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Home My WebLink About20182817.tiffSEPTIC NARRATIVE USR APPLICATION REQUIREMENT- PRE -APP #18-0113 MAKENA GAS PLANT— LOCATED IN THE EAST % OF SE % OF 525, T8N, R62W Makena Gas Plant will be located on the west side of CR 85 about a half mile south of Hwy 14. CR 85 is an unmaintained Weld County road. During Construction of the Makena Gas Plant, portable toilets will be used per OSHA requirements. After site grading is finished, a site and soils evaluation will be done in the area of the leach field. An engineered design and plan will be submitted with the Weld County OWTS permit application. A septic system will be permitted and installed before the plant is operational. COMMERCIAL ON -SITE WASTEWATER TREATMENT SYSTEM (OWTS) INSTALLATION PERMIT (New or Repair) NEW OR REPAIR COMMERCIAL OWTS PERMIT FEE: $950.00 • • All payments are due at the time of application submittal; by cash, check or credit card Incomplete applications will not be accepted (Site and soils evaluation, engineer design document, along with site plan must be included) PARCEL NO.: (12 DIGIT NUMBER) LEGAL DESCRIPTION: SECTION 25 TOWNSHIP 8 RANGE 62 ACRES 80 SUBDIVISION LOT BLOCK FILING INFORMATION CAN BE OBTAINED FROM THE ASSESSOR'S OFFICE AT (970) 353-3845 EXT 3650, OR ON THE COUNTY WEBSITE UNDER PROPERTY INFORMATION. Link to property information: liItp. rnapsprupCIIV'1ffi)1-Inall01I SITE ADDRESS Same as legal description DETAILED DIRECTIONS TO SITE (ATTACH MAP) PROPERTY OWNER: Outrigger DJ Operating LLC MAILING ADDRESS: 1200 Seventeenth Street, Suite 900 CITY Denver ST CO ZIP 80202 HOME PHONE: ( ) WORK PHONE ( ) 720-361-2580 FAX ( ) EMAIL ADDRESS: Andrew Perdue aperdue@outriggenergy.com APPLICANT NAME: SAME MAILING ADDRESS: HOME PHONE: ( ) WORK PHONE ( ) FAX ( ) EMAIL ADDRESS: PROPOSED USE (Refer to Table 30-6-2 of the Weld County OWTS Regulations for Average Wastewater Flow): O MULTI-FAMILY/BOARDING HOMES/MOBILE HOME PARKS TYPE OF USE (Ex. mobile home park, boarding home, triplex): NUMBER OF PERSONS (i.e. boarding homes): NUMBER OF BEDROOMS or SPACES (i.e. mobile home parks): Q COMMERCIAL/INDUSTRIAL TYPE OF USE (Ex. repair shop, office, dog kennel, restaurant): Office/shop NUMBER OF EMPLOYEES: FLOOR DRAINS EXISTING OR PROPOSED: YES X NO O RECREATIONAL/INSTITUTIONAL TYPE OF USE (RV Park, day camp, church, school, public pool): CITY ST ZIP EPA CLASS V INJECTION WELL INVENTORY REQUEST FORM COMPLETED: YES NO WATER SOURCE: O PUBLIC WATER SUPPLY (NAME OF SUPPLY) X) INDIVIDUAL WELL (PERMIT #) O CISTERN (PERMIT #) WATER SUPPLY INFORMATION SUMMARY Section 30.28-133,id1, C.R.S. requires That the applicant submit to the County,'Adequate evidence that a water supply that is sufficient in terms of quantity, quality and dependability will be available to ensure an adequate supply of water. 1. NAME OF DEVELOPMENT AS PROPOSED Makena Gas Processing Facility 2. LAND USE ACTION Use by Special Review 3. NAME OF EXISTING PARCEL AS RECORDED E2 SE4 Section 25, T8N, R62W SUBDIVISION FILING BLOCK LOT 4. TOTAL ACREAGE 80 5. NUMBER OF LOTS PROPOSED 1 PLAT MAP ENCLOSED EJ YES 6. PARCEL HISTORY • Please attach copies of deeds, plats or other evidence or documentation. A. Was parcel recorded with county prior to June 1, 1972? 0 YES EI NO B. Has the parcel aver been part of a division of land action since June 1, 1972? ❑ YES ❑ NO If yes, describe the previous action SE4 Split into E2 and W2 7. LOCATION OF PARCEL - Include a E 1111 OF SE 114 map deiiniating SECTION 0 N.M. the project area and tie to a section corner. 25 TOWNSHIP RN ❑ N ❑ S RANGE 62 ❑ E it W PRINCIPAL MERIDIAN: 0 6TH 0 UTE ❑ COSTILLA 8. PLAT - Location of all wells on property must be plotted and permit numbers provided. Surveyors plat 0 Yes ® No If not, scaled hand drawn sketch ❑ Yes ❑ No 9. ESTIMATED WATER REQUIREMENTS - Gallons per Day or Acre Feet per Year HOUSEHOLD USE If of units GPD AF 10. WATER SUPPLY SOURCE ❑ EXISTING 0 DEVELOPED WELLS SPRING WELL PERMIT NUMBERS ® NEW WELLS • PROPOSED Anus - [CHECK ouq ❑ ALLUVIAL O UPPER ARAPAHOE ❑ UPPER DAWSON O LOWED ARAPAHOE ❑ LOWER DAD" C LA FOX HIUS ❑ 081YE11 ❑ DAKOTA O OTHER COMMERCIAL USE # 2,700 of S.F. 25 GPD AF IRRIGATION # of acres GPO AF WATER COURT DECREE CASE NO.'S 0 MUNICIPAL STOCK WATERING # of head GPO AF OTHER - GPO AF ❑ ASSOCIATION ❑ COMPANY ❑ DISTRICT NAME TOTAL 25 GPD AF LETTER OF COMMITMENT FOR SERVICE ❑ YES ❑ NO 11. ENGINEER'S WATER SUPPLY REPORT ❑ YES I`] NO IF YES, PLEASE FORWARD WITH THIS FORM. [This may he required before our review is completed.) 12. TYPE OF SEWAGE DISPOSAL SYSTEM 7 SEPTIC TANKILEACH FIELD ❑ LAGOON 0 ENGINEERED SYSTEM (Attach a copy of engineering designl 0 CENTRAL SYSTEM ❑ VAULT - LOCATION 0 OTHER • DISTRICT NAME SEWAGE HAULED TO 4/27/2018 State of Colorado Water Resources - View Well Details: Receipt 3685952 14, 6I 6 _rapJ ) fl]v1s] )i] 6.1 THIS PAGE IS NOT THE ACTUAL PERMIT The information contained on this page is a summary of the permit file and may not reflect all details of the well permit. (Full Disclaimer) Application Received Receipt: 3685952 Division: 1 Permit #: Water District: 1 Well Name / #: County: WELD Designated Basin: Management District: Case Number: WDID: [-] Imaged Documents - Permit File Document Name Date Imaged Annotated [-] Applicant/Contact Applicant/Contact Name OUTRIGGER D7 OPERATING LLC (TAYLOR, TRENT) Mailing Address 1200 17TH ST STE 900 City/State/Zip DENVER, CO 80202 [-] Location Information Approved Well Location: Q40 Q160 Section Township Range PM Footage from Section Lines NE SE 25 8N 62W Sixth 2040 S 300 E Northing (UTM y): 4498003.0 Easting (UTM x): Location Accuracy: Spotted from section lines Subdivision Name Filing Block Lot Parcel ID: Acres in Tract: 562603.0 [-] Permit Details Date Issued: Date Expires: Uses (See Imaged Documents for more /nfomation) General Use(s): Commercial Special Use: Area which may be irrigated: 40 ACRES Annual volume of appropriation: Statute: Cross Reference Permit(s): Permit Number Receipt Comments: Aquifer(s): ALL UNNAMED AQUIFERS [-] Construction/Usage Details Help Well Construction Date: Pump Installation Date: Well Plugged: 1st Beneficial Use: Elevation Depth Perforated Casing (Top) Perforated Casing (Bottom) Static Water Level Pump Rate [-] Application/Permit History Application Received 04/23/2018 Disclaimer *The information contained on this page is a summary of the permit file and may not reflect all details of the well permit. THIS PAGE IS NOT THE ACTUAL PERMIT. This page should not be used as a basis for any legal consideration, to determine the allowed uses of the well, to determine construction information, or to determine the terms and conditions under which the well can operate. The complete well permit file should be viewed to obtain details on the allowed uses and other relevant information. A complete copy of this file is available in the "Imaged Documents" section of this page, and can be viewed by opening all of the documents listed under that section (documents will open as pdf files). Note that all of the terms and conditions under which a well can operate, particularly for non-exempt wells, may not be specified on the well permit. Wells may also be subject to relevant statutes, rules and decrees. To learn more about well permitting in Colorado, please visit DWR's Well Permitting Page. If you have any questions about this well permit file, please contact the DWR Ground Water Information Desk. Last Refresh: http://www.dwr.state.co.us/WellPermitSearch/View.aspx?receipt-3685952 1/2 4/27/2018 State of Colorado Water Resources - View Well Details: Receipt 3685952 Copyright © 2015 Colorado Division of Water Resources. All rights reserved. http://www.dwr.state.co.us/WellPermitSearch/View.aspx?receipt-3685952 2/2 Hello