| Form 27/27A |  Related  Doc | | Date Submitted: | 1/14/2022 | | Date Recv'd: | 1/14/2022 | Assigned by: | Peter Gintautas | | DocNum: | 402927140 | Facility ID: | 331492 | | Document Type: | FORM 27 | Project Number: | 21576 | | Operator Information: | | Operator: | EXTRACTION OIL & GAS INC | | Oper. No. | 10459 | | Address: | 555 17TH STREET SUITE 3700 DENVER CO 80202 | | Type Of Facility: | LOCATION | | Fac. Name | Ione 2N66W/8NWNE | | County Name: | WELD | | Operator contact: | Jacob Evans | | qtrqtr: NWNE | section: 8 | township: 2N | range: 66W | meridian: 6 |
| | Remediation Details: | | | Reason for Report: SPILL | | Cause of Condition: MULTIPLE | | Potential Receptors: None observed. | | | | HOW REMEDIATE: | As needed, site specific soil and/or groundwater remediation plans will be developed and submitted to COGCC via supplemental Form 27. | | | | INITIAL ACTION: | This form has been prepared to support replacement of the production equipment associated with this location. In accordance with COGCC Rule 911 and Rule 915, initial representative soil samples will be collected beneath the produced water vessel. Initial laboratory soil analysis will include only BTEX, 1,2,4 and 1,3,5 Trimethylbenzene, naphthalene, TPH, pH, EC, SAR, boron and metals in soils according to Table 915-1. If other equipment are replaced such as the ECDs, meter sheds, or other qualifying equipment, then the soils beneath each will be field screened, and a lab analysis submitted if impacts are identified. Groundwater, if present, will also be collected and analyzed. Identified impacts will be reported as required for each discovery, and a Form 19 will be submitted, and remedial investigation will be conducted with excavation equipment. | | | | RECLAMATION PLAN: | No reclamation will be performed on the site unless the entire facility is removed from service or the activities migrate outside the original facility footprint. If these occur, the disturbance will be reclaimed in accordance with 1000 Series Rules, in collaboration with the landowner, and reported in a Form 4 (Sundry Notice) with proper documentation to demonstrate compliance with requirements for final reclamation. | | | | SOURCE REMOVED: | If a suspected release is identified and confirmed through soil screening and/or laboratory analysis during decommissioning of the PWV, soils may be removed and transported to a licensed disposal facility. Transport and disposal records will be kept on file under usual and customary practice and are available upon request. If all source material cannot be removed during excavation activities, additional methodologies will be proposed in subsequent Form 27 supplementals. | | | | Correspondence Log: | | Final Resolution | | Date | Case Closed? | Letter Sent? | CECMC Person | | N/A | N | | Kari Brown | | | N/A | N | | Laurel Anderson | | | N/A | N | | Laurel Anderson | | | N/A | N | | Laurel Anderson | | | N/A | N | | Kari Brown | | | N/A | N | | Laurel Anderson | | | N/A | N | | Peter Gintautas | | | N/A | N | | Kari Brown | | | N/A | N | | Kari Brown | |
| | | | Coordinates: | | Type | Facility ID | Facility Name/Num | Lat/Long | | Facility | 331492 | Ione 2N66W/8NWNE
Battery | 40.159264/-104.799812 |
| | Remediation | 481376 | Ione 2N66W/8NWNE
| 40.159264/-104.799812 |
| | Remediation | 481393 | Ione 8HZ
| 40.159143/-104.799232 |
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