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Home My WebLink About20160361.tiff SITE SPECIFIC DEVELOPMENT PLAN AND USE BY SPECIAL REVIEW (USR) APPLICATION FOR PLANNING DEPARTMENT USE DATE RECEIVED: RECEIPT # /AMOUNT # 1$ CASE # ASSIGNED: APPLICATION RECEIVED BY PLANNER ASSIGNED: Parcel Number 1 4 6 9 _ 2 8 _ 2 _ 0 0 _ 0 0 2 (12 digit number - found on Tax I D. information, obtainable at the Weld County Assessor's Office, or viww.cc.),vveld.co.us) Legal Description PT N2/SW4 LOT B RECX13-0046 we(s- ection 28 , Township 1 North, Range 67 West Zone District: NA , Total Acreage: 480. 108 , Flood Plain: NA . Geological Hazard: NA Airport Overlay District: NA FEE OWNER(S) OF THE PROPERTY: Name: D&C Farms, LLLP Work Phone # (303)-263-5958 Home Phone # NA Email NA Address 8679 County Road 4 Address City/State/Zip CodeBrighton, CO 80603-8901 Name Work Phone # Home Phone # Email Address. Address. City/State/Zip Code Name: Work Phone # Home Phone # Email Address: Address: City/State/Zip Code APPLICANT OR AUTHORIZED AGENT (See Below: Authorization must accompany applications signed by Authorized Agent) Name: NGL Water Solutions DJ, LLC Work Phone # (303)-815-1010 Home Phone # NA Email NA Address: 3773 Cherry Creek North Drive #1000 Address: City/State/Zip Code Denver, CO 80209 PROPOSED USE Upgrade and expansion of the existing C2 saltwater disposal facilty, which will include construction of a concrete tank farm, offload, pump house building, and new injection well to allow for increased disposal capacity. I (We) hereby depose and state under penalties of perjury that all statements, proposals, and/or plans submitted with or contained within the application are true and correct to the best of my (our)knowledge. Signatures of all fee owners of property must sign this application . If an Authorized Agent signs, a letter of authorization from all fee owners must be included with the application. If a corporation is the fee owner, notarized evidence must be include indicating that the Sign ory has to legal authority to sign for the corporation. / 7,c-' ( Signature: Owner or A6thortzed gent Date Signature: Owner or Authorized Agent Date Construction, LLC M2861 W. I20`h Ave., Suite 250 Westminster, CO 80234 Phone: (720) 708-6535 September 22, 2015 To Whom It May Concern: As an authorized representative of INIGL Water Solutions DJ, LLC, I grant M3 Construction, LLC to act on our behalf for the C2 SWD Facility. Written: "�jaEV&L. 1-140 nnsokj Signature: Title: -a ce-r rvtAtJAGW_ Date: 2.44p i S ty, Weld County Public Works Dept. - 1111 H Street ACCESS PERMIT P.O. Box 758 G - ..r:6A-' Greeley, Co 80632 APPLICATION FORM i /C \paw Phone: (970)304-6496 Fax: (970)304-6497 Applicant Property Owner ( If different than Applicant) Name Brian Thielen Name D&C Farms , LLLP Company M3 Construction , LLC Address 8679 CR 4 Address 2861 W. 120th Ave, Suite 250 City Brighton State CO Zip 80603-8901 City Westminster State CO zip 80234 Phone (303)-263-5958 Business Phone 720-708-6535 Fax NA Fax NA E-mail NA E-mail m3c@m3construct.com ♦ = Existing Access o= Proposed Access Parcel Location & Sketch The access is on WCR 19 Nearest Intersection : WCR 19 & WCR 6 WCR 6 Distance from Intersection 1 ,200 ft Parcel Number 1469-28-2-00-002 28/1 N/67W 17 19 Section/Township/Range �* 3 Is there an existing access to the property? YES 1O N Number of Existing Accesses Road Surface Type & Construction Information Asphalt X Gravel Treated Other vital 4 Culvert Size & Type 18' CMP Materials used to construct Access Gravel Construction Start Date 1 1 /1 /15 Finish Date 2/15/16 Proposed Use ❑ Temporary (Tracking Pad Required)/ $75 ❑ Single Residential/$75 u Industrial/$150 i� Small Commercial or Oil & Gas/$75 ❑ Large Commercial/$150 o Subdivision/$ 150 ❑ Field (Agriculture Only)/Exempt Is this access associated with a Planning Process? ❑ No xi USR RE ❑ PUD a Other Required Attached Documents - Traffic Control Plan -Certificate of Insurance - Access Pictures ( From the Left, Right, & into the access) By accepting this permit, the undersigned Applicant, under penalty of perjury, verifies that they have received all pages of the permit application; they have read and understand all of the permit requirements and provisions set forth on all pages; that they have the authority to sign for and bind the Applicant, if the Applicant is a corporation or other entity; and that by virtue of their signature the Applicant is bound by and agrees to comply with all said permit requirements and provisions, all Weld County ordinances, and state laws regarding facilities construction. / (sr' �y + ct k c r /2 II 1 Signature / Printed Name Date Approval or Denial will be issued in minimum of 5 days. Approved by c /no /,n Looking North on CR 19 • Looking West on CR19 { Lw -.a • \t - • :'� 11 . • t1! . . r .1 Looking East on CR 19 i �� - - -.....ter- r..- - sI.I. kispalifftis �4"T-• ....li - S. r •1�. �, y • 1 . • 1i .Y r •n y` . �. . ;^iA,r 1�' a. , ,�) '.t-,V1i. '14;t ;Veil A 41s, • h. ;•' 'V VTAS, . . •r•••••!!llNffff, .Y. r'S�• -'`�.` f-11,,--hJ :-•• � i1 ),to 1 1�i1 1/r t- ,,,,...••St , y- . `^ .i , . ;Iii >- : r1 -..,N M3CON-1 OP ID: LP A CORIE3 DATE (MM/DDNYYY) CERTIFICATE OF LIABILITY INSURANCE 09/28/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Thomas J. Sisk & Company, Inc. PHONE FAX 1700 Broadway, Suite 1000 _(Arc No. Ext): 303-831-7100 ( , No): 303-831 -7377 Denver, CO 80290 E-MAIL Dave Tacha ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC# _ INSURER A :Crum & Forster INSURED M3 Construction LLC INSURER B : Liberty Mutual Venture Electric, Inc. attn: Ted Lopez INSURER C :Travelers 2861 W 120th Ave #250 INSURER D : Hartford Insurance Group 19682 Westminster, CO 80234 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INS i TYPE OF INSURANCE ,ICDDL SUBR I POLICY EFIF POLICY EXP LTR I INSO ytv POLICY NUMBER IMM/DD/YYYY) J MM/DD/YYYYI LIMITS C X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1 ,000,000 X ;CL UP ZLP 31 M32776 07/01/2015 07/01/2016 16ANINGETO RENTED 100 000 CLAIMS MADE X PREMISES (Ea occurrence) $ MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000, GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY PRO-JECT LOC PRODUCTS - COMP/OP AGG $ 2,000,000 `__ _ OTHER Emp Ben. $ 1 ,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1 000 000 (Ea accident) > > - B i X ANY AUTO 8AS56177772 07/01/2015 07/01/2016 BODILY INJURY (Per person) $ ALL OWNED ' SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS X X NON-OWNED PROPERTY DAMACE $ HIRED AUTOS AUTOS Per accident i $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 C EXCESS LIAB CLAIMS-MADE ZLP 31 M32776 07/01/2015 07/01/2016 AGGREGATE $ 5,000,000 DED I RETENTION $ $ WORKERS COMPENSATION X OTH- AND EMPLOYERS' LIABILITY STATUTE ER Y C ANY PROPRIETOR/PARTNER/EXECUTIVE Y N /A X HK-UB-0G80928-5-15 07/01/2015 07/01/2016 EL EACH ACCIDENT $ 1 ,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E DISEASE - EA EMPLOYEE $ 1 ,000,000 If yes, describe under 1 ,000,000 DESCRIPTION OF OPERATIONS below E L DISEASE - POLICY LIMIT $ A Pollution TBD ' 07/01/2015 07/01/2016 Pollution 1 ,000,000 D 'Equipment 34UUMVT3222 07/01/2015 07/01/2016 Lease/Ren 250,000 DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate Holder is recognized as Additional Insured with respects to General Liability and is provided a Waiver of Subrogation with respects to Workers' Compensation as required by written contract, but only to the extent of such contract. CERTIFICATE HOLDER CANCELLATION NGLENER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN NGL Water Solutions, LLC ACCORDANCE WITH THE POLICY PROVISIONS. 3773 Cherry Creek Dr. N. #1000 Denver, CO 80209 AUTHORIZED REPRESENTATIVE © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01 ) The ACORD name and logo are registered marks of ACORD 0 w s CC ' — F- I' CT V �' - w Q '- CE Z 11 r E ,.7: :. r';a: Q W CC (L 0. li 0 C Z O t: .. U Li- L.1... . < H .. 500..0. Z • 1 •: • . , ► 1 • i1 1 Q J i CT] Q oO •• 1 CD CO a Z O # ix I- w j Q + ° < r(t Iri ' i-- L. i C .. ._ _._ J C.. tY i. it O of V £ Li.. 9 ., t G 4f ` rd ea I; . L I I n 0 t + ° t6de Huh Ji C C5. S l'go o ❑4:¢ 1 9 I . L ___. tQ . I FOR COMMERCIAL SITES, PLEASE COMPLETE THE FOLLOWING INFORMATION BUSINESS EMERGENCY INFORMATION : Business 815-1010 Name: NGL Water Solutions DJ, LLC Phone: (303)-815-1010 Address: 3773 Cherry Creek North Drive City, ST, Zip: Denver, CO 80209 Business Owner: Josh Patterson (Officer) Phone: (303)-868-1286 Home Address: NA City, ST, Zip: NA List three persons in the order to be called in the event of an emergency: NAME TITLE ADDRESS PHONE Josh Hamblin Operations 8207 W. 120th St. , Suite B, Greeley (970)-218-1739 Doug White Vice President 3773 Cherry Creek North Drive #1000, Denver (303)-815-1010 Rae Chrisman Operations 8207 W. 120th St. , Suite B, Greeley (970)-218-1739 Business Hours 8:00am - 5:00pm Days: Monday - Friday Type of Alarm: None Burglar Holdup Fire Silent Audible Name and address of Alarm Company: NA Location of Safe: NA **r *****her*rttl*************krt, *****,tip .**************1ttc** tic*********S **********,ti ****rt a***fir**fir*****fr****** tic*****,t***************** MISCELLANEOUS INFORMATION Number of entry/exit doors in this building: NA Location(s) NA Is alcohol stored in building? NO Location(s) : NA Are drugs stored in building? NO Location(s) NA Are weapons stored in building? NO Location(s): NA The following programs are offere a public service of the Weld Counrirffs Office. Please indicate the programs of interest. Physical Security Check Crime Prevention Presentation UTILITY SHUT OFF LOCATIONS Main Electrical: NA Gas Shut Off: NA Exterior Water Shutoff: NA Interior Water Shutoff: NA i imit WERNSMAN ENGINEERING , INC . 1011 42nd STREET • EVANS, CO 80620 Phone (970) 353-4463 Fax (970) 353-9257 September 9, 2015 Ms. Jen Petrik Drainage Engineer Weld County Public Works P.O. Box 758 Greeley CO 80632 RE: Drainage letter for High Sierra's C2 facility on CR 19 near Dacono CO Dear Ms. Petrik: This letter addresses the Water Quality Capture Volume (WQCV) requirements and existing and proposed drainage ways on the site The storm-water historically enters the site from the south and drains across the site to the north. The proposed plan will collect on site flows and direct them around the proposed improvements to the water quality pond along the north side of the site. When the water quality pond reaches capacity at elevation 5001.5 storm-water will flow to the south in (2) 24" cmp culverts. If the discharge from the pipes is larger than the existing irrigation ditch capacity, the storm water will travel approximately 150 feet north on the lot to further dissipate flows before they travel onto the neighboring property to the north . The proposed conditions imperviousness (including all future buildings and the concrete containment areas that will retain storm water) is 9.8. The WQCV required for the site is 4770 cubic feet. The pond as shown on the grading plan provides approximately 24,336 cubic feet of storage. If you have any further questions or comments regarding this matter, please contact this office. Sincerely, Eric Wernsman P.E. Total Site Imperviousness Calculations ENTIRE SITE AREAS C VALUE CXA C100 value C100 X A I VALUE I X A NEW BUILDING (s) 5650 0.73 4124.5 0.81 4576.5 90 508500 CONCRETE/ASPHALT 33000 0.8 26400 0.96 31680 100 3300000 GRAVEL 80,000 0.65 52000 0 0 40 3200000 LANDSCAPE 752559 0.08 60204.72 0.35 263395.65 2 1505118 TOTAL 871209 142729.2 299652.15 8513618 ICOMP C5= 0.16fCOMP C 100- 0.34Jt= 9.8 ACRES ( approx) 20.00 WQCV Calculations WQCV= a(0.91'I^3-1.19'1^2+ 0.781) a = 1 for 40 hr drain time WQCV= 0.0657083 Volume req'd = WOCV" A A = 20 12 Volume req'd = 0.110 acre feet Volume req'd = 4770.472 cu ft STORAGE CALCULATIONS CONTOUR ELEVATIONS AREA DEPTH AVG AREA Volume Provided 5000.15 0 0.85 12747.5 10835.375 5001 25495 0.5 27003 13501.5 5001.5 28511 TOTAL VOLUME OF 24336.875 C.F. PROVIDED CONTOUR ELEVATIONS AREA DEPTH AVG AREA Volume Provided 66 0 0.5 6202.5 3101.25 66.5 12405 TOTAL OF 3101.25 C.F. PROVIDED 0.075 Size 100-YR Discharge Orifice A= Q/Cri'(2gh)".5 Q= 5.6 cfs Cd= 0.65 P= UGC (egnf".y n= 30 a A.4.33/.65'(2'32.2'2.22)".5 A= 0.20 sq ft 28.22 sq in 5.31 " sq hole Size Overflow Wier FOR SITE H = (Q/Cd*W)A.667 O= 4.14 cfs Cd= 3.1 H = (Q/Cd*W)^.667 W= 30 ft H - (69/3.1'24)".667 Height= 0.12560635 It I r°f r r [ „ , ,, Aldridge Transportation Consultants , LLC Advanced Transportation Planning and Traffic Engineering John M.W. Aldridge, PE, PTOE, AICP 1082 Chimney Rock Road Colorado Registered Professional Engineer Highlands Ranch, CO 80126 Professional Traffic Operations Engineer Telc: 303-703-9112 American Institute of Certified Planners Fax: 303-703-9152 Mobile: 303-594-4132 September 18, 2015 Cooper Murray Project Manager M3 Construction, LLC 2861 W. 120th Ave. Suite 250 Westminster, CO 80234 RE: Traffic Narrative NGL Water Solutions C2 Saltwater Disposal Facility Dear Mr. Murray: ---�. "y' �R ' This technical letter provides a traffic , narrative of the potential impact occasioned by a saltwater disposal . site on the west side of WCR- 19 .` . . approximately 2,000 feet south of ' ' '" 12 WCR-6. The aerial photo shows the •t !.' . . 1 r: 4 location and development features on . . _ ''W �: the site. The access is located on the '' north end of the site. In this area, WCR-19 is a two-lane - ' paved collector roadway that carries 552 vehicles per day according to the of Weld County 2035 Transportation .. • . �----=- - Plan. It is 29 feet wide and in fair conditionper theplan. The plan qr K indicates that the capacity of the • . a roadway is 4,600 ADT. sa� ;..�.-. 1/44411 .14, . , i .,rn,- a, , ; The saltwater disposal facility will employ up to 10 persons per 24-hour Aldridge Transportation Consultants, LLC Page 2of3 period. It will process a maximum of 90 trucks per day spread out over a 24-hour period. The average, though, is probably around 75 trucks per day. TRAFFIC NARRATIVE In accord with the County directive, the following information supports a waiver of a Traffic Impact Study requirement. Type of Vehicle Number of Round Trips/Day a) Passenger cars/pickups 10 b) Tandem Trucks c) Semi-Truck/Trailer/RV 90 d) Expected Vehicle Routes According the operator of the facility, the majority of the trucks will travel to/from north of the site on WCR- 19.. This is because the most of the wells are to the north. To the south are developed areas, in particular, Todd Creek. The east/west cross streets such as WCR-6 and SH-52 will feed WCR-6. e) Trip Distribution Conservatively, it is estimated that 75 percent of the 100 round trips will travel to/from the north on WCR-19. The other 25 percent will travel to/from the south on WCR-19. f) Peak Hour of Usage The facility operates on a 24-hour basis and as such there is no particular peak hour of usage. Nonetheless, for analysis purposes, a standard 10 percent of daily traffic is assumed. At 10 percent of the daily, this equates to 10 trips entering and 10 trips exiting the facility. 7-8 vehicles will enter and exit to/from the north and 2-3 vehicles will enter and exit to the south. Based on the above information, the owner/operator of the C-2 facility agrees to the improvement triggers below: a) 200 vpd or significant dust as identified by County-Mag-Chloride dust abatement b) 300 vpd alternative pavement c) 400 vpd pavement The vehicles per day triggers are not applicable as WCR- 19 is paved. d) 10 vph during peak hour turning left into the facility — left turn deceleration lane rivari Aldridge Transportation Consultants, LLC Page 3 of 3 e) 25 vph during peak hour turning right into the facility — right turn deceleration lane f) 50 vph during peak hour turning right out of the facility — right turn acceleration lane. The vehicles per hour triggers for deceleration or acceleration lanes are not met. CONCLUSIONS Based on this analysis, the present roadway surface, access configuration, and traffic control will adequately handle, without improvements, the truck traffic generated by the saltwater disposal facility. Should you have any questions or need additional information please call me at 303-703- 9112. Respectfully sL • pitted: Aldridge T ans t ortation Consultants, Lit I 1 John M.W. Aldrid e, PE, PTOE, AICP Principal JMWA/me 614:Kaao. ao\C' WASTE HANDLING PLAN NLG WATER SOLUTIONS DJ , LLC C2 SITE Facility Address: TBD Waste Facility Phone Number: 970-356-5560 Project Manager Phone Number: 913-424-4073 Office Phone Number 720-708-6535 Scope : This Waste Management Plan has been prepared to provide onsite operations personnel at the C2 SWD facility with the information necessary to properly identify , manage and dispose of wastes , and to ensure the safety and protection of employees, the public and the environment . The objective of this plan is to ensure waste generated at the site is managed according to all Local , Colorado and Federal regulations. Further, the plan will define operational chemicals used or stored on site requiring specific disposal pathways. If this plan is amended, the INCDPHE will be notified in writing. Chemicals Stored On Site : The following materials will be stored at the site to support operations and have specific disposal requirements. The quantities given are the maximum amount to be stored on site at a single time. NOTE : The oil collected as part of the skimming process is stored at the site in five 500 BBL steel tanks and is considered production oil that will be trucked out for sales. Therefore, it is not considered waste and is not listed in this plan . Chemicals Description Quantity Diesel Fuel Distillate fuels suitable for use in high and medium speed 50 Gal . internal combustion engines of the compression ignition type — Emulsion Breaker Clear to Slightly Hazy Light 30 Gal . Amber to Dark Amber liquid with pungent odor Crude Oil Naturally occurring, yellow-to-black liquid found in geologic 9O BBL's formations beneath the Earth's surface, which is commonly (petroleum ) refined into various types of fuels _ Unleaded Gasoline Light straw to red clear liquid with characteristic strong odor of 15 Gal . gasoline Chevron Way Oil Brown liquid with Petroleum odor 20 Gal . Vistac WT-990 Corrosion inhibiting cleaning compound < 1 Gal. Wolf's Head Gear Dark amber lubricant with mild petroleum odor 40 Gal . Oil NOTE : All chemicals listed above will have Material Safety Data Sheets on-site . 1 Projected Waste Streams and Volume : Waste Stream Waste Volume Disposal Constituents contact Filter Socks Produced water and 48 to 96 50 micron Waste management silts/sands >50 sock filters per day, microns removed weekly Sale Oil Crude oil 2-4 Loads per week NGL Crude Oil Transportation Solid Wastes Oily sand 100 BBL Waste Management Tanks cleaned 6-12 CSI disposal times per year Dumpsters Trash 4-6 Cubic yard Waste Management dumpsters , removed weekly NOTE : Waste generation during the life of this site is anticipated to be minimal . Any wastes that may be generated during the construction of this site will be temporarily stored in covered containers and will be removed from the site for proper disposal at a permitted facility. Spill Prevention and Response : Activities related to salt water disposal facilities require storage of hazardous and nonhazardous products and wastes. All efforts will be made to prevent spills of any amount of these products. The scope of this plan is intended to cover activities related to associated facilities. The following items will be followed to help avoid spills and minimize the impact of spills that accidentally occur: • Bulk quantities of any chemical will be stored in above ground tanks, which will be diked or be of double wall secondary containment design , or smaller containers. Secondary containment will also be provided for loading/unloading areas. No underground tanks will be used . A Safety Data Sheet (SDS) for each hazardous material will be located on site. • Fuel will be stored within secondary containment and as much as practical all equipment will be refueled there. Any equipment that must be refueled in the field will be fueled from tanks carried to the work area . Lesser quantities of chemicals ( i . e. , cleaning supplies , lubricants) may be stored at the work area as necessary to service equipment provided that this storage does not conflict with other parts of this plan . • All chemical storage areas will be located at least 200 feet from active private water wells , and at least 400 feet from municipal water wells. Equipment servicing , lubricating , and refueling will also be in accordance with these requirements whenever possible. 2 • Use of hazardous materials for vehicle maintenance will follow the same requirements mentioned above for equipment refueling . impervious or sorbent materials will be placed under the work area before the work begins. Additional sorbent materials will also be readily available. • Waste materials created during maintenance ( i . e. , used oil ) will be collected for proper disposal. • The work site for which these chemicals are used will be inspected after the maintenance work is complete to ensure that all hazardous materials are properly contained. All waste material , including partially used or empty containers, discarded parts, dirty rags, and used sorbent material , as well as discarded hazardous materials containers (i . e. , oil cans, grease tubes) will be collected and placed in open-top drums for proper disposal . • All motor fuel , lube oil , chemicals, and other polluting substances will be tightly sealed and clearly labeled during transportation and storage. • Runoff resulting from facility equipment washing operations will not be permitted to directly enter any water body or wetland area . • Construction equipment , vehicles, materials, hazardous materials, chemicals, fuels, lubricating oils , and petroleum products will be parked , stored , or serviced 100 feet from all water bodies and wetlands when not in use and when possible. • Any materials, hazardous materials, chemicals, fuels, lubricating oils, and petroleum products that must be used within 100 feet of a water body or wetland to support the work will only be used within the secondary containment protection and will be stored within temporary secondary containment during work hours. No materials , hazardous materials, chemicals, fuels, lubricating oils, or petroleum products that are not contained within equipment wi De stored within 100 feet of a water body or wetland . All other sections of this plan will be followed for spill prevention and mitigation and cleanup methods . • All equipment will be inspected daily for leaks prior to beginning operations. Steps will be taken to repair leaks or remove the equipment from service, if necessary . • All containers containing any hazardous material ( i . e. chemicals, lubricants, oils) will be neatly labeled. • The height of stacked containers will be limited and done so careful manor, for stability to avoid spills. • Clean up procedures and materials will be readily available and clearly posted at work areas. • Spill reporting is consistent with all federal and state requirements. • ,Haste generated from a spill or release will be handled in accordance with all applicable federal and state rules and regulations. 3 • Information concerning the handling and disposal of this waste stream will be reported to the WCDPHE. • The fluid generated at the vehicle wash out area will be contained, managed & disposed of via the following: vehicles will be washed with high pressure washers with all the water being directed toward the offload pipe trench. This pipe slopes and the contents collect into the sump pump where the contents are pumped into the system head for processing. • Potentially contaminated solids such as filter socks will be collected by an approved vendor for dry-out and processing before being disposed of at a waste management site. • Waste handling hydro-vac trucks will suck E&P waste from the tank bottoms into 7 30bbl tanker trucks for disposal off site at Conservation Services Inc. located at 47800 East 88th A venue, Bennett, CO 80702. To contact via phone, call (303)-644-4395. Pollution Incident Response : In the event of a spill the following will occur: • The source will be immediately stopped . • The spill will be contained by placing sorbent booms or constructing dikes . • The spill will be collected with sorbent materials , skimmed off water surfaces with booms , and/or the contaminated soil will be excavated; and the waste materials will be properly disposed in accordance with NGL's internal policies. • Document the spill and its clean-up procedures whether reporting is required or not. At a minimum document the following : o Nature of spill o Quantity of spill o Date/time spill occurred : Agency notification if necessary o Clean-up procedures used o Daily monitoring ( 7 days) after clean-up o Photographs o Interviews) with any witnesses of the event • The affected areas will be restored as closely as possible to their previous condition . Spills of oil or petroleum products should be reported immediately to the Site Manager. Environmental support staff will determine the reporting requirements and contact the appropriate State and Federal environmental agencies for notification requirements . If the Site Manager cannot be contacted , then the Site Supervisor should make the necessary notifications . • A reportable release is a quantity or an unknown quantity of regulated substance released to or posing an immediate threat to surface water, 4 groundwater, bedrock, soil or sediment. The term does not include the following , provided the owner or operator has control over the release, the release is completely contained , and within 24 hours of the release, the total volume of the release is recovered or removed in the corrective action : o A release to the interstitial space of a double-walled aboveground or underground storage tank. o A release of less than 25 gallons to a containment area , structure or facility around an aboveground storage tank. o A release of less than five gallons to a synthetic surface, such as asphalt or concrete, which prevents migration of the regulated substance to surface water, groundwater, bedrock, soil or sediment ; and a release of less than one-gallon to surface soils. • Some spills will need to be reported to the Division of Water Quality immediately including the following : o Over 25 gallons of petroleum . o 5 CCs of mercury. • A release of any chemical , oil , petroleum product which entered waters of the State of Colorado (which include surface water, groundwater, dry gullies or storm sewers leading to surface water) . • Any spill or release of raw sewage. • If any of the above criteria is met or exceeded, the Colorado Department of Public Health and • Environment (CDPHE) , Local Emergency Planning committee, downstream users and other agencies (MS4s) will be notified. The CDPHE will be notified by telephone within 24 hours. n addition , written notification describing the spi-1 and the cleanup procedures used will be sent to the agencies 5 days following the spill . If a spill does not meet the above criteria , reporting is not mandatory . CDPHE 24-hour environmental emergency spill reporting line is 1 -877- 518- 5608 . Company Emergency Contacts: Josh Patterson Vice President of Operations 0 : 970-356- 5560 jpatterson@highsierraenergy.com 8207 W. 20th St Suite B, Greeley, CO 80634 5 DUST ABATEMENT PLAN NGL WATER SOLUTIONS DJ , LLC : C2 SWD FACILITY Road Surface • The road surface for the proposed access entering the property is a dirt road with an aggregate surface. • Prior to site work traffic arriving , the road surface will be maintained , to ensure that there is adequate aggregate on the road to provide traction in the event of rain or moisture. • Also prior to site work, the road surface will be moistened by water then a Chloride product will be applied to minimize dust. The Chloride product that will most likely be used will be Magnesium Chloride. • The Chloride product will be applied as needed throughout the entire construction/site work process as the road surface changes, due to traffic or weather conditions . • Application of water & chemicals will be done with a 1200 gallon tank truck with a spray type applicator. Parking Area • The primary parking area that is closest to the activities area will be constructed of the same material as the site access. This will provide for any handicap parking needs as well as a dust abatement plan for the heaviest traveled parking area . • The overflow parking area will be moistened with non-potable water, not a chemical chloride product, to prevent any potential vegetation damage. • The isles of the overflow parking area will be the largest concern for dust & they will be monitored-thruuyliuut the day. Water wilt be applied as needed to this parking area . • Application of water will be done with a 1200 gallon tank truck with a spray type applicator. Activities Area • The activities area will be monitored daily & throughout the day for dust control . • As surface may become loosened with traffic; non-potable water will be applied to the area as needed to lessen the effects of heavy foot traffic. • Application of non-potable water will be done by either a 1200 gallon tank truck with a spray type applicator or a 30 gallon sprayer mounted on an All-Terrain Vehicle . SEPCIAL USE PERMIT APPLICATION QUESTIONNAIRE NGL WATER SOLUTIONS DJ , LLC FACILITY RENOVATION : C2 NGLWS C2 SWD Facility 1. Explain, in detail, the proposed use of the property: NGL Water Solutions DJ, LLC proposes that this site be amended to allow for expansion of the existing C2 saltwater disposal facility. This will include construction of a concrete tank farm, offload, pump house building, and a new injection well to allow for increased disposal capacity. NGL Water Solutions DJ, LLC would also like to request temporary operation of this Class II Oilfield Waste Disposal Facility — Saltwater Injection Facility, and associated infrastructure, which will be permitted for a period of less than six (6) months per County policy prior to meeting the Conditions of Approval associated with Pre14-0297 and with Weld County staff approval . NGL will provide, in writing, when the facility will commence operations. At the end of this six month operational period all temporary equipment not a part of the permanent facility shall be dismantled and removed . 2. Explain how this proposal is consistent with the intent of the Weld County Code, Chapter 22 of the Comprehensive plan. This proposal is consistent with the intent of the Weld County Code, Chapter 22, Sec. 22-4-140 EP. Goal 1, which states it's our goal to encourage the minimization of natural resource exploration and production waste and require the safe disposal of it. 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. This proposal is consistent with the Weld County Code, Chapter 23, Sec. 23-3-40.A.2, which states that oil and gas support and services may be constructed, occupied, operated, and maintained in the A (Agricultural) Zone District upon approval of a permit in accordance the requirements and procedures set forth from the County. 4. What type of uses surround the site (explain how the proposed use is consistent and compatible with surrounding land uses. Encana has two oil drills directly south of the new C2 location . Farming is primarily the type of land use surrounding the site otherwise. 5. Describe, in detail, the following: a. Number of people who will use this site: In a 24 hour period, there will be 10 total employees that utilize this site with no more than seven on site at any one time. Also, this site is permitted to allow for unlimited truck traffic in a 24 hour period . We anticipate that there will be an average of 208 truckloads per day at the facility. b. Number of employees proposed to be employed at this site: This site will employ 10 employees in a 24 hour period with no more than seven on site at any given time. Employees will be scheduled to work two 12 hour shifts per day. c. Hours of operation: NGL Water Solutions would like to request 24-hour operations at this SWD facility. d. Type and number of structures to be erected (built) on this site: NGL Water Solutions proposes to construct a new 40' x 100' pump house building, a new 65' x 150' concrete tank farm and an 80' x 110' offload pad. NGL also proposes the use of an office trailer for operations. There will not be a kitchenette or break room at this facility and currently, there have not been any discussions on the use of frac tanks for temporary storage. There is potential for the expansion of the facility, which would include the expansion of the metal building as shown on the plans. e. Type and number of animals, if any, to be on this site: There will be no animals on site. f. Kind of Vehicles (type, size, weight) that will access the site and how often: Liquid transportation trucks weighing up to forty (40) tons will visit this site. NGL Water Solutions would like to request unlimited truck trips to this facility in a 24-hour period . In addition to the tanker trucks entering the facility there will also be passenger vehicles and pick-ups for the employees. Additionally there are likely to be service and delivery vehicles. g. Who will provide fire protection to the site: Greater Brighton FPD Station 55. h. Water source on the property (both domestic and irrigation): NGL plans to use a water well to provide water at this facility, but are currently in the process of obtaining an approved water well permit. i. Sewage disposal system on the property (existing and proposed): All sewage disposal on site will be handled by septic leach field system, which is in the process of being completed and will be provided to the County at a later date. j. If storage or warehousing is proposed, what type of items will be stored: The new pump house building will be utilized for additional storage of equipment. 6. Explain the proposed landscaping for the site. The landscaping shall be separately submitted as a landscape plan map as part of the application submittal The only landscaping done to this facility will be reseeding the property to prevent erosion from wind and precipitation . The drainage feature will also be appropriately stabilized to prevent any chance of erosion. 7. Explain any proposed reclamation procedures when termination of the Use by Special Review activity occurs Please reference the attached C2 SWD Detailed Closure Plan for reclamation procedures. 8. Explain how the storm water drainage will be handled on the site. Storm water drainage will be diverted to a detention pond in the middle of the access road with a 24" CMP culvert to discharge excess runoff water. 9. Explain how long it will take to construct this site and when construction and landscaping is scheduled to begin This project will take five to six months to complete and construction is scheduled to begin on November 1St, 2015. 10. Explain where storage and/or stockpile of wastes will occur on this site All waste material, including partially used or empty containers, discarded parts, dirty rags, and used sorbent material, as well as discarded hazardous materials containers (i.e., oil cans, grease tubes) will be collected and placed in open-top drums for proper disposal . All motor fuel, lube oil, chemicals, and other polluting substances will be tightly sealed and clearly labeled during transportation and storage. . No materials, hazardous materials, chemicals, fuels, lubricating oils, or petroleum products that are not contained within equipment will be stored within 100 feet of a water body or wetland . 11. Please list all proposed on-site and off-site improvements associated with the use (example: landscaping, fencing, drainage, turn lanes, etc.) and timeline of when you will have each one of the improvements completed. On-Site Improvements Overlot Grading (2/8/16 - 3/4/16) ❑ Install Entrance (3/7/16 — 3/11/16) ❑ Detention Pond (4/27/16 — 1/6/17 a Installment (4/27/16 — 7/28/16) Roadway (1/9/17 — 12/8/17) o Scrap & Prep (1/9/17 — 6/27/17) o Install Roadbase (6/23/17 — 12/08/17) Install Fencing (4/25/16 — 4/25/16) Off-Site Improvements - Road Maintenance Collateral . Please include in your narrative the future expansion component for the building near the trash enclosure. Also identify the ownership of the existing gas line adjacent to County Road 19. NGL currently has no direction for the future expansion component for the metal building near the trash enclosure. If the situation happens to arise, demanding NGL to increase the size of the metal building, then NGL and M3C will provide Weld with the necessary drawings and documents to meet the County's conditions of approval . DCP Midstream owns the existing gas line adjacent to County Road 19. Please provide a detailed description of the relationship between the facility permitted under MUSR12-0013 and this new location. The original C2 facility, which is permitted under MUSR12-0013 will eventually be demoed and abandoned making the new facility the only fully operational C2 site for NGL. The only relationship between these two facilities is the well at the C2 facility, permitted under MUSR12-0013, which NGL plans to use until the well at the new C2 facility has been drilled and is ready for use. FORM State of Colorado DNR Document Number: 2A Oil and Gas Conservation Commission 400836091 Rev 1120 Lincoln Street, Suite 801 , Denver, Colorado 80203 CO 08/13 Phone: (303) 894-2100 Fax: (303) 894-2109 q 0 Oil and Gas Location Assessment Date Received: [x New Location Refile Amend Existing Location Location#: 08/26/2015 Submit signed original form. This Oil and Gas Location Assessment is to be submitted to the COGCC for approval Location ID : prior to any ground disturbance activity associated with oil and gas operations. Approval of this Oil and Gas Location Assessment will allow for the construction of the below specified Location; however, it does not supersede any land 443339 use rules applied by the local land use authority. Please see the COGCC website at http://cogcc.state.co.us/ for all accompanying information pertinent this Oil and Gas Location Assessment. Expiration Date: 09/24/2018 ix This location assessment is included as part of a permit application. CONSULTATION This location is included in a Comprehensive Drilling Plan. CDP # This location is in a sensitive wildlife habitat area. This location is in a wildlife restricted surface occupancy area. This location includes a Rule 306.d.(1 )A.ii. variance request. Operator Contact Infornnr3tion Operator Number: 10373 Name: Paul Gottlob Name: NGL WATER SOLUTIONS DJ LLC Phone: (720) 420-5747 Address: 3773 CHERRY CRK NORTH DR #1000 Fax: ( ) City: DENVER State: CO Zip: 80209 email: paul.gottlob@iptenergyservices.co m RECLAMATION FINANCIAL ASSURANCE x Plugging and Abandonment Bond Surety ID: 20110128 Gas Facility Surety ID: Waste Management Surety ID: LOCATION IDENTIFICATION Name: NGL MAJOR FACILITY Number: C2 County: WELD QuarterQuarter: SENE Section: 28 Township: 1N Range: 67W Meridian: 6 Ground Elevation: 5015 Define a single point as a location reference for the facility location. When the location is to be used as a well site then the point shall be a well location. Footage at surface: 2473 feet FNL from North or South section line 235 feet FEL from East or West section line Latitude: 40.022538 Longitude: -104.886924 PDOP Reading: 1 .5 Date of Measurement: 04/27/2015 Instrument Operator's Name: Monty Wallace Date Run: 9/25/2015 Doc [#400836091] Page 1 of 9 RELATED REMOTE LOCATIONS (Enter as many Related Locations as necessary. Enter the Form 2A document # only if there is no established COGCC Location ID#) This proposed Oil and Gas Location is: LOCATION ID # FORM 2A DOC # FACIU IES Indicate the number of each type of oil and gas facility planned on location Wells 2 Oil Tanks* 6 Condensate Tanks* Water Tanks* 14 Buried Produced Water Vaults* Drilling Pits Production Pits* Special Purpose Pits Multi-Well Pits* Modular Large Volume Tanks Pump Jacks Separators* Injection Pumps* 2 Cavity Pumps* Gas Compressors* Gas or Diesel Motors* Electric Motors Electric Generators* Fuel Tanks* LACT Unit* Dehydrator Units* Vapor Recovery Unit* VOC Combustor* Flare* Pigging Station* OTHER FACIU11ES* Other Facility Type Number *Those facilities indicated by an asterisk (*) shall be used to determine the distance from the Production Facility to the nearest cultural feature on the Cultural Setbacks Tab. Per Rule 303.b.(3)C, description of all oil, gas, and/or water pipelines: Intra-facility flow lines generally 4" fusion bonded schedule 160 steel from WH to Facility Tanks adjacent to wellpad. This Facility will replace the current facility owned and operated by NGL Water Solutions DJ , LLC at the NGL Major Facility C2 # 330267 located in the SESE of this same section. Once this new facility is operational the current one (C2) will be closed, leaving just the wellhead of the NGL C2 - API 05-123-18763. Flow lines will run from north to south - from the new facility to the C2 Injection well to the south and a ROW Agreement with Encana is attached. The planned 2nd UIC well for this location will be permitted in aprx. 30 days. CONSTRUCTION Date planned to commence construction: 09/30/2015 Size of disturbed area during construction in acres: 7.74 Estimated date that interim reclamation will begin: 02/29/2016 Size of location after interim reclamation in acres: 3.54 Estimated post-construction ground elevation : 5015 DRILLING PROGRAM Will a closed loop system be used for drilling fluids: Yes Is H2S anticipated? No Will salt sections be encountered during drilling: No Will salt based mud (>15,000 ppm CI) be used? No Will oil based drilling fluids be used? No Date Run: 9/25/2015 Doc [#400836091] Page 2 of 9 DRI W NG WASTE MANAGEMENT PROGRAM Drilling Fluids Disposal: OFFSITE Drilling Fluids Disposal Method : Commercial Disposal Cutting Disposal : OFFSITE Cuttings Disposal Method: Commercial Disposal Other Disposal Description: Beneficial reuse or land application plan submitted? No Reuse Facility ID: or Document Number: Centralized E&P Waste Management Facility ID, if applicable: SURFACE & IVINERALS & RIGHT TO CONSTRUCT Name: D&C Farms LLLP Phone: Address: 8709 CR 4 Fax: Address: Email: City: Brighton State: CO Zip: 80603 Surface Owner: 'x Fee State Federal Indian Check all that apply. The Surface Owner: is the mineral owner is committed to an oil and Gas Lease has signed the Oil and Gas Lease is the applicant The Mineral Owner beneath this Oil and Gas Location is: x Fee State Federal Indian The Minerals beneath this Oil and Gas Location will be developed from or produced to this Oil and Gas Location: No The right to construct this Oil and Gas Location is granted by: Surface Use Agreement Surface damage assurance if no agreement is in place: Surface Surety ID: Date of Rule 306 surface owner consultation CURRENT AND FUTURE LAND USE Current Land Use (Check all that apply): Crop Land: Irrigated Y< Dry land Improved Pasture Hay Meadow CRP Non-Crop Land: Rangeland Timber Recreational Other (describe): Subdivided : Industrial Commercial Residential Future Land Use (Check all that apply): Crop Land: Irrigated x Dry land Improved Pasture Hay Meadow CRP Non-Crop Land: Rangeland Timber Recreational Other (describe): Subdivided: Industrial Commercial Residential Date Run: 9/25/2015 Doc [#400836091] Page 3 of 9 CULTURAL DISTANCE INFORMATION INSTRUCTIONS: Provide the distance to the nearest cultural feature as measured from Wells or - All measurements shall be provided from center Production Facilities onsite. of nearest Well or edge of nearest Production From PRODUCTION Facility to nearest of each cultural feature as From WELL FACILITY described in Rule 303.b.(3)A. Building: 1147 Feet 1136 Feet - Enter 5280 for distance greater than 1 mile. - Building - nearest building of any type. If nearest Building Unit: 1348 Feet 1434 Feet Building is a Building Unit, enter same distance for both. High Occupancy Building Unit: 5280 Feet 5280 Feet - Building Unit, High Occupancy Building Unit, and Designated Outside Activity Area: 5280 Feet 5280 Feet Designated Outside Activity Area - as defined in 100-Series Rules. Public Road: 235 Feet 414 Feet -For measurement purposes only, Production Above Ground Utility: 1081 Feet 1116 Feet Facilities should only include those items with an asterisk(*) on the Facilities Tab. Railroad: 5280 Feet 5280 Feet Property Line: 171 Feet 68 Feet DESIGNATED SETBACK LOCATION INFORIVIATION Check all that apply. This location is within a: Buffer Zone - Buffer Zone - as described in Rule 604.a.(2), within 1,000' of a Building Unit. Exception Zone - Exception Zone - as described in Rule 604.a.(1), Urban Mitigation Area within 500' of a Building Unit. - Urban Mitigation Area - as defined in 100-Series Pre-application Notifications (required if location is within 1 ,000 feet of a building unit): Rules. Date of Rule 305.a.(1 ) Urban Mitigation Area Notification to Local Government: Date of Rule 305.a.(2) Buffer Zone Notification to Building Unit Owners: FOR MULTI WELL PADS AND PRODUCTION FACILTIES WTHIN DESIGNATED SETBACK LOCATIONS ONLY: & KFifi ,P MIER Uafl\P MI2 REIM* DV/ FFEMEGKDV RE co.i ImY1-C31K PIIRCE) DFt Nte-L 1-[P X@S®UZ I-IT EECURIDRI IWfbfLDaDAH Production Facilities are proposed to be located less than 1 ,000 feet from a Building Unit. (Pursuant to Rule 604.c.(2)E.i., the operator must evaluate alternative locations for the Production Facilities that are farther from the Building Unit, and determine whether those alternative locations were technically feasible and economically practicable for the same proposed development) By checking this box, I certify that no alternative placements for the Production Facilities, farther from the nearest Building Unit, were available based on the analysis conducted pursuant to Rule 604.c.(2)E.i. In the space below, explain rationale for siting the multi-well Production Facility(ies) that supports your Rule 604.c.(2)E.i determination. Attach documentation that supports your determination to this Form 2A. SOIL List all soil map units that occur within the proposed location. attach the National Resource Conservation Service (NRCS) report showing the "Map Unit Description" report listing the soil typical vertical profile. This data is to used when segregating topsoil. The required information can be obtained from the NRCS web site at http://soildatamart.nrcs.usda.org/ or from the COGCC web site GIS Online map page found at http://colorado.gov/cogcc. Instructions are provided within the COGCC web site help section . N RCS Map Unit Name: Olney fine sandy loam, 3% to 5% slopes, # 48 N RCS Map Unit Name: Olney fine sandy loam, 1 % to 3% slopes, # 47 N RCS Map Unit Name: Date Run: 9/25/2015 Doc [#400836091] Page 4 of 9 PLANT COMMUNITY: Complete this section only if any portion of the disturbed area of the location's current land use is on non-crop land . • Are noxious weeds present: Yes No IX Plant species from: NRCS or, field observation Date of observation: 04/27/2015 List individual species: Sideoats grama, Snad dropseed, Thickspike wheatgrass, Prairie snadreed, Blue grama. Check all plant communities that exist in the disturbed area. Disturbed Grassland (Cactus, Yucca, Cheatgrass, Rye) Ix Native Grassland (Bluestem, Grama, Wheatgrass, Buffalograss, Fescue, Oatgrass, Brome) Shrub Land (Mahogany, Oak, Sage, Serviceberry, Chokecherry) Plains Riparian (Cottonwood, Willow, Aspen, Maple, Poplar, Russian Olive, Tamarisk) i Mountain Riparian (Cottonwood, Willow, Blue Spruce) Forest Land (Spruce, Fir, Ponderosa Pine, Lodgepole Pine, Juniper, Pinyon, Aspen) Wetlands Aquatic (Bullrush, Sedge, Cattail , Arrowhead) Alpine (above timberline) Other (describe): WATER RESOURCES Is this a sensitive area: No x Yes Distance to nearest downgradient surface water feature: 31 Feet water well: 74 Feet Estimated depth to ground water at Oil and Gas Location 8 Feet Basis for depth to groundwater and sensitive area determination: Distance to nearest downgradient surface water feature is 1200' North, which is a Levee. Nearest surface water is ditch which is along the north edge of the location. Nearest Water Well is 74' SW (supposedly a monitoring well - surveyor could not locate any on planned pad when staking). Estimated depth to groundwater and sensitive area determination: depth of 8' is taking into account all water wells within a 1 mile radius. Is the location in a riparian area: x No Yes Was an Army Corps of Engineers Section 404 permit filed X No Yes If yes attach permit. Is the location within a Rule 317B Surface Water Supply Area buffer No zone: If the location is within a Rule 317B Surface Water Supply Area buffer have all public water supply systems within 15 miles been notified: No Is the Location within a x No Yes Floodplain Data Sources Reviewed (check all that apply) Floodplain? Federal (FEMA) x State ix County Local Other GROUNDWATER BASELJNE SAIVPIJNG AND MONITORING AND WATER WELL SANPIJNG Water well sampling required per Rule 318A Date Run: 9/25/2015 Doc [#400836091] Page 5 of 9 DESIGNATED SETBACK LOCATION EXCEPTIONS Check all that apply: Rule 604.a.(1 )A. Exception Zone (within 500' of Building Unit) Rule 604.b.(1 )A. Exception Location (existing or approved Oil & Gas Location now within a Designated Setback as a result of Rule 604.a.) Rule 604.b.(1 )B. Exception Location (existing or approved Oil & Gas Location is within a Designated Setback due to Building Unit construction after Location approval) Rule 604.b.(2) Exception Location (SUA or site-specific development plan executed on or before August 1 , 2013) Rule 604.b.(3) Exception Location (Building Units constructed after August 1 , 2013 within setback per an SUA or site-specific development plan) RULE 502.b VARIANCE REQUEST Rule 502.b. Variance Request from COGCC Rule or Spacing Order Number ALL exceptions and variances require attached Request Letter(s). Refer to applicable rule for additional required attachments (e.g. waivers, certifications, SUAs). OPERATOR CONVENTS AND SUBMTTAL Comments According to the COGCC Mapping Tool: Water Resources / Lakes layer - shows a "pond" at this site. But IPT and Acklam Surveying have both inspected this site during a stretch of 2 weeks of heavy rains and on 5/20/15 there was no standing water anywhere on this proposed facility and well pad site. Evidently, over the years, the farmers via plowing & re-contouring have made this area high ground which drops off just north of this site going further north and downhill to a levee and then a stream. Attached is a diagram listed as "Other" regarding this issue. Even USGS topos still show a pond - but there definitely is no longer a possibility of one at this location - even after heavy rains. Based upon this data we request this site not be listed in a riparian area. The COGCC Water Resources / Water Wells layer also shows 2 Monitoring Wells on this location - which were not able to be located - this is also addressed on the same diagram. Some of the supposed Monitoring Wells show as being on the County Road just to the east of this site? With all this in mind, NGL Water Solutions DJ, LLC requests this site not be considered a riparian area or considered too close to a water well. There are 2 UIC wells planned for this surface area - but just one is being permitted at this time. Forms 31 & 33 with attachments will be hand delivered 8/26/15 - same day as this Form 2 is submitted. I hereby certify that the statements made in this form are, to the best of my knowledge, true, correct and complete. Signed: Date: 08/26/2015 Email: paul .gottlob@iptenergyservices.com Print Name: Paul Gottlob Title: Regulatory & Engin. Tech. Based on the information provided herein, this Application for Permit-to-Drill complies with COGCC Rules and applicable orders and is hereby approved. COGCC Approved: A Director of COGCC Date: 9/25/2015 Conditions Of Approval All representations, stipulations and conditions of approval stated in this Form 2A for this location shall constitute representations, stipulations and conditions of approval for any and all subsequent operations on the location unless this Form 2A is modified by Sundry Notice, Form 4 or an Amended Form 2A. COA Type Description Operator shall provide notice to COGCC 48 hours prior to commencing construction of this Oil and Gas Location via Form 42 per Rule 316C.c. Best Management Practices Date Run: 9/25/2015 Doc [#400836091] Page 6 of 9 No BMP/COA Type Description 1 Traffic control RULE 604.c. D: If required by the local government, a traffic plan shall be coordinated with the local jurisdiction prior to commencement of move in and rig up. Any subsequent modification to the traffic plan must be coordinated with the local jurisdiction. 2 Traffic control RULE 604.c.S: At the time of construction , all leasehold roads shall be constructed to accommodate local emergency vehicle access requirements, and shall be maintained in a reasonable condition. 3 General Housekeeping RULE 604.c. P: All surface trash, debris, scrap or discarded material connected with the operations of the property shall be removed from the premises or disposed of in a legal manner. 4 Material Handling and Spill RULE 604.c. F: The Operator shall develop a plan to monitor Production Facilities on a Prevention regular schedule to identify fluid leaks. 5 Material Handling and Spill RULE 604.c.G: Berms or other secondary containment devices in Designated Setback Prevention Locations shall be constructed around crude oil , condensate, and produced water storage tanks and shall enclose an area sufficient to contain and provide secondary containment for one- hundred fifty percent ( 150%) of the largest single tank. Berms or other secondary containment devices shall be sufficiently impervious to contain any spilled or released material . All berms and containment devices shall be inspected at regular intervals and maintained in good condition . No potential ignition sources shall be installed inside the secondary containment area unless the containment area encloses a fired vessel. Refer to API Bulletin D16: Suggested Procedure for Development of a Spill Prevention Control and Countermeasure Plan. 6 Material Handling and Spill RULE 604.c. R: All newly installed or replaced crude oil and condensate storage tanks Prevention shall be designed , constructed , and maintained in accordance with National Fire Protection Association (NFPA) Code 30 (2008 version). The operator shall maintain written records verifying proper design, construction , and maintenance, and shall make these records available for inspection by the Director. Only the 2008 version of NFPA Code 30 applies to this rule. This rule does not include later amendments to, or editions of, the NFPA Code 30. NFPA Code 30 may be examined at any state publication depository library. Upon request, the Public Room Administrator at the office of the Commission, 1120 Lincoln Street, Suite 801 , Denver, Colorado 80203, will provide information about the publisher and the citation to the material . 7 Construction RULE 604.c. E: This will be a single well pad adjacent to a permanent UIC Facility. 8 Construction RULE 604.c. M : Unless otherwise requested by the Surface Owner, well sites constructed within Designated Setback Locations, shall be adequately fenced to restrict access by unauthorized persons. 9 Construction RULE 604.c.Q: All guy line anchors left buried for future use shall be identified by a marker of bright color not less than four (4) feet in height and not greater than one ( 1 ) foot east of the guy line anchor. 10 Construction RULE 604.c.V: Where possible, operators shall provide for the development of multiple reservoirs by drilling on existing pads or by multiple completions or commingling in existing wellbores (see Rule 322). If any operator asserts it is not possible to comply with, or requests relief from, this requirement, the matter shall be set for hearing by the Commission and relief granted as appropriate. 11 Noise mitigation RULE 604.c.(2)A: Operations involving pipeline or gas facility installation or maintenance, or the use of a drilling rig, are subject to the maximum permissible noise levels for Light Industrial Zones, as measured at the nearest Building Unit. Short-term increases shall be allowable as described in 802.c. Stimulation or re-stimulation operations and Production Facilities are governed by Rule 802. 12 Noise mitigation Rule 802: Oil and gas operations at any well site, production facility, or gas facility shall comply with the Rule 802 permissible noise levels. Date Run: 9/25/2015 Doc [#400836091] Page 7 of 9 13 Noise mitigation RULE 604.c.A: If determined necessary, lighting abatement measures shall be implemented , including the installation of lighting shield devices on all of the more conspicuous lights, low density sodium lighting where practicable; the nearest building unit is 1 ,348' to the NE, at its election the operator may install temporary engineering controls consisting of perimeter sound walls during drilling and completion activities to provide noise relief. Permanent equipment on location shall be muffled to reduce noise, or shall be appropriately buffered . Rule 803: To the extent practicable, site lighting shall be directed downward and inward and shielded so as to avoid glare on public roads and Building Units within one thousand (1000) feet. 14 Odor mitigation Per Rule 805: Oil & gas facilities and equipment shall be operated in such a manner that odors and dust do not constitute a nuisance or hazard to public welfare. 15 Drilling/Completion RULE 604.c. N : Any material not in use that might constitute a fire hazard shall be Operations removed a minimum of twenty-five (25) feet from the wellhead , tanks and separator. Any electrical equipment installations inside the bermed area shall comply with API RP 500 classifications and comply with the current national electrical code as adopted by the State of Colorado. An emergency response plan has been generated for this site. 16 Final Reclamation RULE 604.c.T: Within ninety (90) days after a well is plugged and abandoned , the well site shall be cleared of all non-essential equipment, trash, and debris. For good cause shown, an extension of time may be granted by the Director. 17 Final Reclamation RULE 604.c. U : The operator shall identify the location of the wellbore with a permanent monument as specified in Rule 319.a.(5). The operator shall also inscribe or imbed the well number and date of plugging upon the permanent monument. Total: 17 comment(s) Attachment Check List Att Doc Num Name 1668821 CORRESPONDENCE 1668822 FACILITY DRAWING 1668823 HYDROLOGY MAP 1696609 MULTI-WELL PLAN 400836091 FORM 2A SUBMITTED 400836262 NRCS MAP UNIT DESC 400841744 NRCS MAP UNIT DESC 400841746 NRCS MAP UNIT DESC 400844485 ACCESS ROAD MAP 400844488 LOCATION PICTURES 400844492 LOCATION PICTURES 400844494 FACILITY LAYOUT DRAWING 400844499 LOCATION DRAWING 400844500 LOCATION PICTURES 400844501 REFERENCE AREA PICTURES 400844502 ACCESS ROAD MAP 400844503 ACCESS ROAD MAP 400844506 LOCATION DRAWING 400844507 LOCATION PICTURES 400844508 OTHER 400844520 ACCESS ROAD MAP 400844571 30 DAY NOTICE LETTER 400844581 WASTE MANAGEMENT PLAN 400846449 OTHER 400889591 SURFACE AGRMT/SURETY Total Attach: 25 Files Date Run: 9/25/2015 Doc [#400836091] Page 8 of 9 General Comments User Group Comment Comment Date Permit Final Review Completed. No LGD or public comment received. 9/24/2015 3:06:34 PM OGLA OGLA review is complete. No public comments received. OGLA task passed . 9/24/2015 2:42:46 PM OGLA Operator sent new total disturbance area and interim reclamation as well as surface 9/24/2015 water information. Also concurred that area is cropland and not rangeland . COGCC 2:36:48 PM updated attachments with facility map of interim reclamation area, hydrology map and correspondence. Removed old hydrology map, reference area map and reference area pictures. Because wells are separated by facility, Operator sent drawings of each well. OGLA Talked to Operator on the phone regarding not needing reference area pictures and 9/22/2015 understanding of well locations and disturbance area with interim reclamation. Sent 3:29: 12 PM email to Operator regarding as stated plus surface water and groundwater to sensitive environment. Permit Attached Multi-Well Plan . Permit Review Complete. 9/22/2015 12:55:28 PM Permit ON HOLD: missing Multi-Well Plan. 9/22/2015 8:36:49 AM Permit Pass completeness 8/31 /2015 9:50:23 AM Total : 7 comment(s) Date Run: 9/25/2015 Doc [#400836091] Page 9 of 9 DETAILED CLOSURE PLAN NGL WATER SOLUTIONS DJ , LLC : C2 FACILITY TO : Weld County Dept. of Public Health and Environment Colorado Oil & Gas Conservation Commission FROM : NGL Water Solutions DJ, LLC RE : DETAILED CLOSURE PLAN — C2 SWD Facility DATE: October 12, 2015 Schedule A Notice of Intent to Close Facility will be issued to Weld County within 30-days of ceasing operations. lf the operator cannot accept waste for a 30-day period and does not intend to cease operations a variance request explaining the temporary discontinuance of operations will be submitted to all regulatory agencies. Closure operations will be initiated within 90-days of issuing the Notice of Intent. Equipment Removal All electrical equipment will be de-energized and electrical terminations removed . Treatment equipment mentioned in the table below will be removed from the facility. All equipment will be cleaned by triple rinsing each unit with high pressure sprayer using potable water prior to removal or in the case of pumps circulating fresh water. All waste water will be contained and disposed of in accordance with applicable regulations. It is anticipated that all decommissioned equipment will be functional and will be reclaimed as used equipment. Item Description Quantity Method of Disposal Offload Pumps 4 Pumps will be cleaned, parts will be Sump Pumps 3 sold or reused at other NGL facilities Oil Transfer Pump 1 and remaining housings and skids will Filter Pump 1 be scrapped. Charge Pumps 2 Injection Pump 2 DeSander Tank 2 Brine water and tank bottoms will be System Tanks 4 disposed of, tanks will be emptied and Clean Tanks 1 steam cleaned by confined space Oil Tanks 5 crews and the clean tanks will be reused or scrapped . Heater Tank 1 Pump House Building 1 Buildings will be demolished, Offload Canopy 1 materials will be separated and Office Trailer 1 recycled/reused or scrapped . Impoundment and Ancillary Containments Removal a) Concrete Sump : The concrete sump will be cleaned by agitating residual or added liquid in the tank to suspended sediment to the extent possible. A vacuum truck will extract liquids and solids and will be transferred to a filter box to allow residual liquids to return to the sump. All residual liquid will be processed to the extent possible by the water treatment system . The sump will be tripled rinsed with potable water and all monitoring equipment removed. The tank will be decommissioned by demolishing the concrete with a vibratory breaker bar. The concrete will be crushed and used as recycled material . The secondary liner will be disposed of at an approved land fill . The excavation will be assessed for waste impacts and backfilled to grade with previously excavated fill . b) System Piping: All piping will be cleaned and removed for disposal or recycling. c) Off-Loading Pad : The concrete offload pad and offload trench will be removed , crushed and recycled . Prior to removal the trench will be cleaned by a high pressure washer and the waste water will be processed for reuse. d) Facility Building: The building will be completely removed and will be recycled or scrapped . e) Site Grading: The site will be graded to conditions prior to development. Surface cover used or stored in the site development will be use to re-grade the site to match neighboring sites. Data Quality Objectives Data Quality Objectives (DQOs) have been developed to ensure that data collection is of the correct type, quality, and quantity to support defensible site decisions. a) ProblemStatement Weld County requires this facility to submit a Closure Plan, which provides pre- and post- operation assessments. The facility will accept, store and dispose of produced water associated with oil recovery operations . The waste streams will consist of solids generated as part of the filtration process, oil recovered from separation and produced water contaminated with petroleum . b) Decision Requirements The primary questions addressed by this sampling program are : 1) what are environmental base line conditions; 2) what, if any are the impacts of site operations subsequent to facility decommissioning; and, 3) what, if any, remedial actions will be required after facility closure. No waste will be impounded at the facility in perpetuity and long term monitoring is not anticipated based on favorable closure assessment data . c) Decision Inputs Soil and water screening levels will be based on CDPHE's Colorado Soil Evaluation Values. The screening levels presented here are not to be considered as cleanup goals, but as concentrations at which further consideration is necessary. Development of screening levels ensures that appropriate analytical methods are used . The CDPHE has calculated risk-based screening levels (RBSLs) for corrective action guidance for petroleum releases. The RBSLs are limited to petroleum hydrocarbon compounds common to petroleum release sites . The RBSLs assess human health risk from direct contact to the compounds in soil as well as leaching of those compounds from impacted soil to ground water . These RBSLs can be used to identify appropriate disposal methods for impacted soil . d ) Sampling Plan i ) Offload Pad Two soil samples will be obtained at this location . The samples will be screened in the field for petroleum hydrocarbon vapors by placing samples in new, unused airtight containers . Soil vapor will be allowed to equilibrate within the headspace above the sample and then tested . Measurements will be recorded and the sample examined, noting color, texture, consistency, moisture content, and other pertinent information . All information will be documented and samples will be analyzed for petroleum . ii ) Tank Farm Containment Up to four soil samples will be obtained from beneath the Tank Farm containment. The samples will be field screened for organic vapors as described previously. Any sample(s) indicating the presence of organics will be submitted to a contract laboratory to determine petroleum concentrations. iii ) Pump House Building A sample will be obtained from beneath the pump house building, one sample will provide worst case conditions. The sample will be analyzed for petroleum . iv) Off- Loading Sump The off-loading sump will be removed including the secondary containment liner. Two soil samples will be obtained . The samples will befield screened for organic vapors and submitted for analysis to determine concentrations of petroleum . Conclusion WCDPHE will be notified prior to the closure of the facility. Upon site closure, the facility will remove all wastes from the site and decontaminate all equipment, tanks, and secondary containment. Upon closure, the facility will conduct a soil and groundwater assessment and will conduct remediation activities, as necessary. All wastes removed from the site during closure activities will be disposed of off- site, in accordance with all state and federal rules and regulations and with Weld County Code. Documentation of closure activities will be provided to WCDPHE. NGL Water Solutions DJ, LLC will commit to remediate this site in full. Any and all deficiencies will be rectified with the Weld County Department of Planning services. NGL Water Solutions pledges to address any case of environmental contamination, with the goal of identifying and treating any pollution, making the contaminated area usable again . No structure or equipment associated with the facility shall remain on the property following closure. FACILITY OEM PLAN NGL WATER SOLUTIONS DJ , LLC : C2 SWD 1 . Name: NGL Water Solutions DJ , LLC C2 Facility 2. Location : Near the intersection of WCR 6 & WCR 19 in Brighton , CO 80603 3 . Emergency Telephone Numbers : Day Night Facility Primary: Nick Valencia (720)-708-6535 x 313 (913)-424-4073 Facility Secondary: Ted Lopez (720)-708-6535 x 302 (816)-519-0056 Fire District 911 911 Greater Brighton Fire Protection District (303)-659-4101 Station 55 15959 Havana St. Brighton , CO 80602 Nearest Hospital/Ambulance Service 911 911 Platte Valle Medical Center (303)-498- 1600 1600 Prairie Center Parkway Brighton , CO 80601 Weld County Regional Communications Center 911 911 Other CDPHE Spill Line (877) 518-5608 National Response Center (800) 424-8802 CHEMTREC (Chemical Transportation Emergency Center) (800) 424-9300 4. Agency Notification Non Emergency: Phone# Fire Department/District: Greater Brighton , Station 55 (303)-659-4101 Hospital/Ambulance Service: Platte Valley MC (303)-498- 1600 Law Enforcement Agency: Weld County Sherriff (970)-356-4015 x 2804 Communication Center (970)-350-9600 Office of Emergency Management/LEPC (970)-304-6540 5 . Surrounding Occupancies & Land Use Surrounding is primarily agricultural . 6. Personal Protective Equipment Available : Location Rubber or neoprene boots: On Site Rubber Gloves: On Site Face Shield or similar protection : On Site Eyewash station On site 7 . Location of Emergency Equipment & Supplies : Phone# Emergency equipment & supplies, including the First Aid Kit are kept in the Operations Office . 8 . Location & Types of Water Supplies : There is no fresh water storage on site. Sanitary is currently handled by tap . Bottled water & non-potable water are kept in the Operations Office. There are several foam hydrants throughout the facility. 9. Transportation routes: This facility is located near the intersection of WCR 19 and WCR 6 on the South side of WCR 19 in Brighton , CO 80603 . The closest highway to this facility is 85. 10. Action Items : The delivery process includes travel on WCR 19 and/or WCR 6 for large 120bb1 trucks and smaller delivery and personal vehicles. Scenario one is a spill at offload of a 120bb1 truck containing brine water. All non-essential clean-up staff will leave the facility and the CDPHE 24- hour environmental emergency spill reporting line will be reached at 1 - 877- 518- 5608. Scenario two would be a chemical/diesel/hazardous material spill at the facility, the same process would go into effect. In both of these instances, the source will be immediately stopped and contained with absorbent materials . Spills will have samples taken and clean-up will follow the Waste Management Plan guidelines. Scenario three could be a lightning strike causing fire. All personnel will evacuate and meet at the Muster Point and the Fire Department will be called immediately. 1 1 . Coordination with First Responder Agencies : EHS representative and/or first responders will meet the day the Certificate of Occupation is presented to review emergency plan and tour facility. Please see Waste Handling Plan for chemicals kept on site . Our plan to meet with first responders and conduct exercises and training at our facility includes meeting with a representative of the Greater Brighton Fire Protection District to present our emergency action plan and discuss emergency scenarios. The Facility also has a Muster Point that all employees will meet at in the event of an emergency. 12. Safety and Training Review: Each year, all employees are provided with all necessary information concerning the proper handling of a chemical spill or accident. This information shall be in the form of a review sheet detailing proper procedures, which shall be signed and dated by each employee when all items are understood . Also , proper use of cleanup and containment tools and procedures will be demonstrated as necessary. Any new or updated information or procedures will be taught to employees immediately when applicable . Facility Manager Date Fire Department official Date Weld County OEM Roy Rudisill Date 4147643 10/05/2015 02:50 PM Total Pages: 5 Rec Fee : $31 .00 Carly Koppes - Clerk and Recorder, Weld County , CO RIGHT-OF-WAY AND .EA.S: ME,:NTT AGREEMENT. is :.. t 1$ I . GJ. " :';OF VAY AND EAKMENT AGREEMENT (1t gree ncri(') made t13is J my of `�. :y .• `. ; . : ?W15, :is :b a d between E.N:C ANA OiL ( LISA) JNC,, s with an to fires �.fl 7ib street; Suite Denver, Colorado:.80202 &"Gran:t:or=')., and. •S tit Water Solutions i..LC, .a Colorado LIG.. wit:h ansiaddress of: 3773 3:7 7 3 :Cherry Creek North Drive Suite :101)0 Denver; Colorado 80202: (r nintc;:"). The parties agree as follows: • for-and in :consideration :Of Ten Dollars:(S1:Q;l:0,90)!.and other:good..and valuable consader€ti0n,. .t~he receipt €and. s€i.it!ciency,.: which are hereby act new1e dged cantor hereby gran ts,: c-onvcys ,and warrant's unto c Cant-eel its successors and::assignsi : perpetual- righ€-cif-way and €'asemeent :to survey. construct, t ttttitai , inspect, operate, repair, replace modify atange the size'o:l, reconstruct, :marks monitor; abandon o:r :re n:ove, at orantees. elect.ion, We (2) pipelines convenient for the transportation. or transmission old oil gas petralet in prod t:cts, water,. hydrocaroons and:any y Other subStanccs.,: whether fluid, oUd €>.r aspousand .any products, deri a1ivcs, zombi tion.s or mixtures: any .of ti :w foregoing;. Fn,: on. :over, under, across; or through the lends aaniaated. in Weld County Color cto being :enerall:y deSerJbeti as follows : icl,ttaore hpecifl afl rale cnhed on t le attached. (the 'twin en(1,: Township I.;: ' are 42 il' '; ' 6th PS :Section '& :part;.of the 11/2.S13/ `t�ltl. County; Colorado. The spe:c it e. :route a3ud c.ouise (74-the .Ea&:enien.t Maserpe[ t'Lands't i. :3tmore: pa tl:cula:rly described o.n: the ;attachr:d : Exhibit A. The width Of the Easement: :Lands during: construction shall be. I' pi ty feet t 3' t . i t1 during all other times shall he:twenty feet: (20').:. Grantor rotor repro se is and warran€s to. Grantee tat Grantor_ is the Stile- owner in fee simple of the Eased' ennt Larnds::a3ld a tl::l' ht, .power..and1 au.thority:.to grant the Easerenl: If Grantor defaults tinder any tnoitgage, tax or other l en affecting the .14asentem Lands, Ortintee sh`sil.l have the right, but not : the Obligation, in Tits. sole' 7 isctet:ion, to-discharge,or redeem for Grantor; tip: whole or in pa, .an. ' :s 11 hen and he subrogated .touch tier -and.related rittht:sr eirantee 0.4: al: ^ipeS a€ depth €zf not less than.34 inches.: Grantee shall repaifand/tr restore any fence on or adince l ' to The ESem eni: . .1.3nds. removed i s ever: cl 11 ciiantee in tho course o .the operations provided for in. .this :Agreement, l` necessary to prevent the .escape or Grantor's livestock, Granter- shall: constrE.-ct temp'ora y gates or fences: .Grantee s:htd::l have 'all rights., privileges and bete13ivs necessary or:con yenieiit. fir. the hull .We. and enjoyment of the.Easemerd . incitidi.ng but not limited: t ea. .the :tight of ingress.. and.,egresS over And across Grantor's lands lying Adjacent to the Easement .i ands • to and.from: the Easement fat any :and all purposes necessary and incidental to exercising Grantee`s t'ight's u der this Agreement, Grantee:,$thall have the right t€? clear trees,, utnde₹"growth., brush, structures, and any other: items on the Easement Lands and ac jacent: lands to the . extent grantee. deems necessary in the exercise c'f the rights granted n. this. .A8xeet3 ent: .Gra.ntee shall not be'li:able :io:r da zages .er used by keeping he .b aseinent clear of trees, undergrowth; and bittsh. l 4147643 10/05/2015 02:50 PM Page 2 of 5 Grantor shall: have the right to use and enjoy they asemen€: Lands,. subiec . to the rights granted 3n This Agreements :provided, however, Grantor agrees not to built, create, ' or construct:: a.n u obstruction, building, :fence, l:ands:caping neat von.r, :enwineetine. works or other per anent structures cu i: :tpr: wcmen.ts. ver,• Ender. •ott or aS ros' the 4 e.i7 1efll: .0 ds .without. prior written consent Of Grantee. Grantor sha€n have Th tight to •g lace and :stores tFa F .rnathi ery €anks, €tepotators, coi busiors, pipe. :and Other such,. tem:s . 'Equipment."). within The: t.asernent ,ands. Ii .at any time Gran€ee requires. access. to €'he :Easement :I .ands.:and:E 1.t.ip-m nt: n eds to•be. moved to allow :for the access Grantee agrees to. re rnbvrse ra for for.al:€ stosts related tO:. toZ:irt s xth. Tlquipinatit; Grantee acknowledges that .the Easement Lands are`l.ocated within a •eontroi.led access yard that requires 2 business days:, notice prior to entry. :in the event of an: emergency notice is not required. but access .is :lit 3itecl :> it ttgh the controlled: entry' gate. E'irantee shall :pay for, t ?firs t CplfC . .-any damages tssulting # a:m Grantees activities and. operations on the Easement Lands, Grantor. acknowledges, however, that' the C031,5 isicmtion first recited above constitutes: ful . coustckran0n for: the ;Easement And other rights: granted in this :Agreement, for the. :i:thstallati:on:and ewistruduon of the initial pipelines and related .(ixai.res, :and or:darciges :to both both.lattd.and growing crops occasioned br t e i!1i ibt'3 9nsta lotion and Construction. This AgreementAgree:that cannot be rrt diiied, except in writing:signkd by Grantor and rantee.. H .VF AND Tt l btp_ the :Easement Unto- Grantee,me , HS S ecessors < nki : tssigns forevei . Grantor does hereby covenant and bind itself, and its heirs, successors, :assigns and 114211 crepresEenialive.$:. to wan-alit and. l .rev er. defi i s all and singular the l;-:aseniet t.D m0 Grantee, and :it:s successors and. assigns, ever ~person whomsoever oever lawfully claimi:ng or to claim Ave same or: any part: thereof, by through or' under Gr ntor, but not otherwise. Th& rights granted herein may not be assigned :tip whole Or':iEi part: without the priors ttcn c:onstn.i. cat Cxrartor which Shall: not 1be Unreasonably *wi hheld:. The terms; :.cond.it.iems, and provisions. of this.Agreement arc' a cov=enant twining with the land and shall :iii ire. to :the benefit Of and be:'bind ng upon the parties-at3:d their successors and a isigns. .This Agreement :ma.y:'he.-.execu cdl'-i::n: counterpart, eaell. of which: shall be :c:onsidered�.�one:an . the sanw {�greement,• Ti' ` WITNESS WHT R _ E, the p:u'tita:have executed this Agreernentias of the:.date. :#i t: abO:ve written:, iRANT ORo G S ( SA) f'fly is authorized agent,. SeryicEs 'Compan .:td • MIrttatailiS. Net. Title _ irectoi of&.eg. .Eand G. t .ITT E NUL \Vati4— it :ujo s Dot, [IC • a ti,\ ,yy rra�tt\ \\\\`\\ , � ♦ .` ♦ .,.,♦\ .\\,�.•}( 1. \ \- ♦\ ACC , \ '7>`•Q\ ,::J V per\ .,\..: . I.. 4147643 10/05/2015 02:50 PM Page 3 of 5 A. ' 'OWf :, DG M:f" ,` 'i.'S, • T .FRO � :, to :eI: :-.4•( 't 'COL \riiT O � l • 1 . `; ' \ S; \ a..,.\J.. a ,.1-:4 \,\...... .. _ -• ` .\` i c :10te410Itit, 0Stru ne}n \ as acknowledged• betor"e itie this ......,.:\ day OT \ >, \ ' `.. •. }\'i.rnttss 3 'han:(1 and•official.seal v DANIELLE . X. .GA At00"b.'Y♦i' t'♦ - 'i i - . \ \ \\ NOTARY'PUBLIC i. STASE COL \ i r \&♦\ v ' \ .. NOTARNO (CRY 14 ` ' Not` y Public. N 31'x.- \ •\` \� ♦a ,c-4•:i C .; ;_ ♦� \' \\.\\•\-:.,•4\ \.,., Y I�. 14 •}`MTV 1. ! \ Y ♦ l \♦ �)J\ \• '\..a.� \ \.• d#� M "�6 t 15 2#x#;7 `` •p�\"{(` C.y (. L7( () Tr, 1( j , \ ,.• ✓h.. �.\-: ..J.-�. yJ• \\\r•^-.\v� �.\.A.A.. \\}.. .}.r r•:J, t1 1\'T Y AMrramis Of .\�..�!!'f`�,t s. \ \I \ `• \ $.., :_.t.••• •$: ,:_.\ - $ ♦. .. .. \ .�. \ STALE. OF COLORADO) •COLINTY. OF DENVER ) The <i}egom :in:si ru. rwn •was acknowledged before me this- day of `\ .`• ; 2015, by. I, ut u 5 •INt, Campbell, Director of Sur-faze l;.at d for Eti aiia SeriCts (- ompaaiy. Y:.#:d., authorized agent for: .E ricai a::O.il &. On (USA'} Iiic.. a 13elaN w� re.corpot tmn. \\Fitness my 'hand and official scat. HOLLY • “C0P4ML• P40 • • •• • • \_: . , a= ...' • . STATE 9F cokortapc, .• mYQO SiON EX'1ttEa.AU U$T 18,'2018 1 )) k }\ } T' . �?� �F\f \ \. �:;.; :.:...?.�.::.��.:.... �:::\.:.T:.TKa..,.:.•.�::::v.v 110•:::- .. ......•.� :a 4147643 10/05/2015 02:50 PM Page 4 of 5 EXHIBIT " " Attached to and by reference made a port of that certain Pipeline Right—of—Way Grant dated .: ... ._._. 2415, by and between &. ENCANA OIL. GAS (USA) INC, as *Grantor* and N y WATER SOLUTIONS "Grantee" covering the following lands: Township I North. Range .67 West. 6th.. P.M. Section 28: E/2SE/4 Also known as Parcel #146928400004 by the Weld County CENTER QUARTER CORNER Assesadr'ts of€ice. SECTION 28, TIN., R.s7W Weld County, Colorado MIND ge REAR WITH N A i" 2.5" ALUM, CAP LS 23501 POINT OF TERMINUS a 27 S 8W37'r0"1W 2641,2Y 8 EAST QUARTER CORNER l 9'37'5O° E3IJ.Da'J SECTION 28. MN., R.e37W. N routo r IRON PIPE IN 1 1 MONtRAENT BOX. AFFIXED 2.5' ALUM CAP LS 35307 I I. 80' : I I 1 CEWEitrAt ' Ai 11'O _*4V A 03;815 =Fr, a,st A , 0 ... ...... ..�. ' rare tielifle 'V r I 1"ash. I kii 4 L.7' . I59S f NEC kik 4 : 01 arm:. gam at ors frisso 27v c: ‘ e + t E R a v4 sP sac a TIN, £87P \4 1 1 I i a s. z 1 0 I 1 1T OF k 1 BEGINNING £OF of POINT OF COMMENCEMENT rr r SOUTHEAST CORNER i SET O RE8 SECTION 28, t 7gtr. AR 'AMTH r 25' ALUM. CAP LS 38387 I I : f N 07'40'51' W 554.54' I i at jer `+-i,,. . 2..? au 11'- /l Y 1Dl.4LS 1 i 1 RIG 'T OF WA ! 1 3 I 1 •a r- Mrs _ .� 1,.....,. .,.F a R/GH,r t. -49.4 r I I 11 \\\Nsc,„_, 14);90339E41 -CP 'Pi, 11 el PAT�L '. '� ii; 'o :at s 00 = so'). Kyle Rutz-On beholf of .e :tkt �,„'�`‘r '"`" L£GE 46814- Colorado Licensed Prof. atonal . _ egilES Land Surveyor No. 38307 ®®� El . E 1) This exhibit drawing is not. intended to be a monument:Kt land :t XUGltIOf MCttittli i+11' A5 # SOR } survey. Its sole purposs} is as a graphic representation to aid €rn the +■ SET AL€QUSfT MONUMENT AS DESCRIBED visuQ$izr~tion of the written ,property de$rriptlon which H. accompanies. The wr;tten property description supersedes •the extebit drawing. L �1 i .`ti .- -- . is SECTION l..€NE 2) According to Colorado low, you must commence arty legal action based upon any defect in this Exhibit. within three sore after you ...:..........�,.�, ..,..� m CENT ilUNE 2A' Rttti11OF'' WAY discover such. defect. In no event, may any action based upon any a T.C.E. 4s TEMPORARY CONSTRUCTION EASEMENT defect in this survey be commenced mare than tan years after the dote of the certificate shown hereon. (t3W8Q-1135 C.R.S;) fir if OF IV DATE 6/25/2015 PFtOJECTT 201501 4147643 10/05/2015 02:50 PM Page 5 of- 5 Exhibit A PROPC,RTv,p E,ScRI C':1;1Q N A strip of land being Twenty(20) feet in Width,being a portion:of Lot 1.1, Amended Recorded Exemption No. 14d94$-4 A iR .- 1595 (AMRE-1595), recorded March 27, 2012 at Rceceptbon NO. 3834818 of the Records of.weld County; situate in the Southeast Quarter (SE114):of Section Twenty-eight (2.8),Township One:Nortfi a.IN.) .Range Sixty even West (tttflV.) Of the Sixth.Principal Meridian (&b P.M:),_cot;nty of Weld, State.of Colorado, The centerlineof which being inoreparticularlydescribed as follows.: COMMENCING.an the Southeast_eemer of said Section 28 and assuming the•! ast Tine of the Southeast Quarter of said Section. 28 0c !eating N 001'39'38'W as motrotnented by a #6 tebar with a 2.5" aluminum cap LS, 38307 on the South end and inonumented by a 1." itozi pipe with a 2.5" aluminum cop LS 38307 on the North end, beinga grid bearing of the Colorado State Plane Coordinate S.ystem,.North Zone, North American Datum 1:983, a distance of 2639,95 .fee; 4aith all other be~trings contained herein being relative thereto; The:iineal dimensions as contained herein are based upon the t .5. Survey Foot: THENCE N 07°40'•51" W a'distantte onf.654.54 fret tot North line of Lot .A, A.MRE-1.595 and to the POINT OF BEGINNING; THENCE N 00039'38 W parallel to and eighty (SO) feet West of the East line of said SE I14 .a distance of 1990.73 feet to the North Iiiie of said Lot B and.the POINT OF TERMINUS from which the East Quarter-Corner of said Section 28 !years N 89'37'507.E:a distance of 80.00 fiat; It is the intent of th s description that the sidelines of said strip he prolonged or.shortentd to terminate at the North line of said Lot A on the southerly end and at the North line of said Lot B on the northerly end. Said strip of land contains 39,81 S sq. €t. orO.9l acres more or less (41-), antis subject to any tights-ofYway or other easements of record as now existing on said desct bcd,parccl or land.. TO ETIII R WITIFI two.() temporary construction easements (t.C..4.) being Five(5) feet. iii width on the Lett and 5 fcet.on the Right, both coincident with the sidelines or the afcsresaid easement. Said.strips of land:contains 19,898 sq. ft. Or 0.46 acres more or.less (1.1..}, and.is subject.to any rights-rif-wayot other easements of record as ow a istingmitt said described parcel of land. SURVEYORS CERTIFICATE 1., Kyle E. R.tttx, a Colorado Licensed Professional Land Surveyor do hereby state that this Property Descripabii was prepared by me or under my personal supervision and checking, and that it is true and correct to the best of toy knowledge and bellef. C3 ` wee 3�t f 4.4 3? p .t- li . �� sVr "Opt' /4 /1,. AtIt\ 1 c1�s_ . . I ' Aspisinso* ass.) at Kyle E. Rutz - en belt of . •*wok.ts Colorado Licensed Professional Land Shell},fir #38307 UMW, line,: Professional Land Surveyors 6250'W. 10.th Street, Unit.2 Greeley, ("0.50434 (970) 51.5-5294 Sheet 2 of 2 Construction, LLC M2861 W. 120th Ave., Suite 250 Westminster, CO 80234 Phone: (720) 708-6535 December 18th, 2015 Mr. Kim Ogle Weld County, Department of Planning 1555 North 17th Avenue Greeley, CO 80631 Re: Request for Early Release of Building & Grading Permits - NGL C2 SWD USR15-0067 Dear Mr. Ogle, This letter is being issued as a request for early release of the commercial building and grading permits for NGL Water Solutions C2 SWD project prior to record of the final plat. We are requesting early release of the permits because this is a major part of the project scope and need to begin construction prior to winter to avoid serious weather delays. We plan on beginning construction immediately following approval of this request. We look forward to your response. Sincerely, Acter Cooper J. Murray, Assistant Project Manager M3 Construction, LLC Attachments 1 . Early Release Request Form 2. Grading Permit Submittal Requirements 3. Drainage Report CC: Tom Parko, Weld County Building/Planning Jose Gonzalez, Weld County Building/Planning Wayne Howard, Weld County Building/Planning Billie Moore, Weld County Building/Planning RtioA COLORADO N!/ Ol4YRf 90. « w Departm of ' X8,6 Health & Environment CERTIFICATION TO DISCHARGE UNDER CDPS GENERAL PERMIT COR-0300000 STORMWATER ASSOCIATED WITH CONSTRUCTION ACTIVITIES Certification Number: COR03O656 This Certification to Discharge specifically authorizes: M3 Construction LLC to discharge stormwater from the facility identified as NGL Water Solutions DJ LLC C2 SWD To the waters of the State of Colorado, including, but not limited to: Big Dry Creek- South Platte River Facility Industrial Activity : Oil and gas production Facility Located at: CR 6 and CR 19 Brighton CO 80603 Weld County Latitude 40. 022 Longitude - 104. 886 Specific Information (if applicable) : Certification is effective: 11 / 12 / 2015 Expiration Date: 6 / 30 / 2012 *ADMINISTRATIVELY CONTINUED This certification under the permit requires that specific actions be performed at designated times. The certification holder is legally obligated to comply with all terms and conditions of the permit. This certification was approved by: Lillian Gonzalez, Unit Manager Permits Section Water Quality Control Division *explanation of Admin Continued in cover letter WELD COUNTY GRADING PERMIT -,....weir; DEPARTMENT OF PLANNING SERVICES ITT _ 1555 N 17th AVE ' GREELEY, CO 80631 v� _ _ J PHONE: (970) 353-6100 EXT. 3540 _ c o_91fr" T --C<, I FAX: (970) 304-6498 Permit Number : GRD15-0063 Issuance of this Grading Permit binds Permit Holder and its Contractors to all requirements, provisions, and ordinances of Welc County, Colorado. The Permit Holder is required to call for inspections at the completion of Grading. Intermittent inspections may occur without notification and prior to the request for final inspection . The Permit Holder shall have this issued Grading Permit available onsite for the inspector. Grading Permits are not transferable. Italicized words within this Grading Permit correspond to defined terms contained in Weld County Code Chapter 8, Article XII . As a condition of issuance of this Grading Permit, Permit Holder acknowledges that in the case where this Grading Permit is issued prior to the final approval of any required land use application and/or prior to the satisfaction by Permit Holder of the terms and conditions of any approved land use application, all work conducted pursuant to this Grading Permit is at the sole risk and responsibility of Permit Holder, its officers, employees, subcontractors, Contractors, and agents. Issuance of this Grading Permit in no way represents or implies that Weld County, its officers, employees, departments, or boards and commissions will approve, or favor approval of, any pending land use application made by Permit Holder. As a condition of issuance of this Grading Permit, Permit Holder, its agents, employees, subcontractors, contractors and assignE hereby agree to hold Weld County, Colorado, the agencies thereof and their officers and employees harmless from any and all loss and damage or any claims which may arise out of, or be connected with, the construction within the area covered by this Grading Permit; excluding any such loss and damage or any claims (including consequential damages) which may be caused solely by the negligence of Weld County, the agencies thereof or its officers and employees. Do Not Begin Site Grading Until All Erosion Contol Measures Are In Place Per The Accepted Grading Plans. Applied Date: 12/01 /2015 Status: Issued Project Address: Status Date: 12/09/2015 Disturbed Acres: 20 Expiration Date: 06/09/2016 Access Location : CR 19 AND CR 6 Planning Case: USR15-0067 Job Description: GRADING PERMIT FOR SALTWATER DISPOSAL FACILITY, INCLUDING A CONCRETE TANK FARM , OFFLOAD, PUMP HOUSE BUILDING AND NEW INJECTION WELL. Parcel Number: 146928200002-R6787646 Owner Name: D & C FARMS LLLP (5/12 INT) Owner Address: 8709 COUNTY ROAD 4 BRIGHTON , CO 806038901 Contacts: Business Type/Relationship Address Email/Phone M3 CONSTRUCTION LLC Applicant 2861 W 120TH AVE STE 250 BTHIELEN@M3CONSTRUCT.COM WESTMINSTER. CO 80234 7207086535 M3 CONSTRUCTION LLC Authorized Agent 2861 W 120TH AVE STE 250 CMURRAY@M3CONSTRUCT.COM WESTMINSTER. 80234 7207086535 Payment Summary: Receipt # Payment Method Payment Ref # Payment Date Payment Amount 89296 Credit Card 5125 12/01/2015 $100.00 Total : $100.00 Print Date -Time: 12/9/2015 2:51 :09PM Report ID: PL00023v001 Page 1 of 2 Inspections: Date Inspector Notes Final I Print Date -Time: 12/9/2015 2:51 :09PM Report ID: PL00023v001 Page 2 of 2 �a PS/CL Water Solutions Dj LL CI J C2 GRADING PLAN 11 o m CR 19 DACO \ O W I �:LD 31:: 3 co W ®' ` " � COU\TY, COLORADO / ' / ° w / ,� 1 o' 6 ' x 12' x 18" /a 1 .s�/ '50 2.04% -I IoJo I9 d5ORIP RAP D — o .02.82 °� / .. ( 2) 24" CMP _ _ I WITH FLARED END SECTIONS # $ �, I d / / 499 . - - �° 24y s0 0��j� . � INV IN - 5OOO: 15 9g5 �. / , , -'. INV OUT = 4999 . 95 !► 00 So0.2.2 � �� yoQ . 0.5 O 0.4%v0 I / LENGTH = 92 � o / / / SLOPE = O. 2% /� / quo / / soo4. o° soo2.oc oeti° '� / / - — ,,�0°- — - -- _ .Dag Q�. ... .... y I �y / �5 // 4��ry / / °O� 0.21' �� 5003.25 moo a . C 50 0C 150 // � . w J : �a / / / 00.65 6 '/ / / WQCV POND HW " t ® �6y= 6 x -2£ x 18 � 9b 4 $ / / / °r.0.15 ELEVATION = 5OO15— - � � : . / . do 0.15 9 " d50 RIP RAP ' A3 I� rr �o / / / o, '•s° 1O' X 3' CONC INLET soo4 1 I ' limn m000 / / 5001 .0/0 00 i BOX FL = 5OOO. 15 I _TOP_ = 5OO1 . 5 . / / / . °� / POND SEE DETAIL I I / / 4 49 5000.55 I {3 / / 5005 / / / 6 ' x16 ' x18» / / / � / / i — — / 5° •; S°°o >; 6 ' x 4O' x 18" 9 " d5O RIP RAP PAD S r ` / / / _ °° 2 . . . � . � 9 » d5O RIP RAP PAD V a °O �p tR 1 I V / , / / / / 5oos.00 { y. OFFICE BLDG 1�. : soon i I — I 0) _ (i °o o . . I. . . o 5c_- 501 D. .7 :,'.c ..: 48% 3.38% I __ 1111-______11---_____111—____:_ li — ` / __:_--1:11- • ...... O , 3 O / / / b • � u_1 ass ooe/ / / / / / / / / ' — . ' . . i . . . CONCRETE U � 11 } (� gra- U Q- - .. _ / / / ELEV UNLOAD ' . . / / / / _ - - 5oos.00 ti EL _. D / . - .11 .10 / - _-- CO / / / / - - — :LH* I I 5°°9I I 0 501 ./ / / / / / / � _ � ° �� 2II. / / �// / / / / / / / / _ - ' - � 29� 130 50 10.E 03 nl / / 11 ''� . ,� e/ / 5005.00 / / / / — — — — '1�r.� °j3�� sol �so 01 '.85 �,„ U / / so11 . .0 0 � 5013. 80 NoFF ELEV = 5014 "" \ J 0 4.�oIti FF ELEV - 501 J004. _ ,nti oti6 �. PUMP BLDG T5005. - / 1 50. \ / / ° / - - - - - - T 505 I it it N - - 0 5013.50 , � / N o " 9! \ N. 5013.00 I o \ �O) \ 3012 c ' N. ss� ti ® 5 011 ,e p �� SO7� O 1 I �� I ° A s � °s�)4. i so i cy 2° N. �. 1 �' p I $ 5014.00 Y 13 / 504330 -I 013.50 h0 N. \ W (fl I R I / //, / / / / / j j 5O1 �90 X12.80 5 3.00 b �0 I L�4.20W w � �j' j / / / / / 014.50 ° 5014.0 Z cti 5008.00 — 0 — — — — — — NATURAL GRASS SWALE ® 1 0% x 5013f00 8 C ^ a I N ' / -.0,, NATURAL GRASS SWALE ® 0,5% � ' / - - - �� 5013100 `� - , / I I x 501 -.00 ` esee # 4, e e >C o_ I 11I I i- cob Sea W Mall I }- 0�� I O O A a a �� TOP OF HEAD WALL ELEV = 5002.65 -, 10 v ° ! PQ�P (BACK) h° •j 5° TOP OF WALL ELEV = 5001 .5 �, °°�5 �J (FRONT AND SIDES) I CHECKED LEGEND : VC 5° \, 24" OUTLET PIPE I I -M �A,P�' °°, - / F.�P� DATE I EDGE OF BUILDING G� ! Fyn 4) FL ELEV = 5000. 15 I 10/8/2015 I x ' C� x - I SCALE I EDGE OF EASEMENT c.C x I 1' = 50' x PROJECT # SWALE CENTERLINE - - - A SHEET EXTENT OF LEASE - - - - -- - - - - - - - - -_: -1- - - - - - - I OUTLET BOX PLAN VIEW SEC A-A EXISTING GRADE CONTOUR - - - I - ' � I FINISHED GRADE CONTOUR I POND OUTLET DETAIL ,1,. - - OF SHEETS i . .. - Weld County Planning Dept. -.-<- .�.r- .-, E 1555 N. 17thAvenue g u: GRADING PERMIT Greeley, Co 80632 = su Phone: (970)353-6100 APPLICATION FORM Fax: (970)304-6498 Applicant Property Owner ( If different than Applicant) Name Brian Thielen Name D&C Farms, LLLP Company M3 Construction, LLC Address 8679 Weld County Road 4 Address 2861 W. 120th Aye, Suite 250 City Brighton State CO Zip 80603 City Westminster State CO zip 80234 Phone 303-263-5958 Business Phone 720-708-6535 E-mail E-mail bthielen@m3construct.com Signature Project Location Job Site Address TBD, Southwest of intersection CR 19 & CR 6 Parcel Number 1469-28-2-00-002 Section/Township/Range 28/1 N/67W Access Location : Site Accesses onto CR 19 (East, West, North, South) of CR 6 Project Information Is this a Use by Right or Planning and Zoning Case? QUse by Right ®Planning and Zoning Case Planning Land Use Case # (if applicable) USR15-0067 Is this in a Floodplain (verify with Planning Department)? (Yes No) If yes enter your permit number (FHDP) # Description of Work Being Done Grading for saltwater disposal facility which will include construction of a concrete tank farm, offload, pump house building , and new in:ection well . Construction Start Date 12/9/15 Finish Date 9/15/16 Acreage Disturbed by Project: 20 Acres Required Submittal Documents o Grading Permit Application Form o Plans: Scanned electronic (pdf) or hard copy of 11"x17" set (wet ink stamped and signed by Colorado PE) • Grading Plan — contours labeled with elevations show any ponds or ditches o Erosion & Sediment Control Plan — showing placement of all BMP's to be installed • Typical BMP Installation Details & Notes — for all BMP's to be installed o Construction Stormwater permit from Colorado Department of Public Health & Environment (CDPHE) o Fee (To Weld County) : 1-5 Acres/ $50 5.1 - 20 Acres/$100 20.1 Acres or Greater/$200 + Si per acre over 20 Pursuant to Weld County Code Section 8-12-60, the Weld County Department of Planning reserves the right to deny issuance of a Grading Permit to Applicant if the Applicant has not received final approval of any required land use application and/or prior to the satisfaction by Applicant of the terms and conditions of any approved land use application. By submitting this Grading Permit application, the undersigned Applic%nt, under penalty of perjury, verifies that: (1) they have received all pages of the Grading Permit application; (2) they have read and understand all of the permit requirements and provisions; (3) they have the authority to sign for and bind the Applicant if the Applicant is a corporation or other entity; (4) by virtue of their signature, the Applicant is, upon issuance of a Grading Permit by Weld County, bound by and agrees to comply with all Grading Permit requirements and conditions and all applicable Federal, State, and Weld County statutes, rul d regulations Applicant Signature Printed Name l3 r % G. 21e r- Date 1 !C nyrrnn� lint {7 n I .4 0 NGL Water Solutions Dj LLC £2EROSION CONTROL m 9. IIN CR 19 DACON OWELD iwUJ g 43 COUNTY, COLORADO _ _ _ _ _ _ _ _ _ 3Itii - - - - - - - - - - - - - - - - - - - - - - - - - - - - ' T• CONSTRUCT VEHICLE TRACKING CONTROL• I �j I / - • / PAD W/ 6 " OF 3" ROCK MAINTAIN AS 1 . / REQUIRED TO KEEP WCR 19 FREE OF i , / ' MUD AND DEBRIS TEMPORARY FENCE TO IJ / - / DIRECT TRAFFIC THROUGH TRACKING i • - / a . / CONTROL PAD DURING CONSTRUCTION - / • / I / - - /• -- - _� � / NOTE : ALL DISTURBED AREAS • s' x 12' x 18" � ' ' ►��• 1 , / ' 9» d50 RIP RAP P D s ' I • THAT ARE NOT PAVED SHALL „ �. • / - ' / BE RE - SEEDED / OR COVER I \ �(2) 24" CMP __es, — .. � / ' • -ROAD BASE TQ ACHIEVE FI \ AL- _ — = `F:. . „YolT1"uN°",r°� , / ' STABILIZATI WITH FLARED END SECTIONS i T t • i ♦�cR ., , . . `y `�.4 / , ITV IN =5000.15 '� _ 5 N . ,��' / INV OUT = 4999: 95 �' - • . x ��` /• / LENGTH = 92 / / ' , . . y (r � _ /## / / SLOPE = 0. 2 j / / . • • • '- r ` =is J _ y / ' '• / / / / S I 0 60 120 1807 • �\ „ 4101 mow- • / ' / " / • • • ♦ %WOCV POND HW / 5 / / ELEVATION = -500-b5- - 6 x - 28 � z � 18 • g" d5 0RAP ' / / / - / 101 X 31 CONIC INLET eoo4 ----- sF • ' ` BOX FL = 5000. 15 __ __ vt I / �/ -- POND- S..—TOP WALL_ = 5001 . 5 _. - _ III / / vs .• � . EE DETAIL CONCRETE I / � ' / - � , / WASHOUT A - •/ � / ' 9 d50 RIP RAPPAD I O / 9 d50 RIP RAP PAD � i/ � / � � 6 x40 x18 NI ammo.' -"malts-tat T �. CC I / / " -SILT FENCE ( TY� • Q 7 / / _ OFFICE BLDG / j L I 6E yl C / / / / - -• I 7- I VEHICLE TRACKING CONTROL GENERAL EROSION CONTROL NOTES O O - • . . _ . , . . .T• ,• . T-• • . . IVIG . YfRR11CA ,RAOOp xHRGt, SHALL I D O / / 7 — I • • : .• ' ^ FF' ELEV = 5®1.3 *' 9' Mini Bs BUT C HOT CONTRACTOR M. SILT FENCE. INLET p PROTECTION,T WC µ PAD.�M mcOWASHOUT. N T. AND SEDIMENT ENT O d CONCRETEUNLOREI PAD I I Thickness s.ls SHALL MIT TO SO SNCING ANY LAND QS TO CLEARING GRADING AREAS IN M CN THEY TALL BE O U Minimum — - .. ^. '.. . .• N I VL Riprap l05 SHALL LIMIT TOPSOIL STRIPPING OPER nONs TO 1NN THE - — IfI z � IMMEDIATELY WORKING. THE CONSTRUCTION OF UNDERGROUND UTILITIES 9iALL BE INCLUDED AS A Q / / / / - - • _-_ _ _ -_ -C RAND BACK INTO THE ACTIVITY. ALL EXCAVATED MATERIAL SHALL BE PLACED WHERE =NEW x Q _ / T a ERODE BACK INTO THE TRENCH. ALL TRENCHES SHALL BE BACKFUED BY 11-E END OF THE DAYSCa N / — - _- I . I WOOCRFlLL SHALL PERMANENTLY STA9UhD BEFORE Lw+aTRUCnON IS CONSIDERED OMPLETE coos`+ %, — _ ' 'I 11 ALL DISTURBED AREAS AND SOIL STOCKPILES SHALL BE ADEQUATELY STABILIZED AS DEFINED IN / V - • . `` •• I I �/pM,. THE URBAN DRANACE FLOOD CONTROL DISTRICT (UDFCO, VOLVNE 3, CONSIRUCRON BEST yq MANAGEMENTPRACTICES, SECTION 3.0 EROSION CONTROL". ALL DISTURBED SOILS AND SOIL / `'i• / / \ . '1. _ • Q�➢`' STOCKPILES o SHALLCONSTRUCTION WATERED AND PREVENT IN A ROUGHENED COMMON AT AU. II _ 6 I NIX6W0 GEDI91@e Filler Dot 0. DURING C NSTRUC IM ACTIVITIES TO 'MID-CAUSED EROSION. ALL LAND DISTURBING ACTIVITIES WA BE IMMEDIATELY DISCONTNVED 'MIEN FUGITIVE DUST IMPACTS ADJACENT I / / / / — I PROPERTIES, AS DETERMINED BY CITY INSPECTOR. PERMANENT OR TEMPORARY NATIVE SEED (SEE /� _ 1 D� sDDC MANUAL SECTION 14 FOR SEEDING SPECIFICATIONS) SOIL STABILIZATION SHALL BE REWIRED / / / - - I --_ WITIIIN 7 DAYS AFTER FINAL GRADE IS REACHED. IF DISTURBED AREAS OR STOCKPILES ARE NOT FFELEV= 5014 - J j BROUGHT TO FINAL GRADE WITHIN 30 DAYS FOLLOWNS SHALL LL SE DISTURBANCE, OR / / - FF ELEV = 5014 I. VW PAD RIP RAP m E WINED a 4q T RAN EVENTS RE-DISTURBANCE, TEMPORARY STABIUZATIOA MEASURES SHALL BE REQUIRED. NO SOIL EE x' / / / _ PUMP BLDG _ T 2. welt ROADS TO OE cleu+m OF DHOW •T MC um Cr SNAIL EXCEED TEN (10) FEET IN FOCHT. ALL SOIL STOCKPILE 9DE SLOPES SHALL NOT EXCEED A I JR) 1 / / N —_ _ — I • _ _ _ _—_ - - -r I I EACH DAK 'AIXM OR NiFR RAW EKNIs. AS MWC. SLOPE Of 411111. V 111 i % / / •. — ,----- -- / T D, ric PAD To eE GtLX[ATED m MOM DEC BY xxsllNCTIDN TRAM ALL STORM SEWER NETS SHAH BE PROTECTED FROM THE ENTRY OF SEDIMENT—LADEN WATER. I t,} N / / -- - — I ----_— --_�11 HAY BALES ARE NOT RECOGNIZED BY THE CITY OF GREELEY AS AN ACCEPTABLE FORM OF EROSION V / — _� CONTROL. // N/ N / / / - V NSPEO'I1QN OF ML EROSION MD SEDIMENT CONTROL BLIP'S SHALL BE REQUIRED AT NE END OF �, / / F(R EACH DAY'S WORK, WITH NECESSARY MAINTENANCE AND REPNRS PROVIDED MMEDIATELY. THE OTT I 7 OF GREFI EY INS3ECTOR SHALL, AT THEIR DISCRETION, REQUIRE ANY EROSON CONTROL DEVCES BE ! / ING YS FOLLOWS RECEIPT OF THE BRITTEN ST FRO4 THE ECTOR. ALL / / I / N / / / ..-----. / / / / / I - \ \ / 7/ N. . I EROSION DIGHD KSEDIMENTEPOLLVTED CONTROL MEASURES SHALL BER EeRIOVEDACL SOON AS cLEATHEIR FUNCTIONETFD R§/ / / / / T� SILT FENCE INSTALLATION OF EACH DAYS WORK OR AFTER STORM EVENTS, AS NECESSARY. ALL TEMPORARY AND PERIMETER / / i II I 1 II- I \ N - HAS BEEN FULFILLED. SEDIMENT TRAPS/BASINS SHALL BE CLEANED AND REMOVED, OR STABERED, 1 OMEN ALL UPSTREAM AREAS ARE PERMANEN1LY STABILIZED. ME 911E CO 1RACTOEi IS F 2} % i ,' I I I ATTACHING TWO SILT FENCES RESPONSIBLE FOR PROPFD Y DISP03N0 OFF ALL SILT FROM THE Slit WIT IS NOT REUSABLE ON / / / / I I .R FR 2 Or SITE - - I % 1 I I \ /. : r I I MR+1 _f 7 THE LANDOWNER SHAcc BE HELD RESPONSBLE FOR THE LONG-TERM STABEIO' aF CUT AND FLL I 4 / / N L _ _ — — J APPROXIMATELY a SLOPES AND THE SUCCESSFUL ESTA6LISNILIENT OF PERMANENT VEGETATIVE COVER W EXPOSED poseiaRIDt iA9Rt IxpY5 Cf 41pEA / / / L N / \ _ T I A Fa11nc uATERI4 � n D SOL AS DEEMED IN NG VOFCD. VOLUME x CON5IRUCTION BEST MANAGEMENT PRACTICES. / , - — -- Ma mr�m m r A W 404ExTwo AN INTO INSID€ WE ENO SECTION 3.2 'MULCNNO . ALL STRUCTION SUPPLES OR MATERIALS USED OR ON STE T BE/ /' N - - - _ - \ \ \ \ P°'n IMOD OR GAOfl L AND W■ T M� RESULTING FROM NE AC1H1N5 TAKEN PEWIT YN9TE MATERIAL SA CONTRACTORS. SUBCONTRACTORS,U9UBCON1RAcTOR5,MaN7ENPNCE I ;' / ' / N. �\ - �K I COMPACTED uartRlu PROPERLY AND MUST MEET ALL APPLICABLE MATERIAL SAFETY DATA SHEET CRITERIA / / — sen ROTATE CC iO� (1� SE j MO — — — ' >- N -` \ I '' � e' YA. SPACING — posts AT Tor a°a�nTr�s IN CRCfl ETc W W tU / N — — N RUNOFF / / DIRECTION TO I A TdT • vy _ g FABRIC u�mlwt - - _ I I 10 BONES DIRECTION OF WATERS EROSION CONTROL STRUCTURES i C. I OMEG , MMIMMMS :' �� new farm p IrN"�iEs I•°°xTo'irrc DETAIL 12-1 ! LH, -1 4-1101 IRETOH KA /— MfOTTO A!@ �v Ix euwr MN' DATE: SCALE N.T.S. COKS W ✓ I SLOPE AND SWALE PROTECTION Z WATTLE DIAMETER, Q SEE NOTE 5 SEDIMENT TRAPPING AREA (TVPJ II cC 3/4' x 3/4' WOODEN /'A I STAKE (T ,c A/.� M T Xeamas ? Q a z r4 STAGGER JOINTS v in MOT STAKE AT EACH ENDlalla AND ENTIRE LENGT HAL H. ALA' I I FI FVATIDN VIEW NOTES DEAN VIEW. LL K SLOPE' LEGEND . w T.Z I. INSTALL WATTLES MONO CONTOURS. FULL LENGTH - - EXTENT OF SWAEE.• Y R. WATTLES STALL RE INSPECTED REGULARLY AND RMED1AIElY `a AFTER A RUNOFF PRODUCNC RAINFALL TO ENSURE THEY REMAN THOROUGHLY ENTRENCHED Me N CONTACT MTh NE SQL 'SEE lA%£ to- 3. LIVE STAKES NAY BE USED FOR PERMANENT NSTAWnONS. EDGE (DE BUILDING WATTLE SPACING TABLE A NZTALL WATTLES OMEN NTO THE TRENCH ((4'DEEP). ABUT iilifgriffe ADJACENT WATTLESTREE END TO ENO. wnNWT DRAWN SLOPE TYPE NAXIMOM SPACING OvEm PPNO NE ErOS.1-800-921-97 Ds ALL SVALES 20 FEET S. WATTLES 10 OE >' ION DOWER FOR SLOPES, If IAN 41 SLOPE OR 40 FEET DIAMETER MR SWAM. EDGE OF EASEMENT CHECKED CONCRETE TRUCK WASHOUT PIT I PROFILE DATE SWALE CENTERLINE — — �1 9/9/2015 / SCALE COIN CONTAINMENT BERM FROM ] 1• sOr EXTENT OF LEASE PIT EXCAVATED MATERIAL 10 FEET SQUARE _ I CONCREALL TE TRUCKS PROJECT # BOTTOM MIN. —�j moms I. PR TO IN MS 'D Ho unuzcn UNTIL All RELOCATED CONCRETE TON Is CONFUTED. WASHOUT HERE NCNMNR ALL FOUNDATION MVO iAMON. RELOCATED PITS STO L BEET ENS STANDARD SHEET 2.EXISTING GRADE CONTOUR I GIEAL LAWS. SOHO ID TDPI�Ra H9 LOCATION --- x SEY CONCRETE TO BE BRO(DI W AND gsnosED OF PROWRLY OFF STE PER LOCAL, STATE •5�: 2 Tall x S Wide ENO FEDERAL LAWS. on 4 Tall Post, 61.K2 4. WASHOUT PPS MAT ADE SLAMMED MIA A PAYED SURFACE MAY REOGRE A OD PAD Lettering - �. TO PROTECT STREETS FIRS ORAIXIN° w DOT. I FINISHED GRADE CONTOUR EROSION CONTROL STRUCTURES DETAIL 12-2 DAIS MARCH 2007 SCALE N.T.S. 1441 [ OF SHEETS 41" � WIIERNSMAN Ramp 5'ik[' �ne�#A T996 9f .≥esx«= '[¢xe y s[66wBDie9 htinn~PnnfaiednLaA%6�ve• = =agig ENGINEERING INC . afa 1011 42nd STREET • EVANS, CO 80620 Phone (970) 353-4463 Fax (970) 353-9257 September 9, 2015 Ms. Jen Petrik Drainage Engineer Weld County Public Works PO. Box 758 Greeley CO 80632 RE: Drainage letter for High Sierra's C2 facility on CR 19 near Dacono CO Dear Ms. Petrik: This letter addresses the Water Quality Capture Volume (WQCV) requirements and existing and proposed drainage ways on the site The storm-water historically enters the site from the south and drains across the site to the north . The proposed plan will collect on site flows and direct them around the proposed improvements to the water quality pond along the north side of the site. When the water quality pond reaches capacity at elevation 5001.5 storm-water will flow to the south in (2) 24" cap culverts. If the discharge from the pipes is larger than the existing irrigation ditch capacity, the storm water will travel approximately 150 feet north on the lot to further dissipate flows before they travel onto the neighboring property to the north . The proposed conditions imperviousness (including all future buildings and the concrete containment areas that will retain storm water) is 9.8. The WQCV required for the site is 4770 cubic feet. The pond as shown on the grading plan provides approximately 24,336 cubic feet of storage. If you have any further questions or comments regarding this matter, please contact this office. Sincerely, . ;ay •'.a `}x+ .• (C(4 r . .3 ir/3/01 10 p L, C . . :1^�»�teG'tt jSo;T4<at'₹4'4'1 Eric Wernsman P. E. Total Site Imperviousness Calculations ENTIRE SITE AREAS C VALUE CXA C100 value C100 X A I VALUE I X A NEW BUILDING (s) 5650 0.73 4124.5 0.81 4576.5 90 508500 CONCRETE/ASPHALT 33000 0.8 26400 0.96 31680 100 3300000 GRAVEL 80,000 0.65 52000 0 0 40 3200000 LANDSCAPE 752559 0.08 60204.72 0.35 263395.65 2 1505118 TOTAL 871209 142729.2 299652.15 8513618 ICOMP C5= 0.16JCOMP C 100= 0.34(1= 9.8 ACRES ( approx) 20.0 WQCV Calculations WQCV= a(0.911^3-1.191"2+ 0.78"1) a = 1 for 40 hr drain time I = 0.1 WQCV= 0.0657083 Volume req'd = WQCV" A a = 25 12 Volume req'd = 0.110 acre feet Volume req'd = 4770.5 cu ft STORAGE CALCULATIONS CONTOUR ELEVATIONS AREA DEPTH AVG AREA Volume Provided 5000.15 0 0.85 12747.5 10835.375 5001 25495 0.5 27003 13501.5 5001.5 28511 TOTAL VOLUME OF 24336.875 C.F. PROVIDED FACILITY EMERGENCY PLAN NGL WATER SOLUTIONS DJ , LLC : C2 FACILITY l . Name: NGL Water Solutions DJ, LLC C2 Facility 2 Location : 1635 CR 19, Brighton , CO 50603 3 . Emergency Telephone Numbers: Day Night Facility Primary: Junior Herrera (303) 645-0880 (970) 515-2627 Facility Secondary: Kiko Salamanca (970) 356-5560 (970) 381-4250 Fire District 911 911 Greater Brighton Fire Protection District ( 303)-659-4101 Station 55 15959 Havana St. Brighton, CO 80602 Nearest Hospital/Ambulance Service 911 911 Platte Valle Medical Center ( 303 )-498- 1600 1600 Prairie Center Parkway Brighton, CO 80601 Weld County Regional Communications Center 911 911 Other CDPHE Spill Line (877) 518- 5608 National Response Center (800) 424-8802 CHEMTREC (Chemical Transportation Emergency Center) (800) 424-9300 4. Agency Notification Non Emergency: Phone# Fire Department/District: Greater Brighton, Station 55 ( 303 )-659-4101 Hospital/Ambulance Service : Platte Valley Medical Center (303 )-498- 1600 Law Enforcement Agency: Weld County Sherriff (970)-356-4015 x 2804 Communication Center (970)-350-9600 Office of Emergency Management/LEPC (970)-304-6540 5 . Surrounding Occupancies & Land Use Surrounding is primarily agricultural . 6. Personal Protective Equipment Available: Location Rubber or neoprene boots : On Site Rubber Gloves : On Site Face Shield or similar protection : On Site Eyewash station On site 7. Location of Emergency Equipment & Supplies: Phone# Emergency equipment & supplies, including the First Aid Kit are kept in the Operations Office. 8. Location & Types of Water Supplies: There is no fresh water storage on site. Sanitary is currently handled by tap. Bottled water & non-potable water are kept in the Operations Office. There are several foam hydrants throughout the facility. 9. Transportation routes: This facility is located at 1635 CR 19, Brighton, CO 50603 . The closest highway to this facility is I- 25 north . 10. Action Items: The delivery process includes travel on CR19 and/or CR 6 for large 120bb1 trucks and smaller delivery and personal vehicles. Scenario one is a spill at offload of a 120bbl truck containing brine water. All non-essential clean- up staff will leave the facility and the CDPHE 24-hour environmental emergency spill reporting line will be reached at 1-877-518-5608. Scenario two would be a chemical/diesel/hazardous material spill at the facility, the same process would go into effect. In both of these instances, the source will be immediately stopped and contained with absorbent materials. Spills will have samples taken and clean-up will follow the Waste Management Plan guidelines. Scenario three could be a lightning strike causing fire. All personnel will evacuate and meet at the Muster Point and the Fire Department will be called immediately. 11 . Coordination with First Responder Agencies: EHS representative and/or first responders will meet the day the Certificate of Occupation is presented to review emergency plan and tour facility. Please see Waste Handling Plan for chemicals kept on site. Our plan to meet with first responders and conduct exercises and training at our facility includes meeting with a representative of the Greater Brighton Fire Prr uteciiui ► District to present our emergency action plan and discuss emergency scenarios. The Facility also has a Muster Point that all employees will meet at in the event of an emergency. i2. Safety and Training Review: Each year, all employees are provided with all necessary information concerning the proper handling of a chemical spill ur accident. This informaticri shall be in the form of a review sheet detailing proper procedures, which shall be signed and dated by each employee when all items are understood . Also, proper use of cleanup and containment tools and procedures will be demonstrated as necessary. Any new or updated information or procedures will be taught to employees immediately when applicable. Facility Manager Date q - 13 -f016 Fire Department official 0}A17thDate 9/15/16 Thy"'r7�by Any Rudlsul Roy R u d i s i l l d� s. only. �`O�` Eme r. y utrWeW County ar.QfRceof Emergency MWeld County OEM )aTM201609gement.ou=l hers,rnnRuyRudisfll Roy Rudisill _Date �)atr:MtAl19 ri �9Utlat OM' Hello