| Form 27/27A |  Related  Doc | | Date Submitted: | 1/28/2022 | | Date Recv'd: | 1/28/2022 | Assigned by: | Kari Brown | | DocNum: | 402938967 | API number: | 05-123-24250 | | Document Type: | FORM 27 | Project Number: | 21870 | | Operator Information: | | Operator: | CRESTONE PEAK RESOURCES OPERATING LLC | | Oper. No. | 10633 | | Address: | 1801 CALIFORNIA STREET #2500 DENVER CO 80202 | | Type Of Facility: | OFF-LOCATION FLOWLINE | | Fac. Name | Wellhead Line | | County Name: | WELD | | Operator contact: | Jacob Evans | | qtrqtr: SWSE | section: 15 | township: 4N | range: 65W | meridian: 6 |
| | Remediation Details: | | | Reason for Report: OTHER | | Cause of Condition: OTHER | | Potential Receptors: 3 domestic wells to the southeast and southwest, occupied structures to the south, agriculture equip | | | | 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 removal of an off-location flowline and related separator. The wellhead was plugged and abandoned prior to Rule changes. The related Tank Battery is not scheduled for decommissioning at this time. In accordance with COGCC Rule 911 and Rule 915, initial representative soil samples will be collected beneath the flowlines. Samples will be submitted for laboratory analysis from specific areas of concern where subsurface piping connects to surface equipment, where Above Ground Storage Tanks (AST), valves, pumps, compressors, or other process equipment were used on a location, and/or at joints, hammer unions, or previous repairs in above ground or subsurface pipe, if present. Initial laboratory soil analysis will include only BTEX, 1,2,4 and 1,3,5 Trimethylbenzene, naphthalene, TPH, pH, EC, SAR and boron. Soil samples collected beneath the off-location flowline will be field screened at approximately the frequency indicated on the attached proposed soil sample locations diagram. 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: | Reclamation activities will be completed 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. After all road base or other material is removed for reclamation, Operator may submit samples for laboratory analysis for soil suitability in compliance with 915.b if impacts from inorganic constituents are indicated. | | | | SOURCE REMOVED: | If a suspected release is identified and confirmed through soil screening and/or laboratory analysis during decommissioning of this facility, 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 | | Kari Brown | | | 3/23/2023 | Y | | Alexander Ahmadian | |
| | | | Coordinates: | | Type | Facility ID | Facility Name/Num | Lat/Long | | Facility | 286620 | FRANCIS ARENS
4-6-15 | 40.306696/-104.646999 |
| | Remediation | 470431 | Wellhead Line
15SWSE | 40.307430/-104.647955 |
| | Remediation | 483677 | Historic Francis Arens 4-6-15
| 40.306699/-104.647036 |
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