<_x0034_02044323>

402044323 02A 2019-08-01T14:58:58.157-06:00 81490 ST CROIX OPERATING INC

P O BOX 13799

DENVER CO 80201 ANDY PETERSON 970 203-4263 PAUL GOTTLOB Regulatory & Engin. Tech. 2019-08-01T14:58:58.157-06:00 2019-08-01T14:58:58.063-06:00 UPLOADED pgottlob 2019-05-15T07:27:07.95-06:00 pgottlob paul.gottlob@iptenergyservices.com 9.00000 andy@petersonenergyoperating.com malasaug malasaug 2019-08-06T10:59:32.613-06:00 402044323 true true false false false false 1 HOSS WASHINGTON SESE 34 1N 49W 6 4293 850 FSL 850 FEL 40.004750 -102.834220 1.8 2019-04-29T00:00:00-06:00 ADAM SHORT 1 1 1 1 1 Well head to tanks at Hoss Production Facility willl have a 3 inch burried pipe. 2019-10-01T00:00:00-06:00 2019-12-01T00:00:00-07:00 4293 true false false OFFSITE Land application A Water Based Bentonitic Drilling Fluids agreement is attached. 2019-05-20T00:00:00-06:00 FEE FEE true true true false oil and gas lease true 20000108 false false true true #27 - Haxtun loamy sand, 0 to 3% slopes. false false false false false false false false false false 5280 1643 209 false false No false 4.70 1.50 false OFFSITE Commercial Disposal false true Distance to nearest: 1. Downgradient surface water feature: 5280', nothing within a mile radius. 2. Water well: 1643' to Permit 23598-FP Estimated depth to ground water at O&G Location: The shallowest water well within a mile radius is 209', Permit 127662 609 false false false false false false false false false NO true true false false false false false false false false false false N/A County false false Waived Washington County does not have siting regulations. 402044323 A Water Based Bentonitic Drilling Fluids agreement is attached as "Other". Equipment on location will be at the wellhead. 402044323 402044323 FORM 2A SUBMITTED 402044323.pdf 402044323 402044326 NRCS MAP UNIT DESC 27_Map_Unit_Description_Haxtun_loamy_sand_0_to_3_percent_slopes--Washington_County_Colorado.pdf 90098 402044323 402060552 LOCATION PICTURES HOSS 1 - LOCATION PHOTOS.pdf 6794103 402044323 402099115 ACCESS ROAD MAP HOSS 1 - ACCESS ROAD.pdf 259679 402044323 402099116 FACILITY LAYOUT DRAWING HOSS 1 - FACILITY LAYOUT DRAWING.pdf 317655 402044323 402099119 HYDROLOGY MAP HOSS 1 - HYDROLOGY MAP.pdf 360160 402044323 402099123 LOCATION DRAWING HOSS 1 - LOCATION DRAWING.pdf 298769 402044323 402099125 TOPO MAP HOSS 1 - TOPO MAP.pdf 686677 402044323 402110324 OTHER Hoss 1 - WBBDF Letter Agreement - signed & redacted.pdf 2030157 402044323 402110335 WASTE MANAGEMENT PLAN E&P Waste Management Plan for Water Based Bentonitic Drilling Fluids.pdf 65929 402044323 402110351 OIL & GAS LEASE 1N-49W 34 E2 Schaffert-AA&TL - Bold.042318 Memo Lse 871571 + unrec OGL - redacted.pdf 412421 402044323 402110369 PRE-APPLICATION NOTIFICATION CERTIFICATION Hoss 1 - 305.a. 303.b.(3) J.iii Certification to the Director.pdf 108606 402044323 402043904 02 3b2415ee-0bc7-4ac7-b24b-32226ed2c9cf 402044323 6 Material Handling and Spill Prevention Rule 604.c.(2)F. Leak Detention Plan: Pumper will visit the location daily and visually inspect all tanks and fittings for leaks. Additionally, monthly documented SPCCP inspections are conducted pursuant to 40 CFR 112. false 4dcb7b20-45e8-4eb8-a726-530e6633c9c0 402044323 7 Dust control Dust & Odor: 805.c: Operator shall employ practices for control of fugitive dust caused by their operations. Such practices shall include but are not limited to the use of speed restrictions, regular road maintenance including watering or mag chloride as needed, restriction of construction activity during high wind days, and silica dust controls when handling sand used in hydraulic fracturing operations. Additional management practices such as road surfacing, wind breaks and barriers may be used. false 6d3eab36-9a34-4b07-b4a0-888f77acdc70 402044323 3 Traffic control Rule 604.c.(2)S. Access Roads: The access road will be constructed to accommodate local emergency vehicles. This road will be maintained for access at all times. Traffic will be routed to minimize local interruption. Dust control measures will also be utilized if needed. false 4df09fe4-966d-4608-bd89-8ae049027fe3 402044323 1 Planning Rule 604.c(2)M. Fencing: A meeting with the surface owner will determine a fencing plan. This site is in a remote crop land area and no fencing is planned. false 9ef02719-1f1c-46b5-af5b-d314849dec10 402044323 4 Traffic control RULE 604.c.(2)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. A Rig Move permit will be secured with Washington County prior to rig move. false a3efa921-8247-4f2a-b311-e7ce0fca80ca 402044323 5 General Housekeeping Rule 604.c.(2)P. Trash Removal: All trash, debris and material not intrinsic to the operation of the oil and gas facility shall be removed and legally disposed of as applicable. false d5ea2a86-1636-40be-ac8b-fc76b961ede2 402044323 2 Planning Rule 604.c.(2)N. Control of fire hazards: All material that is considered a fire hazard shall be a minimum of 25’ from the wellhead tanks or separators. Electrical equipment shall comply with API IRP 500 and will comply with the current national electrical code. false 2a2d0465-7c0d-4ad6-8b1e-07b84d9a3ac0 402044323 8 Odor mitigation 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. false 402044323 Anthony & Terri Schaffert

39137 C.R. 32

Otis CO 80743 402044323 1 1 1 1 1 Well head to tanks at Hoss Production Facility willl have a 3 inch burried pipe. 402044323 C true 402044323 F true 402044323 false false false false false false false false Thread was being aborted.