| Form 27/27A |  Related  Doc |
| Date Submitted: | 4/13/2023 |
| Date Recv'd: | 4/13/2023 | Assigned by: | Alexander Ahmadian |
| DocNum: | 403372526 | Facility ID: | 423757 |
| Document Type: | FORM 27 | Project Number: | 28852 |
| Operator Information: |
| Operator: | NOBLE ENERGY INC |
| Oper. No. | 100322 |
| Address: | 1099 18TH STREET SUITE 1500 DENVER CO 80202 |
| Type Of Facility: | LOCATION |
| Fac. Name | Five Rivers |
| County Name: | WELD |
| Operator contact: | Dan Peterson |
| qtrqtr: SWSW | section: 4 | township: 4N | range: 66W | meridian: 6 |
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| Remediation Details: |
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| Reason for Report: OTHER |
| Cause of Condition: SITE/FACILITY CLOSURE |
| Potential Receptors: Mule Deer Severe Winter Range, Mule Deer Migration Corridor, Bald Eagle Active Nest Site - Half Mile |
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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 FIVE RIVERS T4N-R66W-S4 L01 Facility and 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 | | John Heil | | | N/A | N | | Alexander Ahmadian | | | N/A | N | | Alexander Ahmadian | | | N/A | N | | Nick Cholas | |
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| Coordinates: |
| Type | Facility ID | Facility Name/Num | Lat/Long |
| Facility | 423757 | Five Rivers
K04-25 Pad/Tank | 40.337339/-104.788854 |
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| Remediation | 485051 | Five Rivers T4N-R66W-S4 L01 Tank Ba
| 40.337832/-104.788804 |
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