| Form 27/27A |  Related  Doc |
| Date Submitted: | 12/13/2022 |
| Date Recv'd: | 12/13/2022 | Assigned by: | Robert Chesson |
| DocNum: | 403258811 | Facility ID: | 481154 |
| Document Type: | FORM 27 | Project Number: | 26339 |
| Operator Information: |
| Operator: | NOBLE ENERGY INC |
| Oper. No. | 100322 |
| Address: | 1099 18TH STREET SUITE 1500 DENVER CO 80202 |
| Type Of Facility: | LOCATION |
| Fac. Name | 28-4N-64W SWNW Hansome C TB Loc |
| County Name: | WELD |
| Operator contact: | Dan Peterson |
| qtrqtr: SWNW | section: 28 | township: 4N | range: 64W | meridian: 6 |
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| Remediation Details: |
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| Reason for Report: OTHER |
| Cause of Condition: SITE/FACILITY CLOSURE |
| Potential Receptors: Holding Pond 0.20mi NE
Palustrine Wetland 0.17mi NW
Ag. Ditch 145ft NW
Farm Structures 0.03/0.04/0.0 |
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| HOW REMEDIATE: | NA |
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| INITIAL ACTION: | A site investigation will be conducted pursuant to COGCC Rule 911 at the HANSCOME T4N-R64W-S28 L02 Tank Battery location. |
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| RECLAMATION PLAN: | Reclamation will be in accordance with COGCC 1000 Series Rules. |
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| SOURCE REMOVED: | No source was generated. |
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| Correspondence Log: |
| Final Resolution | | Date | Case Closed? | Letter Sent? | CECMC Person | | N/A | N | | Robert Chesson | | | 7/15/2024 | Y | | Kyle Waggoner | | | N/A | N | | Robert Chesson | |
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| Coordinates: |
| Type | Facility ID | Facility Name/Num | Lat/Long |
| Facility | 481154 | 28-4N-64W SWNW Hansome C TB Loc
| 40.284840/-104.564970 |
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