergency Response Plan (DERP) Location; Section 2 — Incident Reporting and Management i. 4. -. R -Arc1. a Responsibilities Discovery Midstream Leadership Discovery Midstream Leadership includes the Director of Operations and Management that is part of the leadership team for the facility. Discovery Leadership is responsible for: 1. Identifying and designating the person(s) responsible for developing the DERP for their areas of responsibility and ensuring the DERP is developed in compliance with Discovery Midstream standards and any additional emergency response plan governmental regulations. 1. Communication of the DERP to all employees and contractors in their areas of responsibility. . Ensuring employees complete required training. 4. Ensuring employees in their areas participate in drills and exercises. Emergency Action Committee The Emergency Action Plan Committee consists of Discovery Leadership, Media Relations, Health & Safety, and Environmental representatives. The Committee is responsible for: 1. Review and revision of this plan. 2. Scheduling emergency response drills. Discovery Operations Center (DOC) The Discovery Operations Center is responsible for: 1, Routing emergency calls to appropriate personnel identified in the Emergency Contact list provided according to incident level. 2. Gathering information to communicate to Director of operations or designated Incident Comm.anders and/or external emergency responders. Operations Department The Operations department is responsible for: 1. Enacting and completing shut -down procedures for the facility. Safety and Health Department The Safety and Health representatives are responsible for: I. Identifying, providing, or obtaining appropriate Emergency Response training for all employees. F Maintaining and updating written Emergency Response Plan per Discovery Leadership. 3. Coordinating Emergency Response drills with Discovery Leadership, Page 10 of 43 \ ;r4)/ , rci. ' /Crjyt Document #: 2.2 Revision #: 1 Revision Date: i 7/21/2017 t Document Name: Discovery Emergency Response Plan . \ I I .1 (D ER P ) Location: Section 2 — Incident Reporting and Management . Supervisors Supervisors are responsible for: 1. Ensuring their employees are aware of the steps to take in an emergency. 2. Notifying DOC of the location of mobility impaired employees who will require evacuation assistance if a building evacuation is ordered. 3. Ensuring employees in their area of work responsibility are trained on the Discovery Emergency Response Plan. Employees Each employee: 1. Is responsible for their own safe evacuation during emergencies and drills. 2. Is required to participate in practice drills and respond to all emergency alarms. 3. Is required to obtain training over the Discovery Emergency Response Plan. 4. Is responsible for escorting their visitors to an exit or safe area during an emergency or drills. Mobility Impaired Employees Mobility impaired employees are responsible for: 1. Informing their supervisors and Evacuation Warden that they will require assistance during a building evacuation. 2. Positioning near an emergency exit to await evacuation assistance from the Fire Department if a building evacuation is ordered. Page 11 of 43 1.- r i • 4 Document #: 2.2 Revision #: 1 Revision Date: 7/21/2017 Document Name: Discovery Emergency Response Plan (DERP) - Location: Section 2 — incident Reporting and Management _; _ Training Requirements of Emergency .e ponders Training for emergency response employees shall be completed before employees are called upon to perform during real emergencies. Such training shall include the elements of the emergency response plan, standard operating procedures the employer has established for the job, the personal protective equipment to be worn and procedures for handling emergency incidents, Training requirements for emergency responders per OSHA 29 CFR 1910,120( are: Action tratnil lg Initiating Emergency Response Only:Fire F.esponder aren+ess Lie el: Notifying authorities uf`ficient straining to demonstrate competencies. Respond in a Defensive Fashion: First Eight 8 a ponder hours 'training operations and Le specified vel: Protect environment nearby persons, property, from a safe distance. or competencies . Hazardous Materials UIAZMAT) Twenty four (24) hour of training equal Responder Operations Level and specified competencies. Technician: to First Respond in an Aggressive Fashion: Approach point of release (Hot Zone to stop hazardous substance release plugging, patching, or valve isolation End) (Le. at point of release or exposure.) Assume Control of Incident: on Scene Incident Commander: Twenty four (24) hours of training equal Responder Operations Level and specified to First Incident Commanders assume control of the incident scene beyond First Responder Awareness Level. competencies. Spilled Support: Provides immediate, short-term support work at scene of incident. Surlkober-se an Skilled Support Personnel: Initial briefing at emergency response include wearing of PPE, chemical hazards site to involved, and duties to be performed. Specialized Support: Assist, counsel, or advises IC on specific hazardous substances at the facility, Specialist Employees: Sufficient training or demonstration competency in area of specialization annually. Clean -Up or Clean -Up Supervisors: Assisting with or directing clean-up efforts on plant property. Clean -Up or lean -Up Supervisors: Off -hour HAZWOPER PER training, plus training in 29 CFR 191038 (Emergency proper Action Plans), 1910,134 (Respiratory Protection), 1910.1200 (Hazard Communication), applicable safety and ., necessary by tasks expected health training to be performed. and other made _. Page 12 of 43 Document 1: 2.2 Revision it; 1 Revision Date: I 7/21/2017 Discovery Emergency Response Plan (CAE RP ) e:- . " r :.. ('Document Name: Section 2 — Incident Reporting and Management v. s Location: Drills and Exercises for Emergencies Discovery Midstream training exercises or drills for emergencies and frequency for each for the Fort Lupton, CO Gas Plant are described. The purpose of any exercise or drill is to reveal planning weaknesses, reveal resource needs and shortfalls, improve coordination within the site, clarify roles and responsibilities, and improve overall performance of all employees. 1. Drills or Exercises will be carried out at least once every 12 months or more frequent if needed or required by Discovery Midstream Operations. 2. Table Top Exercises — When chosen this type of exercise is best utilized to resolve coordination and responsibility issues through a low stress discussion. 3. Functional Exercises -- When chosen this type of exercise simulates a real emergency under high stress conditions by testing coordination among various functions and outside response agencies. 4 Full Scale Exercises -- When chosen this type of exercise test an entire community's response capability and involves the use or real world equipment. 5. Any three of the exercise types are acceptable for testing the functionality of this ERP. . When conducting a drill, an "After Action Report" needs to be completed and documented identifying at a minimum the following: • Type of drill/exercise conducted • Scope and Objectives • Persons involved • Sequence of events • Results/Outcome (i.e, were objectives achieved) • Lessons learned • Action plan, including timelines Page 13 of 43 ., I. , , . \,t r`-- F '; Document #: 2.2 1 Revision #; 1 Revision Date: 7/21/2017 t Document Name: Discovery Emergency Response Plan (DER!) Location: Section 2 - Incident Reporting and Management .10 ., DriU Exercise After Action Report Drill/Exercise Type; Scope & Objective: Date & Time: Facility: Participating Agency: Location Alarm Initiated: - EVALUATION CRITERIA Yes I'+ o [ N/A COM ENTS/ACTIONS Communication Process a. Was Emergency Shutdown (ED) audible throughout facility? ❑ ■ ❑ b. Are communication tools adequate (phones, other equip)? _ ❑ ❑ ❑ c. Are lines of communication clearly understood? ❑ ❑ ❑ Decision -Making Process and Authority a. Were decisions made in a timely and effective manner? ■ ■ ■ b. Are changes necessary to improve decision -making process? ■ ❑ ERP Understanding a. Does everyone understand the Incident Command Structure and how it differs from daily operations? ❑ a b. Was - response activation executed properly contacts receive timely and did proper emergency notification of incident? ❑ ❑ ❑ c. Did secondary employees know locations of and assemble at primary or muster area? ❑ ❑ ■ l d. Was accountability for all personnel at the plant taken? ❑ a ❑ Media E.+esponse. a. Was media handled in an appropriate manner? ❑ ❑ ■ b. Was media response pro -active and timely? ❑ ■ ■ c. Was follow-up to media appropriate and timely? ❑ ❑ C] Crisis Management Ability a. Were critical issues identified and addressed? ■ ❑ ■ b. Were facilities adequate for level of emergency response? ❑ ❑ ■ u. Was overall team effort effective in handling the incident? i ■ ■ ❑ Document Performance a. Was information needed to assess scenario readily available? ■ ❑ ❑ Notification Performance a, Were internal notifications made in a timely manner& and effective ❑ ❑ ❑ b. Were agency notifications made in a timely manner? and effective ❑ ■ Overall Effectiveness of Emergency Res i onse Plan a, Were objectives of drill/exercise achieved? ■ ❑ ❑ Comments/Concens/Corrective Actions; Review and Signeeff by: Page 14 of 43 Print Name: I) lie4rier • 1 II" rr . --v ' Document #: 2.2 Revision #: 1 Revision Date: 7/21/2017 Document Name: Discovery Emergency Response Plan (DERP) Location: Section 2 -- Incident Reporting and Management . Media Relations upport Plan In the event of an emergency involving or potentially involving the news media (TV, radio, newspaper, etc.), Discovery Midstream will utilize a representative from the Ten/10 Group whose name and phone number is listed on the Emergency Contact List in Appendix A, The Ten/lo representative will be responsible for developing, managing, and communicating essential organization information to internal and external stakeholders with the assistance of Discovery Management team. This could include: • Maintaining proactive contact with Emergency Response Tea (s), assisting with evaluations, collecting information, and communicating progress and updates; • Liaising with community relations and field personnel; • Developing and distributing public statements and news releases; • Arranging and leading media communications when necessary hi the event members of the news media approach you for comment on any Discovery Midstream emergency situation, tell them a statement is being prepared, and defer any further comments to Director of Operations or other senior manager when Director of Operations is not available. Keep in mind the news media are the company's liaison with the public and the community. They must be treated fairly, with every effort made to cooperate honestly. If a member of the media wants on -the -spot coverage or personal interviews, the following applies: I. Notify the senior manager on site, 2. Senior manager shall call Discovery Midstream Media Relations Contractor at (303) 507- 0510. 3. Media Relations Contractor will gather facts of the situation, prepare a statement, coordinate with client as required and return site contacts call to provide instruction. Under no circumstances will the name of any accident victim be released to the public, when the facts become known, a Senior Company employee will, in conjunction with Media Relations Contractor and Executive team, prepare a statement for release to the news media, if appropriate. Media Management "Do" and "Do Not" Do • Exhibit a professional, co-operative but firm attitude and remain low-key at all times. • Know the location and telephone numbers of company spokespersons. • Know the whereabouts of all media in your party at all times. • Offer to follow up requests for information about the incident, rather than answer questions yourself. Page 15 of 43. 1 . rid 4,. i •� r- r" 2 1 L. Document #: : 2.2 Revision #: 1 Revision Date: 1 7/21/2017 Document Name: Discovery Emergency Response Plan (c ER P) i Location; Section 2 - Incident Reporting and Management Don't • Don't try to please photographers by allowing unauthorized photo opportunities. • Don't allow media in "No go" areas. If they insist, request back up. • Don't feel compelled to answer questions. You are not a spokesperson. "I don't know" is a good answer. • Don't get into a confrontation with the media. It may become the story. • Remember any statements made by company employees' and/ or contractors that may in any way deal with root cause, fault or liability have the potential to negatively impact the corporate reputation. Page 16 of 43 Ire" rt 4 . {' rte)- Document #: 2.2 Revision #: 1. Revision Date: 7/21/2017 7` Document Name: Discovery Emergency Response Plan (D ER P) Location; Section 2 — Incident Reporting and Management ._ Incident Reporting 1.0 Application 1,1 Applies to all Discovery Midstream employees. 2.0 Definitions Environmental Incident - incidents with potential to adversely affect environment or violate environmental law or permit. Fatality - Any work related death while engaged in Discovery Midstream business, This does not include death while traveling to and from work. First Aid - One time treatment and subsequent observation of minor injuries when those and only those treatments are administered and mentioned as First Aid per OSHA (See OSHA 29 CFR 1 04.7)(5)(ii)(A) through 1904 7(b)()(11)( ) for what OSHA considers First Aid.) Illnesses - An abnormal condition or disorder caused from anything other than Instantaneous events. This includes acute illnesses resulting from relatively short exposure times, Illnesses may be caused in whole or in part, by exposures to chemicals, physical agents (e.g. radiation, noise, extreme temperatures), biological agents, and ergonomic factors. Incident Any event which causes or has potential (Near Miss) to cause personal injury, damage/loss of assets, environmental damage or hazard to health and/or safety of any individual , Injury - An abnormal condition or disorder caused by instantaneous events such as cuts, slips, falls, etc. Near Miss - Any incident where the potential for personal injury, property damage, or adverse environmental impact was present due to an event which occurred, even though there was no injury, damage, or impact due to timing or distance. Stop Work -- Authority and responsibility provided to all Discovery Midstream employees, contractors, and visitors to intervene or stop a task without fear of reprisal if any unsafe action or condition at the work site is observed. Vehicle Incident - Event or occurrence involving vehicle owned, operated, assigned, controlled, rented or leased by Discovery Midstream, including personal vehicles while being used for company business or subsidized by company. Work Related Injury of Illness- Injury or illness if an event or exposure in the work environment either caused or contributed to the resulting condition or significantly aggravated a pre-existing injury or illness. Page 17 of 43 i -.t _{ i — : Pt } ` Document #: 2. _ vi ion #: 1 Re i ion Date: -I 7/21/2017 Document Name: Discovery Emergency Response Plan (DERP) -- F .-6 Ott ;: Location: _-. Section 2 — Incident Reporting and Management ,, 3.0 Work -Related Injuries, Illnesses and General Incident Reporting Requirements 3.1 The following must be reported to Discovery Midstream Management for classification, input, and investigation within 24 hours of occurrence: • Work -Related Injury or Illness • Reportable Environmental Incidents • Property and Equipment Incidents • Near Misses • Any other occurrences deemed necessary by Discovery Management 3.2 Discovery Midstream utilizes a third party company, "Employer Flexible" to manage the company's Workers Compensation Claims Program and Post Injury Support. 33 When any of the incidents mentioned in section 3,3, occur, the supervisor or lead person in charge shall complete the following: 3.3.1 Fill out and complete an Accident -Analysis Report (Appendix D) within 24 hours of the occurrence and send to Discovery Midstream Management, Safety Department, and Employer Flexible, 3.4 Any incident requiring an employee to seek medical attention, will also require employee, supervisor, or lead person in chard to complete the following: 3.4.1 Fill out and complete the "Post Injury Treatment Authorization for Preferred Provider Networks" form (Appendix E) and emailed copy to risk(a 2employerfiexible.com or call "Employer Flexible Safety & Risk Main Line at 1-888-983-5881 to speak with live person. 3.4.2 The employee shall carry the completed form with them to the attending clinic/hospital. 3.43 The employee shall complete the "Employees Notice of Injury" form (Appendix F) after being treated and when able to do so. 3.x.4 The completed form will be faxed to Employer Flexible at 281-377-7029. 3.5 All incidents mentioned in section 3.1. will be investigated by a team of Discovery Midstream employees and EHS department. Page 18 of 43 ., ," , it) 440 k•., . . 1-: Document #: 2.2 Revision #: 1 Revision Date: 7/21/2017 Document Name: Discovery Emergency Response Plan (DERP), - , - 4 Location: Section 2 — Incident Reporting and Management a,. , Incident Response General Actions The first person at the scene of an emergency may be faced with a complex situation. A "First Responder" should try to remain calm, exercise decisiveness, and provide assurance. A First Responder should take the following steps and improvise as needed: 1. Scan surroundings to ensure own safety and safety of those who may enter area. A general assessment of situation will help clarify actions required. If person(s) with injuries are present, contact appropriate emergency services (if necessary) and if comfortable, voluntarily treat injured person(s) to best of your training and abilities. 2. Evacuate people in immediate danger or with injuries if comfortable and if movement will not cause further harm. If willing, administer first aid, if necessary, per training. Arrange for traffic control as required. Be firm, explicit, and courteous with the public. Exert positive leadership and give instructions calmly. 3. Isolate and eliminate any sources of ignition, such as running engines, sources of sparks, etc. Check roadcrossings, public utilities, and overhead power lines for danger from possible fire. Shut down operations as needed. 4 Open or close valves as necessary, if it can be done safely, to eliminate the flow of gas to the affected area. 5. Contact your supervisor and Discovery Midstream Operations Center and give a brief overview of the incident and your actions. Based on Level of incident will determine emergency response plan going forward. 6. Maintain scene control until relieved by a supervisor or more experienced person. Use whatever actions necessary to safeguard all persons, property, and environment only when actions can be accomplished in a safe manner. Page 19 of 43 '1 • 'M • r Document #: 2.2 Revision #: 1 Revision Date: 7/21/2017 ' Document Name: Discovery Emergency Response Plan (DE RP) Location: Section 2 — Incident Reporting and Management Specific Scenario Response The following specific events are considered pre -emergency guidelines. General Fire/Explosion/Wildfire 1. Activate facility or system shutdown. 2. Perform continuous monitoring and notify Discovery Operations Center 877-614.1183 or Fire Department 911. 3. if, and only if, fire is in incipient stage, personnel who have been trained in the use of portable fire extinguishers may attempt to extinguish fire using these devices. 4. If decision is made to use portable fire extinguisher, an evacuation of the area or building should commence in conjunction with these efforts. 5. In the event of a fire or explosion, personnel shall evacuate the facility. 6. If willing and trained, provide first aid to any injured persons. 7. Request emergency medical services (if needed). 8. If safe to do so, clear area of any persons, vehicles, etc. which may be affected by the emergency. 9. Request additional resources if needed (fire, police, or company personnel) to isolate area. 10. Evacuate using nearest and safest "Exit". 11. Proceed to your Designated Muster Area. 124 Do not returrn to the building/area until "All Clear" is given by Operations Department. Hazardous Material Spill 1, Perform continuous monitoring and notify your supervisor of the situation. 2, Take actions necessary to prevent the contamination of additional personnel and/or additional area or property. 3. Place barricades to restrict access. 4. Evacuate personnel from. area, 5. User personal protective equipment to prevent contamination, 6. Provide first aid if needed, 7. Call additional resources if needed (fire department, emergency medical services, etc.). Tornados I High Winds I. Perform continuous monitoring of the situation by contacting the National Weather Service, listening to radio, television and/or communicating with your supervisor. When a tornado warning is issued, ensure that employees in the affected area are notified of the warning. 3. Determine what facilities, if any, should be shut in. 4. Determine where personnel should be "stationed". 5. Determine if vehicle traffic should be restricted. Page 20 of 43 rC `' '• ., �_ I--. ; , } �:, Document#: 2.2 Revision #: 1 Revision Date: 7/21/2017 Document Name: Discovery Emergency Response Plan (PER!) Location: Section 2 — Incident Reporting and Management ` 6. Determine expected duration of the emergency. 7. Determine if personnel will be dismissed until normal operations are possible. 8. Determine if an alternate interim worksite / office will be used 9. Address concerns for affected personnel (others in areas of the incident), 10. Have location personnel report to the designated area. 11. Account for all personnel on duty. 12. Be aware of your surroundings. 13. If your facility is damaged by the tornado / high wind, notify your, supervisor. Winter Weather (Severe snowstorm, blizzards and. / or freezing temperatures) 1. Perform continuous monitoring of the situation by contacting the National Weather Service, listening to radio, television and/or communicating with your supervisor. 2. Avoid unnecessary travel. 3, Understand the hazards of wind chill which combines the cooling effects of wind and cold temperatures on exposed skin. 4, Blizzard warning include strong winds, blinding wind driven snow and dangerous wind chills. 5, Seek shelter immediately, if needed, and stay in contact with your supervisor. Pipelines Explosion or Fire near a Pipeline 1. Determine is a 911 call is needed. 2. Offer first aid to any injured parties. If the incident is reported by an outside person, the Field Supervisor shall be contacted immediately. The field supervisor or his designee will alert the Operations Manager in order to maximize response and ensure the safety of others working in the area. The Operations Manager will dispatch the Incident Commander and the closest Field Operator, team member, or authorized designee in the area to the site reported and attempt to identify the source of the fire or explosion. If a fire is present, the gas supply shall be shut in immediately, followed by isolation at the nearest block valves on either side of the site. Unless there is immediate danger to nearby personnel or equipment, the fire should be allowed to burn out on its own, unless the decision is made to extinguish the fire. 1. The First Responder ' Operator shall: a. Monitor line pressure at delivery and receipt points and station sites. b. Close isolation valves to stop the supply of gas to the affected area. c. Ensure that no other persons enter the scene until it is determined to be safe by the Operations Manager or his designee. Page 21 of 43 I:.:.iC4" t4 ' ..,-. r ; :4 Document #: 2.2 Revision #: 1 Revision Date: ! x/21/2017 Document Name: Discovery Emergency Response Plan (D ER P) -- Location: Section 2 — Incident Reporting and Management 2. The Incident Commander ' Field. Supervisor shall: a, Travel to the scene and assume the Incident Commander role. b. Provide assistance in the event of an evacuation. c, Assist the Pipeline Operator or authorized designee with the preparation of a log of incident events and scene photographs. 3. The Communications Center / Operations Manager shall: a, Determine the need for notification of: i. Public utilities. ii. Additional team members if additional lines are to be shut in, iii. Corporate personnel, iv. Regulatory agencies. 4. Site Security a. Once the source of the gas has been shut off and the fire extinguished, the area shall be kept clear of all personnel. Once the area is determined by the Operations Manager to be safe for entry by Discovery personnel, an investigation will begin. b, once the area has been determined by the Operations Manager to be safe for long term entry by Discover personnel and contractors, work may begin on repairing the pipeline. 5. Returning to Service a. Upon completion of the repairs, the line shout be refilled at a rate that will ensure complete evacuation of any air within the line. The amount of time for purging will depend on the pressure used to purge, the location of the repair, and the amount or air allowed into the pipeline during repair. Purging shall be conducted in accordance with the Purging Procedures in the Discovery Midstream Gas Pipeline System Operations and Maintenance ManuaL(Reference Gas O&M 1501) 6, Investigation a. Once the initial investigation criteria has been met, and the area has been approved to be returned to operation, a thorough investigation of the cause of the incident shall be made and action taken shall be reviewed to ensure the effectiveness and continuity of the plan. Changes deemed necessary should be implemented as quickly as possible. Pipeline Leak I Unexplained. Gas Loss 1, Initial Response for a Pipeline Leak: a, The initial response to any leak in the pipeline shall be to dispatch the nearest Pipeline Operator, employee team member or authorized designee to the site reported and to search the area reported for the source of the leaking gas. Responders should be aware of wind direction and low lying areas where product may settle and the respective hazards of each. In no case, will any person approach an area exceeding 10% LEL, b. Once the source of the gas leak has been located, the area shall be kept clear of all personnel other than those of the Company or of a Contractor, Once the area is Page 22 of 43 i'; (1/41) I ; t Document #: 2.2 Revision It: 1 Revision Date: 1 7/21/2017 Document Name: Discovery Emergency' Response Plan (DERPN Location: Section 2 — Incident Reporting and Management secured, the leak shall be stopped by suitable means (i.e., Shut down compressors or isolate the leak through the use of block valves). 2. Initial Response for an Unexplained Gas Loss: a. The initial response shall be to dispatch an operations employee to the site suspected to search the area for the source of the leaking gas. b. If there is difficulty locating a suspected leak, the following steps shall be implemented: i. Shut down the line in question under pressure and watch for a pressure drop. Close intermediate valves to isolate leaking section. ii. Look for signs of damage to vegetation, wilted leaves, etc. iii. Use a probe bar to make holes above the line, taking care not to hit the line itself, and sniff the holes with a leak detector. iv. Using detection equipment inspect the open end of casing vents. v. Obtain more sensitive equipment to perform a flame -ionization survey. vi. If required, shut down and isolate the line into sections and determine which section is not holding pressure. See the Discover Pipeline tactical Plan for valve locations. 3. Action to be taken a. Determine if a 911 call is needed. If the leak is in the pipe itself, and is escaping from a small hole or pit, the leak may be stopped with a repair clamp. b. After this temporary repair has been made, the line should be permanently repaired when conditions are safe to do so. If corrosion is suspected, a survey of the immediate area should be made to check the effectiveness of the cathodic protection in the area. c. If the leak is too large for a temporary repair, the system should be shut down, isolated from the stations, and the nearest isolation valves closed. The affected segment of line should then be blown down to atmospheric pressure and repairs made by qualified and approved personnel. 4. Returning to Service a. The amount of time required for purging will depend on the pressure used to purge, the location of the repair along the line, and the amount of air allowed into the line during the repair procedure. As each incident may contain unique elements, a plan for returning to service will be prepared for each incident, in accordance with the Purging Procedures in the Discovery Midstream Pipeline System Operations and Maintenance Manual (reference Gas O&M 1501). b. After the line is back in operation, a thorough investigation of the cause of the leak shall be made and action taken to prevent a re -occurrence. This may entail sending a specimen of the pipe from the leak site to an independent laboratory for examination, if the leak was due to failure of the pipe, a weld failure, or corrosion. if the leak was caused by third party damage, analysis may not be necessary. 5. The Pipeline Operator, employee team member, or authorized designee shall: a.. Monitor line pressure at delivery and receipt points and station sites. b. Open or close isolation valves as necessary to stop the supply of gas to the affected area. Page 23 of 43 f' l Document #: 2.2 Revision #: 1 Revision Date: 7/21/2017 t '' tit • ,t l re Document Name: Discovery Emergency Response Plan (DERP) Location: Section 2 — Incident Reporting and Management c. Alert Company and approved Contractor personnel and dispatch necessary personnel, equipment, and material to the scene. d.. Ensure that no persons enter the scene until determined safe by the Operations Manager or his designee. 6. The Field Supervisor shall: a. Alert Company and Contractor personnel to ensure the safety of those who may be working along the same system. Dispatch necessary personnel, equipment, and material to the scene. b. Arrange assistance for persons in the event any evacuation is required, c. Establish and maintain communications with the Pipeline Operator on site. d. Repair the line and restore service as soon as possible. e. Assist the Pipeline Operator, employee team member or authorized designee with the preparation of a log of incident events and scene photographs. 7. The Operations Manager or their designee shall determine the need for notification of: a. Public utilities. b. Additional employee team members or other company personnel if additional lines are to be shut in. c. Regulatory agencies for incident reporting. Suspected Damage Due to Natural Disaster near Pipeline 1. Action to be taken a. Following any natural disaster capable of causing damage to the pipeline or pipeline facility, an immediate check of the pipeline and pipeline facility for any unexplainable pressure loss, gas vapor or gas odor shall be conducted by the a designated Pipeline Operator, team member or authorized designee. b. In addition, personnel shall make a patrol of the entire pipeline route if the natural disaster has been of the magnitude sufficient to cause any local structural damage. cs if any leaking gas is found, the area shall immediately be cleared of all personnel other than those of the Company or of a designated contractor. Once the area is secured, the leak shall be stopped by suitable means. d. The Field Supervisor or his designee will alert other company personnel as needed in order to maximize response and ensure safety for others working along the same system. e. If the leak is in the pipe itself, and is escaping from a small hole or pit, the leak may be stopped with a repair clamp. After this temporary repair has been made, the line should be permanently repaired when conditions are safe to do so. If corrosion is suspected, a survey of the immediate area should be made to check the effectiveness of the cathodic protection in the area. f. If the leak is too large for a temporary repair, the system should be shut down, isolated from the stations, and the nearest block valves closed. The affected segment of line should then be blown down to atmospheric pressure and repairs made by a qualified contractor. 2. Return to Service Page 24 of 43 - r i -yDocument Document ##: 2.2 I Revision #: 1 [Revision Date: I 7/21/2017 Name: Discovery Emergency Response Plan iDERP) Location: Section 2 — Incident Reporting and Management a. The amount of time required for purging will depend on the pressure used to purge, the location of the repair along the line, and the amount of air allowed into the line during the repair procedure. As each incident may contain unique elements, a plan for returning to service will be prepared for each incident, in accordance with the Purging Procedures in the Discovery Midstream Gas Pipeline System Operations and Maintenance Manual, (Reference Gas O&M 15 01) 3, Investigation. a. Once the initial investigationcriteria have been met, and the area has been approved to be returnedto operation by Management, a thorou review of the incident and the responses made shall be conducted. Compressors Explosion or Fire at a Compressor Station 1. Determine is a 911 call is needed. 2. Offer first aid to any injured parties. If the incident is reported by an outside person, the Field Supervisor shall be contacted immediately. The field supervisor or his designee will alert the Operations Manager in order to maximize response and ensure the safety of others working in the area. The Operations Manager will dispatch the Incident Comnaander and the closest Field Operator, team member, or authorized designee in the area to the site reported and attempt to identify the source of the fire or explosion. If a fire is present, the gas supply shall be shut in immediately, followed by isolation at the nearest block valves on either side of the station. Unless there is immediate danger to nearby personnel or equipment, the fire should be allowed to burn out on its own, unless the decision is made to extinguish the fire. 1. The First Responder / Operator shall: a. Monitor line pressure at delivery and receipt points and station sites. b. Close isolation valves to stop the supply of gas to the station. e. Ensure that no other persons enter the scene until it is determined to be safe by the Operations Manager or his designee. . The Incident Commander / Field Supervisor shall; a. Travel to the scene and assume the Incident Commander role. b. Provide assistance in the event of an evacuation. c. Assist the Pipeline Operator or authorized designee with the preparation of a log of incident events and scene photographs. 3. The Communications Center / Operations Manager shall: a. Determine the need for notification of: i. Public utilities. ii. Additional team members if additional lines are to be shut in. I . . iii. Corporate personnel. iv. Regulatory agencies. Page 25 of 43 ri I .a s * I Document ti. V 2.2 Revision #: 1 I Revision Date: 7/21/2017 Pr t7°' , I Document Name: ! Discovery Emergency Response Plan(DERP) Location: Section 2 - Incident Reporting and Management 4 : 4. Site Security a. Once the source of the gas has been shut off and the fire extinguished, the station shall be kept clear of all personnel. Once the area is determined by the Operations Manager to be safe for entry by Discovery personnel, an investigation will begin. b. Once the station has been determined by the Operations Manager to be safe for long term entry by Discover personnel and contractors, work may begin on repairing the station. 5. Returning to S ervi c e a. Upon completion of the repairs, the line shout be refilled at a rate that will ensure complete evacuation of any air within the line. The amount of time for purging will depend on the pressure used to purge, the location of the repair, and the amount or air allowed into the pipeline during repair. Purging shall be conducted in accordance with the Purging Procedures in the Discovery Midstream Gas Pipeline System Operations and Maintenance Manua1.(Reference Gas O&M 1501) . Investigation a. Once the initial investigation criteria has been met, and the area has been approved to be returned to operation, a thorough investigation of the cause of the incident shall be made and action taken shall be reviewed to ensure the effectiveness and continuity of the plan. Changes deemed necessary should be implemented as quickly as possible. Plant Explosion or Fire at a Plant I , Determine if a 911 call is needed. . Offer first aid to any injured parties. The Lead Plant Operator shall be contacted immediately. The Lead Plant Operator will assume the role of the Communications Center and will alert other company personnel as needed in order to maximize response and ensure safety for others working along the same system, Upon activation of the Emergency Shut Down (ESD) protocol, all personnel must report to the pre -determined location for a head count outside of the plant. This head count will be completed by the Incident Commander, or Plant Operator. Log entries of visitors will be utilized to account for all persons inside the plant. Visitors will receive training about alarms and mustering areas. Plant personnel should notify any adjacent operations of the current situation so they can act accordingly with regard to their own operations and the potential effect on our operations. The Lead Plant Operator or his designee should consider the effect ofboth shut down and continued operations of adjacent facilities. Page 26 of 43 rjI1;r:4)'/' \ Document #: 2.2 Revision #: I 1 Revision Date: 1 7/21/2017 Ep, Document Name: Discovery Emergency Response Plan (DERP) R P ) .;.4,=. Location: Section 2 - Incident Reporting and Management Once the fire department and/or Lead Plant Operator has verified that it is safe for you to enter, employee team members may return to secure the plant and attempt to identify the source of the explosion/fire, 1. The First Responder I Plant Operator shall: a. Open or close isolation valves as necessary to stop the supply of gas to the affected area. b. Alert Company and Contractor personnel. Alert adjacent operations. Dispatch necessary personnel, equipment, and material to the scene. c. Ensure that no persons enter the scene until determined safe by the Lead Plant Operator. . The Communications Center Lead Plant Operator shall: a. Alert Company and Contractor personnel to ensure the safety of those who may be working along the same system~ Dispatch necessary personnel, equipment, and material to the scene. b. Provide assistance in the event of an evacuation. c. Establish and maintain communications with the Lead Plant Operator. d. Assist the Plant Operator or authorized designee with the preparation of a log of incident events and scene photographs. 3. The Lead Plant Operator, or their designee shall determine the need for notification of: a. Public utilities. b. Additional employee team members if additional areas are to be shut in. c. Operations Manager. d. Regulatory agency. 4. Site Security a. Once the source of the gas has been shut off and the any fire extinguished, the plant shall be kept clear of all personnel other than those of the Company or of an approved Contractor. b. Once the area has been determined by the Operations Manager to be safe for long term entry by Discovery Midstream personnel and contractors, work may begin on repairing the plant. Repairs may commence upon approval of Management. 5. Return to Service a. As each incident may contain unique elements, a plan for returning to service will be prepared for each incident, in abcordance with the Purging Procedures in the Discover Midstream Ft. Lupton Plant Standard Operating Procedures or the Operations and Maintenance Manual. b. Once the initial investigation criteria has been met, and the area has been approved to be returned to operation, a thorough investigation of the cause of the incident shall be made and action taken to prevent a re -occurrence. In addition, all phases of the incident, responses of various individuals and organizations, and results of the actions taken shall be reviewed to ensure plan effectiveness and continuity. Changes deemed necessary should be implemented as quickly as possible. Page 27 of 43 :# - `ti :: _ - Document It; 2.2 [Revision!: Ii I Revision Date: I 7/21/2017 Document Name: , Discovery Emergency Response Plan (DERP)Met Location: Section 2 — Incident Reporting and Management Medical Emergency First Person on Scene: 1. Do not move the victim, 2. Call 911 if warranted. 3. Call Discovery Operations Center 877-614-7183. 4. Give the following information: a) Your name and extension b) Name of victim c) Nature and cause of injury Of known) d) Exact location of the victim 6. Notify Supervisor. 7. Assist victim as needed. 8. Whenever possible, have an employee meet external Emergency Response Services in a nearby area to lead them to the victim. 8, If you are exposed to blood during the emergency, notify supervisor. Note: Employees are not required to render emergency assistance, However, periodic cardiopulmonary resuscitation (CPR) courses will be offered to employees that would like to learn this life saving procedure. An Automated. External Defibrillators (AED) and First Aid Kit is located throughout the facility and may be used by trained personnel should they choose to do so. Page 28 of 43 AL dr }` V r aiikire, AI-. , '° _illr Document #; 2.2 #: 1 Revision Date: 7/21/2017 V Document Name: Discovery Emergency Response Plan (DERP) Location: Section 2 — Incident Reporting and Management /.w►e. Spill Response and Chemical Release Discovering Party: If the Spill cannot be adequately and safely contained and cleaned up by work personnel: 1. Clear all employees from the immediate area to nearest and safest assembly area. 2. Call Discovery Operations Center 877-614.7183. 3. Report the following information: a) Name and phone number of person reporting incident, b) Exact location of spill. c) Material spilled. d) Estimated quantity e) Cause of spill 0 Current action taken for containment 4. DOC will contact Trihydro if spill cannot be contained and cleaned up by employees. 5. Notify Supervisor. 6, Do not return to the area until the "All Clear" is given by Operations Department. If a Chemical Release (Unfamiliar Odor) is detected: 1. Clear employees from the immediate area to nearest and safest assembly area, 2. Emergency Shutdown (ESD) will occur for whole facility or equipment. 2. Contact DOC 877-614-7183. 3. Report the following information: a) Name and phone number of person reporting incident. b) Exact location of chemical release or unfamiliar odor. c) When known provide identity of chemical released. d) Current action taken to contain chemical release or prevent employee exposure to unfamiliar odor. 5. Notify Supervisor. 6. Do not return to the building/area until the "All Clear" is given by Operations Department. Discovery options Center: 1. Contact Trihydro if needed 800-359-0251. 2. Contact appropriate Discovery personnel. Spill Response Personnel: 1. Assess the situation. 2. Obtain Safety Data Sheet (SD for material spilled. 3. Obtain 90 Gallon Spill Clean-up Kit located at Operations/Warehouse Building (Appendix B). 3. Contain and clean up spill, if possible. Note: Employees are not required to perform spill response and should not attempt to do so if not properly trained. Page 29 of 43 0 i;. ,, ° Document #: 2.2 Revision #: 1 Revision Date: 7/21/2017 r. Document Name: Discovery Emergency Response Plan (DERP) 4)\/',70r? i - I. ,k Location: Section 2 — Incident Reporting and Management Natural Gas Emergency If You Smell Gas: 1. Do not attempt to locate the source. 2. Do not turn on/off electrical switches. 3. Do not use ANY phone inside the building. 4, Do not use an open flame or potential ignition sources. 5. Evacuate the building using Exit. (Do not activate fire alarm system) 6. Call Discovery Operations Center 877-614-7183 or Fire Department 911 after exiting the building to a safe location. 7. Proceed Designated Muster Area. 8. Do not retum to the building until the "All Clear" is given by Operations Department. Discovery i rations Center: 1 ontact Utility Provider. 2. Contact Director of Operations. 3. When needed contact Fire Department. Page 30 of 43 :, li ,e 4, p1 P . f V f).. #: 12 Revision #: 1 Revision Date: 7/21/2017 Document Name; Discovery Emergency Response Plan (DERP) Location: Section 2 — Incident Reporting and Management Bomb Threat If you receive a call or observe a suspicious object, Do Not Panic Person Receiving the Call: Make note of the caller's manner of speech, accent, background noises, etc. Use the Bomb Threat Information form to document your observations after the call is completed. • Call Discovery Operations Center 877-614-7183 and report the threat. • Do not tie-up the telephone line. Stay at your desk so you are available for any follow-up questions. • Direct employees to leave the building and assemble in area that is away from the reported threat. Discovery Operations ations Center: 1. Notify Director of Operations { Dial 911 or Notify Police Department. 3. Notify Operations Lead. 2. Notify facility personnel Determination of Credibility; External Responders such as the Police Department will determine the credibility of the bomb threat based on information obtained during the call, along with results of the bomb search. The Police Department will search the building and make a determination of when it is safe to re- enter the building/area. Page 31 of 43 l'i In ti '` 1 `4 t" cis r 1 y Document #: 2.2 Revision #: 1 Revision Date: 7/21/2017 Document Name: Discovery EmergencyResponse Plan (DERP) Location: Section 2 — Incident Reporting and Management BOMB THREAT INFORMATION CHECKLIST INSTRUCTIONS: Be calm, courteous, listen, and do not interrupt the caller, late: Time: Exact words of person placing the call: Questions to Ask: 1, Where is the bomb right now? 2. What kind of bomb is it? 3. What does it look like? 4. When is the bomb going to go off? 5. Why did you place the bomb? 6. Inform caller that the building is occupied, and the detonation of a bomb could result in the death or serious injury of many innocent people, This may elicit a response as to the actual location of a device. 7. What did you say your name was? Try to determine the following (Circle or Check as appropriate): Caller's Identity: Male / Female Adult / Juvenile Approximate Age: Voice: ❑ Loud ❑ Soft ❑ High Pitch Accent: ID Local ❑ Not Local Speech: ❑ Fast ❑ Slow ❑ Distinct ❑ Deep ❑ Raspy ❑ Pleasant ❑ Foreign ❑ Region Q Stutter ❑ Nasal 0 Slurred ❑ Familiar ❑ Other: ❑ Other: ❑ Lisp ❑ ether, Manner: ❑ Cahn 0 Angry ❑ Rational Language: ■ Excellent a Cowl Background: IN Trains ■ Music Noises ❑ Irrational ❑ Coherent Q Incoherent ❑ Fair ❑ Poor ❑ Quiet 0 Voices ❑ Animals ❑ Deliberate 0 Emotional 0 Righteous ❑ Foul ❑ Other: Office Machines ❑ Street Traffic ❑ Laughing 0 Intoxicated ❑ Factory Machines ❑ Party ❑ Other: Page 32 of 43 ri I r 1 '� 4 \ I* c -s- r) Document #: 2.2 Revision #: 1 Revision Date: 7/21/2017 Document Name: Discovery Emergency Response Plan (DERP) location: : Section 2 — incident Reporting and Management Aircraft Emergency EMPLOYEES: 1. Contact Discovery, Operations Center 877-6144183. Discovery Operations Center: 1. Contact Director of Operations. 2. Notify Discovery Leadership Team 3. If required contact: U.S. Department of Transportation Federal Aviation Administration Northwest Mountain Region Denver Airports District Office 26805 E. 68th Avenue, Suite 224 Denver, CO 80249-6361 Voice: (303) 342-1254 Fax: (303) 342-1260 Page 33 of 43 raj!. ,, Document #: 2 2 Revision #: 1 Revision Date: 7/21/2017 Document Name: Discovery Emergency Response Plan (DERP) e" _.. id. „pert; r-• r ≤ if, Location: Section 2 — Incident Reporting and Management Inclement Weather (Tornado) 1. The Discovery Operations Center and Facility Operators will monitor weather broadcasts/bulletins on the Internet, Television, and Radio when changing atmospheric conditions may produce inclement weather. 2. If high winds are expected ensure unsecured items are either moved indoors or secured in some manner. 3. If a tornado is sighted within a twenty mile radius of the facility, Operations will notify employees of the tornado sighting and notify building occupants to move to a an internal room without windows (i.e, bathrooms), hallway without windows, or designated shelter in place location. 4. Building occupants will remain in the shelter areas until the "All Clear" is announced by Operations Department. Page 34 of 43 ° �• e g it -7 r -y .:4,./.. A Document #: 2,2 Revision #: 1. Revision Date: 7/21/2017 . , Document Name: Discovery Emergency Response Plan (DERP) Location: Section 2 — incident Reporting and Management Workplace Violence, Criminal Activities, Terrorism and Civil Unrest 1. Any employee witnessing or learning of an unusual occurrence that might endanger personnel or encumber Company operations should immediately notify Discovery Operations Center 877-614-7183. 2. Employees should never take any action that endangers them or any other person. 3. Discovery Leadership will summon law enforcement personnel as necessary. 4. The appropriate course of action in response to civil unrest or acts of terrorism must be determined at the time of the event. Discovery Leadership will notify facility occupants of any directions received from law enforcement agencies, public health agencies, or civil defense agencies. Page 35 of 43 sites; gilt saitirrnskSts Document #: 21 Revision #: 1 'Revision Date: 7/21/2017 Document Name: l Discovery Emergency Response Plan (DLRP) Location: Section 2— Incident Reporting and Management Appendix — Emergency Contact List br. 44,4It? $** EMERGENCY CONTACT NUMBERS Discovery Midstream Operations Center (DOC) 1,577-614-7153 First Response Coordinators Cory Kline — Director of Operations Josh Bruce — Operations Lead Office Manya Miller — Manager of Engineering Corporate office (Dallas) Cory Jordan — Chief Operating Officer (COO; Corporate Finance Office (720) 378-6592 (720) 3 78-65 92 Cellular (970) 957-2527 (970) 776-6851 (720) 378-6592 Office (214) 414-1980 Media Relations Casey Nikoloric -- Ten/10 j Office: (303) 433-4397 Group ' Cellular: (303) 507-0510 Medical Law Enforcement Hospital: Platte Valley Medical Center Emergency: Non -Emergency: Ambulance: A Poison Control: a 911 (303) 498-1600 911 Life Flight: (8 00) 222-1222 911 Workers Conpensatl.kn Employer Flexible _ (888) 983-5881 Fort Lupton Fire Department Emergency: Non -Emergency: 911 *03) 857--4603 Department of Environmental Quality Air Quality Division: (303) 692-3100 Hazardous Materials and Waste Management Division: (303) 692-3300 7 Water Quality Control Division: U s C✓G National Res (303) 692-3500 once Center Hotline: (800) 424-8802 Pipeline Emergency 24 Hour Emergency (877) 614-7183 S _ (214) 414-1980 (970) 891-3884 Cellular (318) 272.1018 N/A ,i eafth Safety, Environmental HHS Consulting — Health and Safety Office: (888) 492-8001 Cellular: (303) 809-9401 Trihydro Environmental Office: (800) 359-0251 Fort Lupton Police Department Emergency: Non -Emergency: 911 (303) 857-4011 Weld County Sheriff Emergency: 911 Non -Emergency: _ (970) 356-4000 State Highway Patel Emergency: _ Non' -Emergency: 911 (303) 857-6638 Weld County Office of Emergency 1 nagement Office: ,070) 3.04-6540 Emergency After Hours: (970) 350-9600 _ Ada nn Colin z _fice of Emergency Management Office: (720) 523-6600 Emergency After Hours: Utility Corn an. United Power: 911 (303'1637-1300 £4470 Public flighway authorly Non -Emergency; Justine Brown (303) 537-3751 jbrown@e-470.corn Chuck. Weiss cweiss 6470.cm' Emergency: (303) 537-3409 Page 36 of 43 .e Revision Date: 1 7/2.1/2017 IDiscovery Emergency Response Plan (DERP) - Section 2 — Incident Reporting and Management flz.z I Revision #; Appendix B - Discovery Gas Plant Muster Area Map 0 a , 4 L Sat • rl J iall / » J r �. 3t rr�t r , • r�• A. a 11 ' �- r 1'IITLY� r• 4 III c �. f' -':;::;t -t �,Y r , 1i:;:ri.1,1 qr} ,:a - slipv-40(qvi4,141-,, = fi _. , I. , • • ..,,,,,404.„: " ri jig 1 4x 1 . , _.•2 g......••• 11, ii 41 ...r•r--t.'-a—. at II, •; IA M acr ti . Jai wooLar •. r. . evg a h t •. * '.. Ok 44•4If It' I I I4 ..R •fiT ' , ., _. • pa, 5/ ., a II 5wciro - ji t4 .. tat- 1... ra ;11 Ng n?. . x 71711'1 .. Cbtrs) t ...r. Ippif "air 11 ii St 4 ! • ► jI $ 4 �• f r. Y 4q,llpap :a '1$,$ 4 AS4 lake l ! a L I a &INK in' R Gag �'kTHF f z IW -4 ii I 4 Page 37 of43 7/21/2017 Discovery Emergency Response Plan (DERP) Section 2 — Incident Reporting and Management Revision Date: 2.2 I Revision #: LDocument It: Document Name: i II ra 3 • ,,` C. %tit5 d -.Yr....1 ....- act; 111V...ft I 1 I 4"— 4—ssetwm '.!R11• '+ wrMfn..n.••eartitPV JJ i i i L WWII; Wig sowsati run! p.penly sow :I z igni sip Page 38 of 43 i Document #: 2.2 j Revision #: J 1 I Revision Date: I 7/21/2017 Document Name: Discovery Emergency Response Plan (DE RP ) t t.1., : ; r ) • Location: Section 2 — Incident Reporting and Management .. ,,,% Appendix — Accident Analysis .lysis Report (Example -- P a e 1) el, Employer Flexible" Report Only O Seeking Medical Attention Impact what matters ■ Accident -Analysis Report Workers' Compensation claim number: OSHA 300 caseffile number: PART 1 Identification Information Employee name: Date of accident: Occupation: Department: Time: Shift: Last 4 of Social: a.m. ❑ pin. ■ PART 2: Supplementary Information Company: Mailing address: City: Telephone Establishment location (if different from above)) Accident location if Other, Specify: Employee name: Employee address: Telephone j Same as establishment? IN Other Location? (Check if applies) City - State Does the Employee Speak English? O Yes M No If nor Specify Language: Was injured person performing regular job at time of accident? ❑ Yes No Length of service In current position; Time shift started: Name of Witnesses: Name of physician or clinic: Address of physician or clinic: Length of Service in Occupation; a.m. ❑ p.m. ❑ Witnesses? ■ Yes d No ZIP code: e Fatality? ❑ Yes I I No If yes,, date of death: Page 39 of 43 ZIP code Document #t: 22 Revision If: 1 Revision Date: 7/21/2017 Document Name: Discovery Emergency Response Plan {DERP) Location: Section 2 — Incident Reporting and Management AppendixI — Accident Analysis Report (Example — Page 2) e Employer Flexiblee' Impact what matters" Accident -Analysis Report PART 3: Description and Analysis I he description should inctucie important event(s) that led up to the accident, injury or illness, They should describe the nature of the injury or illness, the body part affected, specific tasks being performed, what specific equipment or substance was directly involved (include name or brand), where the work was being performed, what specific task was the employee performing (was time a factor?), and what general type of accident occurred. Include weather/environmental conditions If necessary, Attach photos of accident scene, machinery, equipment ancltor police report numbers as well as additional description pages as appropriate. Description: PART Training Dld employee receive sAetecific training or documented instructions relating to safety and health on the task(s) being performed? I Yes au No If Yes: Type; Instructed by, When instructed: Attach appropriate training documentation, Completed by: Title: Length of training. Date of Investigation: Page 40 of 43 Document #: Document Name: 2.2 Location: I Revision #: 1 Discovery Emergency Response Plan (DERP) Section 2 Revision Date: 7/21/2017 Incident Reporting and Management Appendix E — Post Injury Treatment Authorization for Preferred Provider Networks Form (Example - Page 1) Post Injury Treatment Authorization for Preferred Provider Networks e Employer Flexible" Impact what matters" Injured Employee Information Name: Last 4 of SSN: DOB: Patient must aresent rebate ID at time of Service Employer Information Company Name: Company Address: Client Number: PLO/Third Part Administrator (TPA) : Authorized by:. Phone: Date of Authorization: Employer Flexible —WC Injury_ Protocol Title: After Hours Phone: Work Related Physical Examination Date of Injury: _....� Substance Abuse Testing Post -Accident Due to the nature of these specific services, only the patient and staff are allowed in the testing/treatment area. Please alert your employees so that they can make arrangements for children or others that might be accompanying them to the medical center. Type of Test Non -DOT -10 panel Hair Collect Breath Alcohol Page 41 of 43 ,. Document #: 12.2 Revision It: 1 Revision Date: 7/21/2017 Document Name: Discovery Emergency Response Plan (DERP) Location: Section 2 — Incident Reporting and Management Appendix E — Post Injury Treatment Authorization for Preferred Provider Networks Form (Example - Page 2) Special Instructions/comments: Company has modified duty available. Please be advised that company prefers over the counter medication vs, prescription medication due to OSHA recordkeeping ng requirements. Billing: Refer to Employer Flexible WC Protocol Attn: Lynn Dollins i n s Phone: 281.377.7604 Fax: 281.377.7029 Employer Flexible Safety a Risk Risk Main: 'I.88849815881 risk@employerfteible*com Page 42 of 43 Document #: Document Name: Location: 2.2 Revision #: 1 Revision Date: Discovery Emergency Response Plan (DERpN ISection 2 — Incident Reporting and Management Appendix F -- Employees Notice of Injury (Exam l Employed Name (last, first, mickilei Street Address Occupation: Employees Notice of Injury 7850 North Sam Houston Par kway Welt, Suite 100 Houston, Texas 77054 Phone: 281377a 7604 Fax: 281 377.7029 Social Security #: state where employment areemerit was made; Date of Accident of Last Exposure: Body Parts Injured: Treating Physician {full name): Name ref co •employer Rhone: Lentil., of employment: Place of injury: C1ty/County /state Describe in detail. how the injury occurred, Job site location; State: 7/21/2017 ./r•—_._fw . i-..�uyY_L. serer. r. ti.n��y ..- -LL,,.. i. r - �ail�- avowfwsL.G.•� v.v�r..MCCCC .... ..--K .... CC= also_ s• v.�ow�a.:r'r..waa...; you pqt ly impaired �...__nnberi.,,. ,2., Area person due to prior workers' compensation injury or obvious pr'e•eaistirtg disability caused by accident, disease, birth defect or military injury that may impact the treatment of this Injury? If "des", please describe: Dates C onption: Physician: i My person receiving temporary disability tbersefiu from an ampla%'r or the emptoyr's insu ar a career shall promptly report in writing to the employer or insurance carrier and change in materiel fact, a- the amount of Income- he/she is receiving, or any change i- hismer employment status, occurring during t e period of receipt M such benefits.. 1 declare under penalty 1:4 perjury that i have examined this notice and claim, and all statement contained herein, anti the best of my knowledge and belief, they are true, correct 4M aanctfte, Any 'm who commits workers* victim -tatters fraud, n conselo ion, shalt to guilty of a felony, Upon Hting this $Dtke of Accidental Injury had Claim for Compensation permission is ern to the Administrator of the Workers' Compensation Court, the Insurance Commissioner, the Attorney 4eneral, a District Attorney, the insurance adjuster or their designees authorizes them access to medical recat'ds, including waiver of any privilege granted by taw concerning communications +:nods' to a physician or health Caro ,palaver or knowledge shitted by such physician or health care ,provider by personal examination, The information authorization for release may include irrhutrr ution, which may be considered, 4 communicable. or venereal disease which may include but not limited to diseases such as hepatitis, syphilis, g orrh�rat end the human immunodeficiency virus, also known its aCquired defkiencyr syndrome, Signed ti:'uls days of Employee Signature f Printed Employee Name This farm constitutes a medical au thceiaib%rs for release of medical records. Ming shall be constructed to waive. &nit or Impair any nfdetttiarf privilege by law. Employer flbl " Impact what rnat'terC` Empkyrer Flexible Copyright 2013, All rights reserved Page 43 of 43 0 11 _ DISC VERY East Lochbuie Pipeline Project Weld County Stakeholders Neighborhood Meeting Notice Details Monday,a f 20113 5:30 St Best Western 4 Hotel S a 301 E Bison oCO 80642 f urpose Discovery DJ Services,LLCi g an informational meeting for a communitydiscuss its pipeline project. The East Lochbuie Pipeline is a 20 -inch natural gas pipe,. This project will originate in Arapahoe County and will cross into Weld County at the intersection of E. 168th Avenue i WCR 63. It will travel along WCR * i then ast between s asa f and WCR 6 to just west of Weld i 43, ` n slightly north along Weld County Section Line 43 and will terminate approximately 2,000 feet east of I-76. The total length is approximately Discovery is lidding " i toin-forma i i! and landowners and to seek theiri prior o submittingpermit applications with Weld County.be an Open House meeting experts a. different across i project. i you o in us to provide inputbefore i applications. Please 'i, that the pipeline crosses only properties on i aftached map. Discovery has currently contacted all land owners along r agreement, or ` u a process i executing an agreement Discovery, pipeline win #cross yourproperty. Construction is expected from September 2018 through January 2019. If T have questions need i any information before themeeting, please - ,„ free i contact: i @discove` i owl tW ru a - r9 D 1112 1304 U. 4 Postal Service CERTIFIED MAIL® RECEIPT Domestic Marl Only For tic:divery information. visit our website at iron usps.cori °. — HU C I A L Mall Fe& $3.74i me &Faisal. 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CERTIFIED MAILS RECEIPT Domes tic Mail Only &oia',rery in�formation, visit our wets ite at wvwvw.jspxs, co�rrr :IT: tic IF sa a lirbr aer!5i '"04$ R n ReCit+Pt taltitt4P'f3 _ U Return flaceipt {ei0itra ici (`D Adult Signaturue %qt red °Ada Sian/Met Rastric"i i rn C r C Cr r1 rn rel PostiVe $1,135 tsgesetWn-,96 0379 1 't'yTC rt eta Ben W Davis 22401 County Road 4 Hudson r CO 80642-8709 14/.20.18 P�- U.S. Postal Service,' CERTIFIED rime RECEIPT Domestic MallOnly Ftir dui' very inforricfl oii: '1iti'tDLIT we -in -Ate at Wtvlvi lisps. con �L Htmecov101401 aerarain lek f � ),An Ugrian Paslie y� risulri ��y.,,pt to ri rim r Er r N N 7017 1450 anon �.. D.lP7,•. f r` _ Tatilinegiktintilifg ziS -Sent To s '33745 E a 044 Wie 1. i S x' ,. #4a,ate,,. t+.. t -4 ttiA? 8 r' 0379 47 Here al .. •,a,rat . 05/24/2018 Ronald J Fonseca Trust 1973 County Road 471 Hudson, CO 806 24701 PS Fa: n0 3 } r t,; April f`TiN 4t., v:rg. i-� •�w i.-.II •.•1YPIr.1 tr Sete 5#, I.er's€, for Jru. iruL` clam; U.S. Postal Service' CERTIFIED I1 AIL! RECEIPT Domestic Mat! Only For deIivQry •inforrnatiQfl, vit it stir wwebrite at LVtvi.vmsp'i•eon) HU F1ft I A L fir+ si $3445 extraeta &ties. Pk o IngirdeatA ffislum Mw Mai Flooradaleti FRi Ms &nuns isestrige' PciaW r. F •J l 1'f •''•L ^n 041Svor,y °'.,rr` la ra 'Alai _ 11.9b , Ft rn April 211.15 rrsN r'' ;,... . P }, � �.�.�7•;�z•i7:73�•��,�3',�,;..,�:,, tib.�* Pfouvraso fur Ffytafldi:tl+LUna i'�r' ti odesI� w..•.ti•.allrluy.V ti•.• i f s Lisps 0379 17 Plostuark Pnrol ei .21 j •.. 4 1. ,... 3JR F 4� irainjamp . ev...v-WA..aaq.a•. J7 W,,• 11 Pr g Carolled M231 Rio ' ' U.S. Postal Service"' CERTIFIED MAIL° RECEIPT Domestic Maid Only For deliver' information.•`'visEt our website $i vnirt.usps,coth HU Meal Fes gain Serkiiess& F OR fn ORSAM Kept (rk cortifed MW El Adult DAdM StitnitiroPi Festauts $ $3 4C n) add ,► is � sr44t .a elethignt , !IT 40,4110. itiSpee chitty is' so U oars WY".-40—lisan,,,• 'A. 0379 Witritaik 1.7 Park it's I 4"05774,1201 Maven twit 1644 County Road 47 Hudson, CO 80642-8702 P$ Form 7.1.18l4c 4pill 20 5 PS fv:sr��� •M ., f Sue R +rer: a for JrnstructeorIS MS. PostalService' CERTIFIED M IO' RECEIPT Domestic Mail Only For delivery intorma•li on. Visit our r'.vr~bsite at LVWW uspS..cOnt'. LI S E ektr�et 8er & to eturri Remelt 0 Rolm Fit (� Carolled Merl . • . Acker 8igilitta plc P.- • i I _ . 4- a, actrd `. Jai. f`dwr ••• , :218 f Stlirj■ S a1Postage r taPass 39 13W4 2085 03L0 11002 rR N $1..50 wm• vow Keith J Thoene 1601 County Road 49 Hudson, CO 80642-8601 PS Form 3EO3Ot April 201.5 r•--21/4 7;3r2•IN--'Qt •tic4 0379 17 YM � < p, JyI'+�jy '4• r .•Y , . I ! •mot • POStrilalk ~.... r,.k 018 N.S. Postai Service' CERTIFIED MAIL® RECEIPT Domestic Mall Only For delivery iniorinati n. visit our velbsib'te at bt'6V'.4'.tfsp ;_COSn Li .� v'YrctAL. US, ceitiffed mare. $3.4.5 QeC`k s.& see(c El may. CI Ran Receipt ( fOart>tt lei} Elkhart Vintrize DeJlwxy Cr 'dr!. L a �, ♦iF �- 'i.:� IOU $ $0`00•` Pr Sc'.0 Postage are 5 rat Ili David E Bret -- PO Box 424 Hudson, CO 80642-0424 'ding !'.. r., y. • r<. id 00 0379 17 n liaise I Ei r. l .•ba_s•r•A. PS Form 36OO. April 2015 estx See Reverse tar 6nsfructi6 s xn f' wl N C N CI lu a rn ri 0 d 0 r9 Q rim 4:1 N ru rn ru r CO m 0 rig Paw H Cortlitecitiail r‘. $ a gime U.S. Postal ervice' , CERTIFIED MAID' RECEIPT Domestic MailOnly For delivery intonva ti rrr, visit our website at www1 trsp.S.cOnt S IVO 4 filik 1 is k less C} Return Accept C3 Flan R°Certified Mall Elm*. ofick box, odd Am . • . Jt 44 li#144 y oera-s . „' yea tad Nom# ..r•.a�,r $a sod $3.95 U379 dfsiR,, 17 Prk- • /2018 Sent Tv ..w�wrair -i1t+� •�,, as r .r..L xP �.•a aw w- iY ea'P �. w-aa trw w. wsww.wiw}.Ya-s Yi+. .�itY� ire- .. - , • � Its ea. S Form 3SO& A prr 73r'; See Reverse for Instructions Qb.c-GLISter, d•�ww-a�w:Y US. Postal ervice" CERTIFIED MAIL ' RECEIPT Domestic Maul Only ti For delivery information. visit our website at VVfw><v_ usp, .coal• . Extra $erases a roes pock l YtaatrY9 1 JSlY F • } e El tweed Vieli lentkvak tred Alia! pro PlattaiRe Ina-icvstgye an st 77,ties, ffeeztrineitA Town of Castle Rock Water Enterprise 100 Wilcox St Castle Rock, CO 80104-1907 F obi he.. .pie) 1 t - •• ms `J'±w :s '4136 AY r, 4 Li • r�� +fir s +ne, 7,2 ,aw NA* h► -A 0379 l /2018 1 Sse Revers : I.r5str:J{:ftiorm U.S. Postal Service CERTIFIED =V RECEIPT Domestic Mail Only Fla delivery information, visit our vvebsitite at ww w trsps.corn ke,rtswEsel ref% L r'tifted Mail Fee Sara es ©Mum Receipt 0 Retum Ream $3.4' ti i• �..,` Cer0110 EiMtrit SWIM DAM& ~mot Postage e Tots Postage 1 Tsts • ) $ SO -,00 tb000 Required • . $ . • _ ,. Res $0.50 •lff t..� •- ',Mil Sent -. � Clapsaddle Farms LLD & 9820 Wolff Ct "s -Westminster, CO 80031-2500 9 i 0379 17 ,r.. ;Postmark ,_+r ..r.. • . . I - NI.I rr ' 4 Heys .:.-,-.05i424/201-8 a ru in rn r4 U.S. PostalService' CERTIFIED MAIL® RECEIPT Domestic Mad Only i~ r delivery ir4forrnatir n, visit our website aZ t nvtir.usps.earr� E .4'77IF't c A .J Garthied Marl File c Extii +.F .t 'et fry D R n J ptd V mire ial.; ' . -."- riti REmit (gel vismo 5 04;ta XIS Barad DWI- tgtmartirsA 0 Mutt ShItigitre311 POStagEr • adi O Wrscage and F r 9.ry Micha , Jennings 24 Foothills Dr Newcastle, WY I 827019-9737 7 '144— tis $ `g7i. —4 4,1 yl ea Sent To 1:3 eiraiNitif Not C� re -1 ru C ru 4 LI sin rn 0 C C N Ri ru C C rn C Crier rc r USE 0379 -;- 'lilt -• • � e Jl�l,�y��.• •iii' ,JNN U.S. PostalService' CERTIFIED MAILP RECEIPT Domestic Mail Only For deliverycinfor-niat'io(n, visit our awae•bsite at WNW. tiSpS.CO117.:.. MU fltIAL L USA , J ailPie S3.45 .t a t:. O. &F ;4k ()Retain lige"( ilayih '1 Cleaned At Rey 6ata • •..:.as OAdvtiSiptil.m Fte0.484S fAt ;fin �CW�.►a �M1l�led '� itt° y , Page ilo ;w r a '031 stratal0 War nc Sent To _._it Donald C Meineke 1518 County Road 49 Hudson, CO 80642-8602 0379 17 I lb"n• . ke 1- • 1(/•. • ,T L: .1 t, chat V It 91 ------- PS Form 3000., April 2015 r•: N .`5,-7!)-tc ;a(:;•-a,)nir Sin Reverse 1er Instructions- U.S. PostalService' MAILS RECEIPT Domestic Maid Only For delivery information, vrgit ou'r..Website ; v LVW.us�p twe U ( :Extra, airvinae &Ne aftatturn Receipt Qtard42 0 Return Fionsipt ' *• Ostlfled ClAdnt Sigrnittre Its'' .. ed Meal fee $3,45 FaaVe 'rot& S =tap and le IP• i IA *• i 4141410.6. �r . •r , P go n 'f"i vviittam U aunts 24654 County Road 6 Hudson, Co 80042-8810 Taff vim' r- tom_ ,r 0379 17 ' wok 9i i Hero ,5 174/201,S r C ru Sim m 11360 0002 C 0 N r-1 ru 7018 0360 DUDE 1304 171 ral r C rri tR ru C Dewy $ . 0i'41, a r. IrLL.?r2ara US, PostalService"' CERTIFIED MAU, RECEIPT Domes rc,. ff Or,) • For delivery information. visit our website at PAM. asps. cone • 'I,LTt! 4:. I ' Certified Mail Fee $3 Can AL USE J n ,eri16•e4 +• �. r'IiL"4f("L7ox; a 1 T1 �.1�•'/ :• 1:1 ring?' Receipt s_ 11■ Cl urn Receipt $ 40 1. 10t ocattifst Mfg Et Actuft elgpse.+.,a..,Deilivery A :Sent TO 4 e ar'e; etwirmitc au? is tild . .r� 0319 17 Pteterierk Hare ;�ccc)) �'(� K.1 i.il7�iC' i•4 05/24/201 Mark Breickler PO Box 424 Hudson, CO 80642-1424 PS Form 380C., Aprii WWi 5 t -`S11) ?S:54:C?•VI3•ci+p; ee Reverse tar Instructions U.S. Postal Service' CERTIFIED MAIL, RECEIPT Domestic Mail Only For delivery infottnation. visit afar weraske at wtv1w. usps. Cage '. Hilt S itr��ap�`�}�� $s & Feels iogarn RAM Ns:WA pia Saito Om* &ream RAP-, 1.fi1+d Si" 7 JamesT ' othar r4 1554 County Road 49 Hudson, CO 80642-8602 tiled °ft i A L torrant 0379 17 ly' • '4'343;1 2018 *Sri Revenefor Instructions' U.S. Postal ervis CERTIFIED AI RECEIPT Domestic MEW Only a bra rn r4 N er delivery lnturi tatcof. yistt our website at vviritittusps.coni ICIAL USE .• t 7 4 Extra iii=r7t` &. ess Rem Flactopt Cited mesh �M Root Pc siagel fr smart Alan 0 Davison 4_..a.t PO Box 68• Hudson, CO 80642-0068 city, cvaiNgso 0379. 17 Jr Weg t'1 •a a t'7 et VI .4 Yw{iVJ{Tt b .1J ,�W .1ca.1{l� . k • 018 r 0002 131N 2160 a.EI otelt Postage and Tr* 95 ril C nt1cl C ter- % U.S. PoIstaiService' CERTIFIED MAIL® RECEIPT Domestic Mail Only For delivery information. vW Wit our_ webs ito at wwarht.tsp.-r.c'om %. St ro rq vu Q€2 1304 7018 03611 Robert 13 Fields Trust 9190 County Rd 52 Milliken, CO 80643-9615 05/24/2018 Wear Form 3SCO April 2015 P3N 75; :r•06.rzicur Ste Fld',erse for Inet'rrtction3 v U.S. Postal ervic CERTIFIED MIL` RECEIPT Dot ,es -$dc Mail Only nap ruru C ru C2 .13 0 C3 Ica CI For delivery in#orrrrauton.% visit our website at wtvW. t+.5O. COM `, merivicce a, v tea fitriirrici&Fees LI ee ! •.H OSS Mtn Ji Ari I. gleeraflett Mai iirtert ca_ I Achill *putts, Ftetn p I' eetn$ (J 13 Postawa sod Ira Sent To ViPat t3,'fis Frit Natty'.� •w taro- ' this I �{7 J1 Here t: .4 17 05/24 018 Martin Carrillo Barraza 1085 W 141st Ci r. Westminster, CO 80023-8471 P ' Form 3t&CiO. April 201E- PS''; 7S31,1/22 'a'.c-!')4 ee Rfizm r:S'e (err InsttttdiOtts WS. Postal Service'" CERTIFIED MAILS RECEIPT Domestic mahr Only Frx delivery informations visit our vI eb.site at wwwcrsps_conr KE: ..-�xWI CWA L USE Certified Mail FS:g . _ DniAsia Vat OPtitaira tettott let M.I In Adult CrMiro r2Atiitt Signature P$$e Y a 'an 40. i3,39% SSW 1 Wild Animal Sanctuary 1946 County Road 53 van u` 0379 17 Postmark, k 1' f SIIiI 2018 N.-lYTA. ru a r4 7018 0360 ona2 rR ru f•1 Anna 0360 0002 US, Postal Service' CERTIFIED MAIL RECEIPT Domestic mend Only ii For delivery information, visit our viebslte at Ivtvwv.usps,corn- . re, + R °WOW Mall Fee R' r,. 08 C Rom Rar.. oReim t C ' *Nem, ~ • , 1 Cl, it s Retie Postage box, ackl fee ft ern 0% .1 SO I $6.3 Postage and 0379 4.} 17 P'sttniallt Here r t O\� 05/24/20108 Loretta K Puckett 24847 County Rd 4 kb ',Tenn r11. gflR49 .r"#g 1 ' ICY Fo`trn 3B00T April 2Q15 PIN 7.3o62 (? .0- 1-1/1:17 -I- —`• I f .ka —fl See' rievcite ter ktstrdbtions PostalService' CERTIFIED MAILU RECEIPT Domestic Mail Only tt�t EirvIcas en ichatabaz Plain Saceipt l odc Goirw i' ail lket itmi 1>1 WatiTe MA attirMnBastrkAed Pottage 2t k i. 4-4 ri 7 Y C ru 0 C 7018 0360 Sent To sand it 95 ps Ist.,1z Lance W Carlson r r 9688 Frankln St Thornton, CO 80229-7805 •. ek JO lei 03 749 17 rtsny..ft,,., y..-.a,r„, r e 'PowHere t4 1." VT. Ns fL5. r.. 1„ ..►;1 S . Pa ..l. •—GPO ▪ woe PS Forra 3800, Apr i 2015 Psit.‘ -rta;-t7i.so;bry rfta�+ b � - See F1evi.1• e tar - U.S. Postal Service CERTIFIED MAILS RECEIPT Domestic Mall Only For deliv-drr information, visit our tw.{ebsite .at www.lasps, corn HE Pk ClitelifleRNAI fern linPF°18VIUS E $3.45 0379 Extra Sergi & Fees favor baa4 arm D $01ardcopy) El+carifrlecf Med Restricted• oAd'uior Shpatttre Required CAOultSgratum Restricted Postage 'real Posiatiand Few sent F AWN mica * $0.00 - sus $ ia-Y •b .TlR 17 4101141140, Ir "f .►, 05 2 r _.r Rentz, L.Lc PC Box 190 Henderson, CO 806404190 PS -Form .:MTh A?rrl ?O15f='r art,- js 22D. 144.V a S Y.\- . t-.•r.� I I rig ni U.S. Postal Service' CERTIFIED MAIL$ RECEIPT Domestic Maly Only For delivery information, visit our website at ititvw.uusps.com :,. KE GPI el !1 , ■ II O 11. L usE OertMixt rn s 0379 r,,,.• - �; 17 t CeS & F �setr k •{ - �. Ct Return Feo:OPt itterd }ft Yir .Q Return Aecalttt ( trcnl4 $ i DA** tigoatur.mum Stratum Powsrage nP o• and Q m ro rg p Lin Pu ni m rg D S ru ru ,21 rn rag ru 0 a Ti, rg N ,Sent 7 Donald G Dunn 1520 County Rd 53 Keenesburg, CO 805434209 PS Form 3 1OO, April x201 See Ruv rse for inalructiang US+ Postal'Service" " CERTIFIED MAIL® RECEIPT fkmesiic Mail On ly FO cerit a Certified Mall fee - �Returnn ipr(e1ealcorritt OOerlikd e[I Ran:taxi Dewy OM* %Ana fkiquked Mitt apatite� tierw POStaga S v43 glen/ ;,-813- to o OW Postage, Rita IS a a 1%? MAY 2 0379 17 Postmark Nitre Nstaccathata..e. 462 Blackburn Hubbs LLC 2515 Creekwood Dr Ft Collins, CO 80525-2031 Pg Form 16001 April x'15 P$N 7 3O-Qa-Ct1O 9O17 So iRever e- tov Instructions U.S. Postal Service' CERTIFIED MAIL► RECEIPT Domestic Mail Only FA �: $3.4.5 eatii Omni Ric Magri Otoitiliad Flattrigted Atitittatigiturnd �Attifit amuse For delivery informhhtiort. visit ow website nt 13C:AL USFJL 64w, $. ..a,. . ,• .-,'sit• „s 1/. +t. PoStago Mel Face sCtt 0379 17 2018fl jitinktmois ► a,,{ It y�.•1'j j•� '19,4 Bosky Farms LLC 1968 Carlson Rd Parker, CO 80138-4440 1 ru Lug/ 0 C > a rnrim" iiin-RFFIKPicie Raw" Rapt OWtfria oRettm `tart ( O Nrtter) M I ReetrIvie "tAdutt: S;g�ne{ury Tq z ohs* %vitt, Rosa Poritege oh ' astaicia r9 a YSt;•tt 1-4 nor C rn 41.1 CI C rn C tO a rn CU 3 U.S. Postal Service' CERTIFIED MAIL® RECEIPT Domestic Mail Only For deliver/ information, visit our website at Lanny. uSps.con `. L 0_8 E Certified Mail Foe .., 45 cat F'ees air box, Diat5eryiom t ecspt& & o �RettKP (edettiatie) ❑ Cornfield mall Plumate+t yr DMdutt a nseFt ClAriat Signature Rterl SO Pt Onstagit arid rota ltd ,t - gat S 0379 17 Postmark 4 „ter tlict metritirirotarger Charles R Sanders r' 1694 County Road 53 Keertesburg, CO 80643-420 PS Form 3800 April 2015 PSN - 3 ..' tO0-!) 17 F See Bevergc• for Imctructions - a U.S. Postal Service' CERTIFIED M IL, RECEIPT Domestic _ Mail Only Ior delivery information. -visit our wvebsile Ott wtvt•vitcps. men - KEE iir {,lit rail 4.5 CuAtvaty 1304 2252 7016 1B60 0002 tk 1,4 $- &sr's F Ir P. :t wk l7 18 Rocky Mountain Wtditie Conservation Center 1946 County Road 53 Keenesburrf Co 80643-4209 PS Form a38+CiQr Aprit 2015 ''ESN 1`~' .�.Ct2 _k�'�•y4.��. lea Retie,rn r t •Wr`ir#tti U.S. Postal Service CERTIFIED MAIL® RECEIPT Domestic Mall Only Cerbfied Mall 4-' Extra Services Q Extrra 8e vt sa es & : ,rr_ ; -r rifts -an Ftooelot OFtevirn R++t Dos11flot biSiRestrict- Deitvery a Adult ire Aegui C, Ackit sonar Pty ..._..._.. g. 0 4 NIP; ackleart 'h s"- Ind Pees $3.95 It) $"at _ >f) I • . a.10 r• V* "...MM. !.- - -• , 0379 rtmovivrzi 17 \$.4446., era 0d24 X01.0 •ITT• NIT -, .- 1T •..,11.'-Tl-'-.-.MW.JIM Sherry A Vifigaard 1385 Maximilian Ave Spring Hill, FL 34609-6061 rOa �t :£ tU.1 1 ...91114 4411•4014014 7 • 1klir frkyirtottt£r r< tfti;ihtis` rn ru ru 0002 1304 C� rn reiR 0 N ci rn rmq C. a N r C ryas cCt r4 a U.S.. Postal,Service" CERTIFIED MAIL" RECEIPT Domestic Mall Only For delivery Information, vinit our wtl)site at =nit traps-com =: Foal^}urr'oCe Clad Mall Fee ms` 45 Extraeon/fees & Fees PS( box. °l rn Receipt fhacopy) �..�.... . CI Hagen Receipt ynss $ 4,... 0 edit El certified Melt Restriated Deli $ In Atha a 'iature Reqviriyi QMutt $19fire FlitslAref d Postage $0.50 OW 'WOW, titKI Fgr Sent To 'Via web e n I'Inl w r• usE Luke A Sanders 910 Lancaster Ave Fort Lupton, CO 80821-2804 0379 PS Form 3...7 6 =-tee fieterse fur Instructions U.S+ Postal Service' CERTIFIED MILS RECEIPT ,nesEwc . �aail Ore1)/ • FOY delivery tntorrttcltiarl, visit our 4i•.tehsiie at wvi;lw%usp_ _corn FO dtil $324,7 S ••"Marta 5. Fitts 't : lc beat WO EliWskit E Ilitiled'. ' r' DeMisly AAA SteAsNit `.:.... Sent To Ps Foam 3aoo, ittprii 2015 P4. -co 75.30-",m/. t; ., F}C.s-5 hi OA/ ,. 1l" Dow) 4 _ ._ _ •r,t•-•••-••a 0 F• 7r. ` S , '15 �� 0374 alws P‘••:./a9 rci 17 018 Leon A Scheel 3429 County Road 27 ,r..�.... Fort Lupton, CO 80621-8313 See Iiever5I 1or Instructions . Postal Service"' CERTIFIED MAR, RECEIPT C ornpsric Mail Only Certified Iviall Fee sz El Certified IOM a l DeWitt Smarr DM* Ord Rent — r9 .64 Poster $0 Tom Postage t To Mileranal $ 9' fenrylyrr Irrigation Co. 811 Birch Street Hudson, CO 80642 PS f'on'n OQI, Ai.i i 2(IiiE% Our gni 0379 17 w• RIC $., itaza .acs /2018 51-1ra. ,ht;'^'t} iT•ra 1 v 1,41,.,e1! ye r i t A I ru rn ri ru a a .13 rn a C C r a rrl rig U.S. Postal Service, CERTIFIED MAIL® RECEIPT Domestic .Mall Only Foredelivery information, visit our website at ty vu ,trs,ps.co/n :.a CertifiedMalt Fee $3.45 Total Pitestogftd FS $3.95 Sax -tiger Wei s1� rtisf , r•,aa.- 0379 .47 zo*e 41417.rls Tern J► Wagner 28876 County Rd 6 Keen burg, Co 80643-9431 I -1' PS Form 3800, April 2015 7T.10 a '000.3047 1:T: See Reverse for instructions U.S. Postal ervice CERTIFIED IFIED MAIL! RECEIPT Domestic Mail Only For delivery information.`visit our ti, ebsite at ww w.i.rsps:ciorn' C a;1 [ WT! PI:AVM ciattimith ru 0AstornPne4pititioartirlo) CI DOliti5b0h404kericted V aiv IDU ` 'rte $ • t S ay tltY ileettkie6 boat . ► 4 w- f� it h 4 a v a PS ru N C ci Cr rel O n l.rya�.i .Y �• •" - floit•'lha4 ti` ginti �.�+_ .race'.ewnwl....s.u+./T.d1'Sn/.RQ.P. \elk, CIO $ . ' ;'i.�. -. j $ M.t_s C LS .14-•• f• Wir r••111.111 Arthur B Wagner 1075 County Rd 81 Keenesburg, CO80643-8400 s. 0379 r t i• -• 4 PS Form 38 0. April 2015 P50-a 751,t-� 2,e. O -{_c4/ See Re -verse for i rwlructinns. US. Postal ervice CERTIFIED ILL RECEIPT Domestic Maid Only KEEref M Fee itactiri, 4 $ as 9Pf L USE $3.4 Wheal D, El Witted OM and r. .V 4 • .''.__ 4* 6144 Degivety w e,w . &, so sent ni 1 0379 17 PSWRY r• tstofwe PY'4'oana& °'4..., Kenneth H Schreibvogel Trust 2400 County Rd 59 Keenseburg, Co 80643-9425 I'F zir m 3800, April ;'015 :>., 2018 See Reverse for ;r, tol.+clions C N a - N C C C� U.S.. Postal Service CERTIFIED MAIL® RECEIPT Domesfit Mail Only For delivery xnforrttia#ione visit our website at LVVVIV.,1.sps.cotxa i. YJ•r+ar•R..a�.ai .. _ w.1. °rte Q aReturn Receipt istectronle) Ea Cr##fea Mat Repeated Mutt ure Required 1' `7 . a,fiF.�ti$ t fit.. ��rr� -ri k;:tz,73 krt 31 a 95 N riff N irER C3 r9 re C=! ru C C3 a C C ri Seat To -ErifieratVf Chris Glover 1113 County Rd 61 Keensebura, CO 80643-8400 PS loon a600, Aprif ? S 5 -•. -• - 0379 17 Here .1( t -f 1..s .f it 1.7 -± LIC Tf s See Reverse for I► s;trtic.dons U.S. Postal Sentice CERTIFIED MAIL® RECEIPT Domestic Mail Only For delivery information. visit ow website at wvtnv_usps.corrt . 3r * A • P~1 r ,611rep4mpimmtlh vigetitto.i Psew 0379 17 Postmark Hens 4-05/ 4/2018 SSW b Met anc David Singer 1225 17tl Strut, Suite 800 withei Denver, CO 80202-5598 PS Form 360O, April 20 }5 R_t.i ; r? .Liz -4(.•:;" -ley, • a .I -4J1.... 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Postal Service"' CERTIFIED MAILP RECEIPT Domestic Mail Only Far clleliveiy rii4orrnakion, visit our website at wtY W.r.fS aS.CQHH? . & tined Me)! fee ES San! 5e S booK add C Ct SO.5Tait 0 It 95 s ('5/24/2018 t'N- 1 Sartt lY H [art N "aergtia Patrick C Cunningham 83 County Road 63 Keenesburg, CO 806434403 'T fi�vr; aryttesemp DISCOvERv MIDSTREAM PARTNERS Prin. d Name attendee Facility/Pipeline: Community Meet'n,: Location: Eg64- L044k1& Adatted Gas effeiont. lay i l i ng Address .�/4 �15'3ca: yacir6,4 jq1L Cr;C��fy gjj; - .. seerki (Artie, C. c-gest 025 #1,4015rovid Contact Number C Ithirer Cl/ At/ L:bbss. • 3 ise4S4 irV Cb .305-3oy:2811 /y73.c2 (17ILvLens Ct> 86 `/2 3?Y3C Cr, • 4 • DISC o VERB MIDSTREAM PARTNERS June 6, 2018 5:30 pm -7:0o pm Community Open House Location: Community Open House Notes Best Western 301 E* Bison Hwy Hudson, CO 80642 Proposed Pipeline: E. Lochbuie Pipeline Large printed and digital materials were present throughout the meeting room, and included pipeline drawings, and aerial photography overlays of pipeline and proposed site boundaries. A presentation was made available which covered information regarding corporate overview, local leadership, EHS culture, and project specific details. As attendees arrived, they were greeted by Company personnel, asked to sign -in, and shown information about the site, project, design, construction and future operation of the East Lochbuie Pipeline project and associated begin/end points. With each member of the public in attendance, questions were asked/answered by representatives after a review of the other area gathering pipeline, compression/dehydration process, construction timeline, pipeline operations, and emergency preparedness. Personnel from engineering, operations, land, and compliance were available to answer questions all evening. What follows is a summary of the questions and answers discussed during the meeting. Q: Is your company all natural gas? A: No, Discovery Midstream also handles, crude and natural gas liquid products and pipelines. 0: Does your company do any drilling? A: Discovery is not a production company and does not drill wells. We have contracts with production company's to move their produced oil and gas to market. Q: Do you have a paper copy of the presentation that I may have? A: The presentation will be available through the county website ite once it is presented to the Planning Commission Ct: How do I know if there is a leak? Will it have a rotten egg smell? A: There are several ways to identify, a pipeline may have a small leak and a rotten egg smell may be one indication. You may, also notice wilted or yellow grass near a pipeline right of way when all the other vegetation around is lush green. Another indication may be a hissing or blowing sound coming from the ground. 0: Do you negotiate with the other companies if you are near their pipelines? A: Yes, we communicate with all foreign pipeline companies that we cross during our construction to assure that we do not interfere with or damage any existing pipelines. Q. When is construction going to start and what end are you starting on first? A: Construction is slated to start in the Fall/' inter of 2018+ For this project, we have allowed the contractor to determine their starting ocation(s) along the route and will work with them to refine it. In order to finish the project on schedule, the Pipeline Construction Contractor will determine the DISC m VERY MIDSTREAM PARTNERS, Proposed Pipeline: E. Lochbuie Pipeline safest, most efficient construction plan. Until the construction contractor provides said plan, we will not know what end of the route they plan to start on. Q: Do you have an open trench the whole way and then lay all of the pipe? A: No. At the time the construction contractor is ready to dig a trench to lay the pipe, the pipe will be lowered into the trench and tie-in welds will be made. After the the welds, coating, etc. are inspected and approved, that crew will continue forward to the next section and another crew will follow behind them to backfill the previous section. 0: Is this a metal pipe and not pvc? A: The pipeline will be constructed with Carbon Steel pipe in compliance with API standards. 0: Is the pipeline buried when you test it with water? A: Other than valve sites, the pipeline is buried during the hydrostatic test. Q: Where does the water go after the test? A: After the hydrostatic test is complete, the water is returned to its original source. Water samples are taken prior to testing and again after the test, prior to dewatering. The samples are then sent to a third party lab to be tested. There will be a dewatering structure that utilizes a diffuser and filter bags in conjuction uction with a haybale le structure to filter out metal particulates, rocks and sediment. 0: I heard someone say this is the "proposed" route. Are there other routes? A: No, the current route presented is the intended route Discovery plans to construct. However we did look at multiple routes thought the initial routing process. C,: Why was I invited if this is not going on my property? A: The county determined the invitation list for this meeting. All landowners in the surrounding area, within a predetermined distance of the pipeline ROW are invited. The intention of this meeting is to open up dialogue with surrounding neighbors, so that we can understand their thoughts and concerns and we can help to answer theirquestions. 0: When will we know if this is the actual route? A: The route presented is the actual route we intend to construct. ,: If we agree to your laying the pipeline, and then you come back to lay another pipeline, how do we get paid for that one? A: This will be clarified in the Right of Way Agreement that all landowners sign to grant the right to construct the pipelines. 0: Can you just come back on my land to stack another pipeline on the original one we agreed to? A; This will be clarified in the Right of Way Agreement that all landowners sign to grant Discovery the right to construct the pipelines. Q: How long willconstruction take? DISC 0 VERY MIDSTREAM PARTNERS Proposed Pipeline: E. Lochbuie Pipeline A: The current construction schedule is 4-5 months. The bulk of the construction efforts should be complete in 3-4 months, and then there may be a couple weeks for final cleanup and right-of-way restoration. 0: Will there be a gas burn off at the compressor station? A: There will not be a compressor station at either end of the pipeline at the time that it goes in service. Compressor stations are designed for a safety shutdown, which often times (but not necessarily) includes a relief flare. 0: How big of a ROW do you need for this size pipe? A: Discovery typically requests 30 foot to 50 foot Right of Way to complete pipeline construction and maintain the pipeline. 0,: Will Cable and Fiber Optic be installed in this ROW? A: Discovery has no current plans to install any Cable or Fiber Optics inside the Right of Way. 0: Will the public be able to speak to the County about this project? A: Yes, they will be able to speak at both the Planning Commission (PC) meeting and the Board of County Commissioners (BOCC) meeting. These meetings have n o f yet been scheduled. Q: Is there any issue with putting a pipeline along a major Highway? A: No, there is no issue in putting a pipeline adjacent to a highway. At any point where the pipeline falls in a Highway ROW, the pipeline construction will meet all predetermined requirements and specifications. Q: How big is the pipe? A: The proposed gas pipeline is 20" in diameter with a wall thickness ranging from 0.375" along the mainline to 0.500" for road/canal crossings and bores. Q: What well is this coming from? A: Gas in this line will be coming from a number of wells in throughout the County. Q: How many valves will there be along this line? A: There will be one mainline valve site along the proposed route as per the Department of Transportation's Code of Federal Regulations for the Transportation of Natural Gas (Title 49 Part 192.179). 0: Do you decide where the valves go? A: Valves are placed at either end of a pipeline segment, and in between on longer pipelines where appropriate. Valves may also be place on either sides of large bodies of water or river crossings. C.: What is the risk to our wells if there is ground contamination? A: Discovery pipelines can be between 4 feet or 30 feet underground, well away from water wells. Discovery also monitors pressures and flows along it's pipelines so any issues can be immediately identified and corrected. Lastly, Discovery has plans in place to remediate any contaminated soil or water encountered during the construction or operations phases of its pipelines. DISC o VERY MIDSTREAM PARTNERS Proposed Pipeline: E. Lochbuie Pipeline Q: How far off the ROW do you need to be? A: Discovery typically has a 30' permanent light of Way and an additional 50' temporary Right of Way for construction only. This can vary depending on each situation and maintenance needs. O: How long will this pipeline be in the ground? A: It is difficult to predict full project lifetime. That said, a well designed, well constructed and well operated gathering system can last for many decades. Q: How loud is the compressor station? A: There is no planned compressor station at the time that this line goes in service. Any future station or facility would meet or exceed noise requirements. Q: What are the risk of this pipeline? A: Discovery takes active steps to ensure that health, safety, security, and environmental concerns are addressed throughout the planning, construction, and operational phases of pipeline operations. We work to prevent releases by evaluating, inspecting and maintaining pipelines in a program called integrity management. Q: How often are the landowners paid for having this pipeline on their property? A: This is a onetime consideration. Hello