DSHW-2025-000043

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Division of Waste Management and
Radiation Control
Solid Waste Management Program

Mailing Address Office Location Phone [phone]
P.O. Box 144880 195 North 1950 West Fax [phone]
Salt Lake City, Utah 84114-488 Salt Lake City, Utah 84116 www.deq.utah.gov

APPLICATION FOR A TEMPORARY PERMIT TO OPERATE AN
EXPLORATION AND PRODUCTION WASTE FACILITY

In 2019, the Utah Legislature made changes to the Solid and Hazardous Waste Act, Utah Code § 19-6-
101 et seq., which required jurisdiction over the disposal of Oil and Gas Exploration and Production
Waste move from the Department of Natural Resources’ Division of Oil, Gas, and Mining (DOGM) to the
Department of Environmental Quality’s Division of Waste Management and Radiation Control (DWMRC).
In preparation for this regulatory shift, DWMRC has proposed a temporary permitting mechanism for
existing Exploration and Production (E&P) facilities as defined in the proposed Utah Admin. Code R315-
301-2(22)(a).

The proposed rules state that the Director of DWMRC may issue a temporary permit for the purposes of
facilitating the owner’s or operator’s good faith transition from regulation under Utah Admin. Code R649-9
to regulation under Utah Admin. Code R315-321 or R315-322. Applications for temporary permits must
be received by the Director of DWMRC no less than 30 days before October 1, 2024. The temporary
permits will expire one year from the effective date, which is the date the financial assurance mechanism
held by DOGM is transferred to DWMRC.

To complete a temporary permit application to operate an E&P facility, an owner or operator of an existing
E&P facility must:

1. Register the company in DWMRC’s Community Portal and complete facility information within the
Community Portal.

2. Complete the attached Exploration and Production Waste Facility Temporary Permit Application
Form.

3. Provide DWMRC with the following required documentation, to the extent it has not already been
provided to DWMRC or is not already in DWMRC’s possession:
a. Facility map with each landfarm cell, landfill cell, and surface impoundment labeled;
b. Copy of Division of Oil, Gas, and Mining Permit;
c. Copy of Division of Oil, Gas, and Mining Permit Approval/Issuance Letter; and
d. Copy of Division of Oil, Gas, and Mining Bonding (financial assurance).

4. Submit the Application Form and required documentation to DWMRC through the Community
Portal Miscellaneous Document Submission.

5. Within 120 days of DWMRC’s issuance of a temporary permit, the financial assurance
mechanism held by DOGM must be transferred to DWMRC. If the Director issues a temporary
permit, it shall not become effective until the financial assurance mechanism held by DOGM is
transferred to DWMRC. An effective temporary permit is required to operate an E&P Facility
under DWMRC’s jurisdiction.
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Exploration and Production Waste Facility Temporary Permit Application Form
I. Facility Name and Location
Name of Facility:
D-3 Produced Water Overflow Pit

Facility Address (Street or Directions to Facility)
Section 18 Township 15S Range 10E
County
Carbon

City
Price
Zip Code
84501
Telephone
[phone]

Township
15S
Range
10E
Section
18
Quarter Section

Quarter/Quarter
Section

Main Gate Latitude: 39.5176513 Longitude: -110.8501181

II. Existing E&P Facilities
☐ Open Landfarm Cell(s)
☒ Evaporation Pond(s)
Number of Open Landfarm Cells:
Number of Evaporation Ponds: 1
III. Facilities to be Permitted by DWMRC
☐ Landfill Cell(s)
☒ Surface Impoundment(s)

Number of Landfill Cells:
Number of Surface Impoundments: 1

III. Facility Owner(s) Information
Legal Name of Facility Owner
Urban Oil and Gas Group, LLC

Mailing Address
1000 E 14th Street, Suite 300

City
Plano

State
Texas
Zip Code
75074
Telephone
[phone]
IV. Facility Operator(s) Information
Legal Name of Facility Operator
Urban Oil and Gas Group, LLC

Mailing Address
1000 E 14th Street, Suite 300

City
Plano

State
Texas
Zip Code
75074
Telephone
[phone]
V. Property Owner(s) Information
Is the property leased? No
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Name of Property Owner:
Urban Oil and Gas Group LLC

Mailing Address
1000 E 14th Street, Suite 300

City
Plano
State
Texas
Zip Code
75074
Telephone
[phone]
VI. Designated Contact Information
Facility Owner Designated Contact (if different than
above)
Kirt Rasmussen
Title
Production Superintendent
Mailing Address
6825 South 5300

City
Price
State
Utah
Zip Code
84501
Telephone
[phone]

Email Address
[e-mail]

Alternative Telephone (cell phone or other)
None
Facility Operator Designated Contact (if different than
above)

Title

Mailing Address

City

State

Zip Code

Telephone

Email Address

Alternative Telephone (cell phone or other)

Property Owner Contact (if different than above)

Title

Mailing Address

City

State

Zip Code

Telephone

Email Address

Alternative Telephone (cell phone or other)

VII. Waste Types to be Disposed of (check all that
apply) VIII. Facility Area
☒ Exploration and Production wastes that are exempt from
hazardous waste rules (R315-260-4(b)(5)).

☐ Very Small Quantity Generator hazardous waste
Facility Area: 5 acres

Disposal Area: acres

IX. Application Documents
Indicate documents attached to this application (all are required):

☒ Facility Map with each landfarm cell, landfill cell, and surface impoundment labeled
☒ Copy of Division of Oil, Gas, and Mining Permit
☒ Copy of Division of Oil, Gas, and Mining Approval/Issuance Letter
☒ Copy of Division of Oil, Gas, and Mining Bonding (Financial Assurance)

RECEIVED: Mar. 24, 2021

STATE OF UTAH
DEPARTMENT OF NATURAL RESOURCES
DIVISION OF OIL, GAS, AND MINING
FORM 9
SUNDRY NOTICES AND REPORTS ON FACILITIES
1. TYPE OF FACILITY
Waste Facility/Non-Commercial
5. FACILITY NAME:
Utah D3
2. NAME OF OPERATOR:
Urban Oil & Gas Group, LLC
6. FACILITY NUMBER:
102
3. ADDRESS OF OPERATOR:
1000 E 14th Street, Suite 300 , Plano, TX, 75074
7. PHONE NUMBER:
972-543-8823
4. LOCATION OF FACILITY
Qtr/Qtr:NWSW Section: 18 Township: 15S Range: 10E Meridian: S
COUNTY:
CARBON
STATE:
UTAH
11.
CHECK APPROPRIATE BOXES TO INDICATE NATURE OF NOTICE, REPORT, OR OTHER DATA
TYPE OF SUBMISSION TYPE OF ACTION
WASTE DISPOSAL PERMIT
New Facility Construction
Repair of Facility
Facility Reclamation
Facility Status Report
Results of Sampling
Change to Previous Plans
E&P Waste Disposal Facility Permit
Other
12. DESCRIBE PROPOSED OR COMPLETED OPERATIONS. Clearly show all pertinent details including dates, depths, volumes, etc.

NAME (PLEASE PRINT)
Angie Wilson
PHONE NUMBER
832-486-6145
TITLE
Regulatory Specialist
SIGNATURE
N/A
DATE
9/30/2019
Please Review Attached Conditions
December 01, 2023
Sundry Number: 99576 Facility Number: 102
RECEIVED: Dec. 01, 2023

The Utah Division of Oil, Gas, and Mining
- State of Utah
- Department of Natural Resources
Electronic Permitting System - Sundry Notices
Sundry Conditions For Facility Number 102
Regulation of oilfield waste disposal facilities is being transferred to the Utah Department of
Environmental Quality Division of Waste Management and Radiation Control (WMRC). The Division of
Oil, Gas and Mining will no longer be issuing permits for waste disposal facilities. Therefore, this
disposal facility permit request is denied.
Please contact Brian Speer 385-499-0010 or Bryan Watt 435-503-7658 with WMRC to discuss future
permitting of this facility.
Sundry Number: 99576 Facility Number: 102
RECEIVED: Sep. 30, 2019
Detailed Site Description
 Function of the waste disposal facility: The waste pond is used for disposal of water
from our field drips, tank cleanouts as well as water from spill clean ups
 Current facility map: See attached drawings
 Site descriptions annotated with facility infrastructure and associated function: See
attached drawings

Sundry Number: 99576 Facility Number: 102
RECEIVED: Sep. 30, 2019
Sundry Number: 99576 Facility Number: 102
RECEIVED: Sep. 30, 2019
Sundry Number: 99576 Facility Number: 102
RECEIVED: Sep. 30, 2019
Contamination Assessment
 Description of existing contamination with sample results: See attached
 Proposed monitoring/remediation: Facility is visited once a day by MSO, Piezometer
samples are taken once a week and reported to the state quarterly.
 Proposed practices to prevent further contamination: Facility is visited once a day by
MSO and fencing and locked gate around facility.

Sundry Number: 99576 Facility Number: 102
RECEIVED: Sep. 30, 2019
Water Ion Analysis Report
Tuesday, June 4, 2019
Laboratory Sample # : AC85697
Login Batch: 190520021-CWA-CONOCO
ResultAnalyte Name
Date Received: May 17, 2019
Production Company: CONOCOPHILLIPS
Well/Vessel: D 3
Submitted By: TRENT VANLEUVEN
Units
Collection Point: INJECTION POINT
Date Sampled: May 06, 2019
Method
Field: UINTA
Pad: UTAH
mg/L29.46Barium (Ba)
mg/L29.28Calcium (Ca)
mg/L0.409Iron (Fe)
mg/L0.966Lithium (Li)
mg/L26.81Magnesium (Mg)
mg/L0.011Manganese (Mn)
mg/L12.74Strontium (Sr)
mg/L0.022Zinc (Zn)
Remarks:
Validation Date Analyst
Anne Spencer
June 04, 2019Clinton Lab
801 Marshall Road
Clinton, OK 73601
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Sundry Number: 99576 Facility Number: 102
RECEIVED: Sep. 30, 2019
Equipment Assessment
 Description and assessment of equipment located at the facility: 1- 12” inlet line and
valve into the pond from the field in good shape, 1- 12” discharge line and valve from
the pond to the disposal well in good shape. 1- 4” truck fill line, we do not use.
 Describe in detail service life for equipment used in facility operations Description of
testing completed for equipment (tanks, piping, liners, leak detection equipment,
evaporation fans): Pond Liner was replaced in 2009, we continue to monitor
piezometer’s on a weekly basis and reporting to the state monthly.

Sundry Number: 99576 Facility Number: 102
RECEIVED: Sep. 30, 2019
Practices Assessment
 Assessment of management practices utilized to operate the facility. Identify alternative
practices which could improve operations or reduce probability of future
contamination: Pending review of our SWD management program including long term
viability of our SWD wells.

Sundry Number: 99576 Facility Number: 102
RECEIVED: Sep. 30, 2019
Monitoring Program
 Detailed description of monitoring programs in use or being proposed (visual
inspections of equipment, pressure tests, leak detection systems, waste accountability,
automated systems, proposed practices which can reduce the risk of future
contamination): Facility is visited once a day by MSO, Piezometer samples are taking
once a week and reported to the state quarterly, fencing and locked gate around
facility.

Sundry Number: 99576 Facility Number: 102
To: Contact:ConocoPhillips Gilbert Vasquez
D3 Pond ReclamationProject Name:Bid Number:
Fax:Price, UT 84501
Address:6825 S 5300 W Phone:[phone]
Project Location:Price, UTAH Bid Date:8/5/2020
Staker and Parson Companies may withdraw this proposal, unless written acceptance is received from buyer within 30 days of proposal date.
Total PriceUnit PriceUnitItem DescriptionItem # Estimated Quantity
1 1.00 LS $14,300.00 $14,300.00Mobilization
2 765.00 LF $6.30 $4,819.50Remove Chain Link Fence
3 1.00 LS $9,495.00 $9,495.00Remove Move Bird Cage Post & Rail
4 800.00 CY $136.35 $109,080.00Remove Pit Liner & Net
5 1.00 LS $21,030.00 $21,030.00Backfill Pit
6 306.00 LF $19.35 $5,921.10Re-Install Fence
Total Price for above Items:$164,645.60
Total Bid Price: $164,645.60
Notes:
•**IMPORTANT NOTES**
•Bid is based on unit pricing if additional units are used it will be billed by the units used.
• Bid is based on today's liquid asphalt price and fuel surcharge which are subject to change at the time of construction, in which owner will be
responsible for should there be a difference.
• Bid includes only items listed in the above quote.
•No cost for bonds, permits, licenses, fees, testing, engineering, traffic control, saw cutting, sterilant, striping, prime coat, paving fabric or fog coat
are included in this contract unless listed above as included.
• All schedules for completion are to be mutually agreed upon prior to construction.
• Bid is based on one mobilization per crew. If additional mobs are required, there will be an additional charge which will be the equal of the bid
mobilization unless otherwise noted.
• Subgrade is to be within + or - .05 of a foot, no material to be added or removed.
• No Davis Bacon Wages are included unless noted above.
• Nielson Construction & Materials cannot guarantee proper drainage when slope is less than 2%.
•• ASPHALT OIL COST ADJUSTMENT: This contract is subject to an asphalt oil cost adjustment for all asphalt materials included in the contract.
Buyer agrees increases or decreases to asphalt oil costs above or below the listed Bench Mark Price, as stated in this proposal, is cause for
adjustment to the contract. The Bench Mark Price is based on UDOTs published Binder Index at the time of this proposal. Each $10.00 change to
the UDOT Binder Index (published monthly) will require a contract price adjustment of $0.50 per ton of asphalt mix placed during the monthly
index cycle. The binder index can be found by searching "binder Index" at www.udot.utah.gov .
•TERMS & CONDITIONS :
In consideration of the mutual promises set forth herein, Staker Parson Companies with the principal offices listed above (hereinafter referred to as
"Staker") and the undersigned, whose full name and address appear above, (hereinafter referred to as "Buyer”) hereby agree as follows:
•1. DESCRIPTION OF WORK. Staker will furnish the described materials to the job site designated above and provide the described labor (the
material and the labor collectively hereinafter referred to as "the Work'). To the extent the described Work is detailed in Plans and Specifications,
such must be provided to Staker before the contract is negotiated. Any changes to the original Plans and Specifications used to prepare this
contract may necessitate a change in the contract price. Buyer hereby agrees to execute all necessary change orders outlining the changed Work
and prices as submitted by Staker. Bid includes only the items as specified and described above.
•2. LIMITATIONS & CHANGES. Unless specified otherwise, this bid does not include payment performance or any other bonds, permits, licenses,
fees, testing, engineering, traffic control, flagging, saw cutting, sterilant, striping, bollards, signage and prime coat. Additional work and work in
excess of that specified and described above will be handled as a Change Order and MUST BE APPROVED by owner and contractor prior to
construction. Bid DOES NOT include engineering, layout or testing unless otherwise stated. Finegrade +/- 1/10' means that the grade is within
1/10' from being finished (GENERALLY ONE PASS WITH A GRADER). Price does not include furnishing additional material or the removal of excess
material. Unless otherwise stated, bid does not include raising and concrete collars on manholes, water valves or monuments. General Contractor,
owner or developer is responsible for Storm Water Prevention Plan. Staker & Parson Companies will be responsible for Storm Water Prevention for
our portion of work only, unless other arrangements are made.
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•3. CONTRACT PRICE: To the extent that the above Work is specified as a unit or square foot price, it is agreed that the number of units or square
feet indicated is an approximation. Staker shall be paid for the actual Work provided, including the number of units or square feet completed as
determined by field measurement.
•4. TERMS OF PAYMENT: Buyer shall pay Staker in full at Staker's office identified above within thirty (30) days following the date of Staker's
invoices, without retention and regardless of the final completion date of the Work. In the event that payment is not made to Staker as provided
herein, Staker shall be entitled to all of its costs incurred in the enforcement of its rights under this contract, including attorney's fees and lien fees,
whether or not legal proceedings are instituted. In addition, Staker shall be entitled to interest on all past due payments at the rate of 18% per
annum (11/2% per month) from the date payment Is due until payment is received by Staker, whether before or after judgment.
•5. CLAIMS OR DEFECTS: Written notice of any alleged claim or defect must be given to Staker at its address shown above not later than five (5)
days after the completion of the Work. Failure to give written notice as herein provided shall be and constitute a waiver of any such alleged defects
or claims. Staker's sole and exclusive liability shall be to repair, replace, or, upon mutual agreement, credit Buyer's account for defective Work. If
repair or replacement is made, Staker shall have a reasonable time to make such repair replacement. IN NO EVENT SHALL STAKER BE LIABLE
FOR SPECIAL, INCIDENTAL OR CONSEQUENTIAL DAMAGES FOR ANY BREACH OR CLAIM THEREOF, INCLUDING BUT NOT LIMITED TO, LOSS OF
GOODWILL, LOSS OF PROFITS OR USE.
•6. PROSECUTION OF WORK: It is contemplated by the parties that the Work specified in this contract shall be completed by this date ore period:
__________________________________. At its option, Staker may decline to perform any part of the Work which, through no fault of Staker, Is
to be completed beyond this date. In addition, Staker shall not be responsible for any delays in performing the Work due to labor disputes, weather,
shortages in material, equipment or labor, acts of God or any other cause beyond its control. In the event of a delay beyond Staker's control, and to
the extent reasonably possible, Staker shall complete the Work at the next available opportunity. In the event Staker elects not to perform any
further Work beyond the above specified date pursuant to the terms provided herein, Staker shall be paid for all Work provided prior to the said
date and shall otherwise be fully relieved of all of its duties and responsibilities under the terms of this contract.
•7. PROPERTY DAMAGE: Buyer shall be responsible to direct Staker employees, subcontractors and suppliers as to proper ingress and egress of the
property. To the extent such direction is followed or that no direction is given, Staker shall not be responsible for any damage to the property
where the Work is being performed, including damage to curbs, gutters and sidewalks.
•8. MISCELLANEOUS PROVISIONS:
A. Buyer specifically represents and warrants that either Buyer Is the owner of the premises where the Work is to be performed, or, in the
alternative, Buyer has written authorization from the owner of the premises authorizing the Work to be performed on the said premises.
B. Staker assumes no risk for non-disclosed or unforeseen conditions of the project site, including but not limited to, hazardous waste, soft
subgrade or water table problems.
C. This contract and the Credit Application referenced below constitute the entire agreement of the parties and no changes or additions to this
contract shall be made except in writing signed by both parties.
D. This contract shall be construed in accordance with the laws of the State of Utah.
E. This contract shall be binding on the heirs, successors or assigns of the parties hereto.
F. THIS CONTRACT IS NOT BINDING UNTIL APPROVED BY STAKER'S CREDIT DEPARTMENT. Buyer agrees to furnish a completed Credit
Application to Staker prior to or at the execution of this contract.
Payment Terms:
Bid And Work Contract
As per the preceding Bid and Work Contract .
Please include your Social Security Number.
PERSONAL GUARANTEE
I/we unconditionally and individually guarantee the performance of the Buyer under the terms and conditions of the above contract, including all
payments and any charges specified therein, including interest, attorney's fees and costs. This guarantee will continue unchanged by any bankruptcy,
reorganization, or insolvency of the Buyer. This guarantee may not be withdrawn unless agreed to in writing by Staker Parson Companies.
Date: Guarantor(s)
PLEASE SIGN AND RETURN ONE COPY
ACCEPTED:
The above prices, specifications and conditions are satisfactory and
are hereby accepted.
Buyer:
Signature:
Date of Acceptance:
CONFIRMED:
Nielson Construction & Materials
Authorized Signature:
Estimator:Hugh Christiansen
435-749-2748
[e-mail]
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