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Pitkeounty Environmental Health Departrist
Permit for an Individual Sewage Disposal System
0405 Castle Creek Road, Suite 10, Aspen, Colorado 81611
Phone 970-920-5070 / FAX 970-920-5077
aq(OS
Permit # 04084 Parcel ID # .2�-153-00-006
Type of permit
Name of Owner
New( ) Repair( x ) tank repair Addition/Remodel to House( )
UTIT91 1
Street Address 1800 Stone Road
Property legal description Lot 14, West Sopris Ranch
Size of lot 40 acres Total square footage of the house 1200
Water source Water storage tanks
# of bedrooms in house 1 # of offices, lofts & similar sized rooms in house
Caretaker unit Total square footage of the caretaker unit
# of bedrooms in caretaker unit # of offices, lofts & similar sized rooms in caretaker unit
Designed for what # rooms (list) 2 bedrooms
Designed by
Mailing Address
Perc rate n/a
Owner
Profile hole depth
Permit information
Depth to groundwater or bedrock
Minimum Septic tank capacity 656 gallons Minimum Absorption area
The existing tank will be removed or abandoned in place. The new tank will be installed near the location of the
existing tank. Exact location and size must be document on a final as -built drawing. The tank must have two
compartments and an effluent filter on the outlet. -20:7 c�5k [ tLk-r-(.-
Minimum horizontal distances between components of the system and physical features shall conform to the Pitkin
County ISDS regulations.
This department does not endorse any brand of products. This permit must be kept on-site during installation.
This department must also be called for an inspection with a minimum of 48 hours advanced notice.
Permit approved by: ()A-_ (AN kY-(..f Date:
Plans and specifications of the proposed individual sewage disposal system have been reviewed and are considered
satisfactory. Permission is hereby granted to the owner or the agent to perform the work indicated in accordance with the Pitkin
County ISDS Regulation in effect at the time of issue. This permit becomes invalid 6 months from the date that the permit was
issued unless system construction has commenced or an extension has been approved in writing by the Department.
As -built drawings must be incl ded with this permit before the final approval will be issued.
Installer:
Final approval: Date:'a%
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ISDS DESIGN CALCULATIONS - for Pitkin
Owner's Name Ondrews ® Parcel ID #
House Size (sq. ft.) _jo (75 gpd, 100 gpd, or 130 gpd)
Number of Bedrooms in Main House
Number of Offices, libraries, Studies, Similar -sized Rooms in Main House
Number of Bedrooms in Detached Caretaker unit
Number of Offices, Studies, Similar -sized Rooms in Caretaker Unit
(If the caretaker unit is ATTACHED, treat as if part of main house.)
Average Daily Waste Flow
State Review Required?
Perc Rate � (T)
no
600
Design Flow (Q) = # potential bedrooms X 2 people/bedroom X gpd X 1.75
Q= 1050
Minimum tank capacity 1312.5 gallons r/
Absorption Area (=Q/5 X SQRT perc rate)
A = 1,328 sq. ft. of absorption area required
86 gravelless chamber units without reduction
# of Perc Holes Required:
UICK 4 — 1
A = 664.07831
68
ANDARD
A = 664.07831
EO 36
QUICK4-EO36 664
3
9_8
with 50% reductionTRENCHFS
less chamber units with reduction
with 50% reductionTRENCHE$
(less chamber units with reduction
units in TRENCHES
86
SETBACK = RO
# of feet = 104
SETBACK FROM POND, STREAM OR IRRIGATION DITCH
# of feet = 54
SETBACK FROM DRY GULCH
# of feet = 29
q
100
EMIL— of
Imo_ -'� '
�XiS�OR Zde otA
c� iiia
QUICK 4 9.2
929.70963 sq ft 3o% reduction BED
101 chamber units with mduc.
929.70963 sq ft 30% reduction BED
60 chamber units with mduc.
74 EQ36 units in a BED
930
145
0
0
Seed to: Division of Water Resources Fax: 303-866-3589
1313 Sherman Street, Room 818 Phone: 303-866-3581
Denver, Colorado 80203
OWNER'S NOTICE QF CONSTRUCTED WELL
Construction of my w,%#dn was
completed on 1), /�� -`
Sl ��, fir' (year
��`•
The well ct
in�acoartracf
lei
JL
,.
The
on
Date
The well must be constructed and pump installed by licensed
water well construction and pump installation contractors, OR
PLEASE BE ADVISED that, pursuant to section 37-91-106(3), C.R.S.
(2003), any person who intends to construct his/her own well or to install
pumping equipment in a well as a "private driller" or `private pump
installer" must first successfully complete an examination prescribed by
the Board of Examiners of Water Well Construction and Pump Installation
Contractors. (Contact the Division of Water Resources for details.)
J
00/10 39Cd 1QJ NafIH HOGZ 3Hl
ETE6LZ60L6 99:90 L00Z/0x/90
06/18/2067 06:55
9709279313
THE ZACH BURN FDT
Form No. OFFICE OF THAATE ENGINEER
GWS -25 COLORADO DIVISION OF WATER RESOURCES
818 Centennlal Bldg., 1313 Sherman St., Denver, ColondO 80203
(303) 888-3581
APPLICANT
CINTHIA R ANDREWS
PO BOX 3317
ASPEN, CO 81612-3317
ro7n1097_40137
WELL PERMIT NUMBER 260855
DIV. 5 WD 38 DES. BASIN MC
Lot: 14 Block: Fling: SubdN' WEST SOPRIS RANCH
APPROVED WELL LOCATION
PAGE 03/08
PITKIN COUNTY
SE 1/4 SW 1/4 Section 15
Township 8 S Range 87 W Sixth P.M.
DISTANCES FROM SECTION LINES
400 Ft. from South Section Line
36W Ft. from East Section Line
UTM COORDINATES (NAD83)
tasling'
ISSUANCE OF THIS PERMIT DOES NOT CONFER A WATER RIGHT
CON ITIONS OF APPROVAL
1) This well shall be used in such a way as to cause no material injury to existing water rights. The issuance of this permit
does not ensure that no injury will occur to another vested water right or preclude another owner of a vested water right from
seeking relief in a civil court action.
2) The construction of this well shall be In compliance with the Water Well Consbuction RUles 2 CCR 402.2, unless approval
of a variance has been granted by the State Board of Examiners of Water Well Construction and Pump Installation
Contractors in accordance with Rule 18.
3) Approved pursuant to CRS 37-92-602(3)(b)(11)(A) as the only weft on a tract of lend of 35.4 acres described as lot 14, West
Sopris Ranch division of land, Pitkn County. Further identified as 1800 Stone Road, Emma, CO.
4) The use of ground water from this well is limited to fire protection, ordinary household purposes inside not more than
three (3) single family dwellings, the irrigation of not more than one (1) acre of home gardens and lawns, and the wafering
of domestic animals.
5) The pumping rate of this well shall not exceed 15 GPM.
6) The return flow from the use of this well must be through an Individual waste water disposal system of the
non -evaporative type where the water is returned to the same stream system in which the well Is located.
7) This well shall be conatntded not more than 200 feet from the location specified on this permit.
NOTE: Parcel Identification Number (PIN): 432465-153-00-006
NOTE: Assessor Tax Schedule Number R007068 l z /50 �70,'
APPROVED /� U
DMW !•�
state Engineer _ _ _
Form
No. GWS -7
6/2003
rvwn nbi els
F- 1
LA
EXEMPT PERMIT INFORMATION SHEET
STATE OF COLORADO
OFFICE OF THE STATE ENGINEER
821 Centennial Bldg-, 1313 Sherman St., Denver. Colorado 80203
(303) 866-3581 Fax (303) 866-3589
INFORMATION FOR WELL PERMITS APPROVED PURSUANT TO CRS 3752-602
(HOUSEHOLD, DOMESTIC. LIVESTOCK AND EXEMPT COMMERCIAL USES)
Carefully read the conditions of approval on your well permit The conditions and the Information on this
information sheet must be complied with in order for the permit to remain valid.
THE PERMIT EXPIATION pATE tS TWO YEARS FROM THE DATE ISSUED. The well must be constructed and
evidence of irs construction must be MgRh"ed by thu office in the form of a Wen Construction and Test report from
the well oonstrtrctiorh contractor confirming that the wen was constructed DriOr 1D exonatlorr of the we permit The
wen permit number is located in the upper right hand comer of the permit, and the expiration date is located in the
iower right hared comer. The expiration date of the permit may be extended one year at a time at the discretion of
the State Engineer for good cause shown. If an extension of One is necessary to construct the well, a written
request for the extension or time must be received by this office. socormpaniod by a filing foe of .$200, prior
to the expiratiah dab of the weP permit. In the request, you must provide the well permit number, your
name and mailing address and the reasons why the well has not been constructed and when it will be
constructed.
Water well construction and Pump installation contractors are specifically licensed in Colorado to perform these
speeiakEed tasks. it is Nagai far contractors who do not hold these licenses to construct wens and/or install pumping
equipment in or an stwwells. The was must be constna las ed and
��� pump
on the lied byreverse sie. contractorsP� ask to isee their
ted by the Stab of Colorado unless exempted
mss). I3acldwe Operslors and Lloensed plumbers may or may not hold the respective Well Construction andlor
pump psWisi lon rr wines- Please be aware of this when you contract to construct the well and install pumping
equipment The web construction report Including a test of the wed yield must be submitted to the office of the State
Englnser within sixty (80) days of compldion of the "cork or within seven days after expiration of the permit,
wthiothwsr is earlier. The lump installation report Including a Pumping system test rust be submitted widW sixty
(60) days of completion of the work The cor&Bdor(s) must provide you with a copy of the work reports) filed with
the Stale Erginser The Meet Cpnshudlon and Test Report. Form Number GWS -31 and the Pump Installation and
Test Report, Form Number GVVS-32 are available from the Division of Wafer Resources offices . Additional
idormadon regarding well oorsfructiom. pump installation, required testing and wen plugging and sealing regulations
are tbuhd on the reverse side of this sheet
You have been prwAdod vAtlh at least two copies of the well permit. Keep a copy for your records. There is
also a copy for the pump ingligiie6on omtrador. Copies have been sent to the ddfler if you indicated a driller
may make additional
ft m orthe �� 011e well cOrstnucticliom Ya och
contractor elect e different from the ed ithe applicallon, or two addit ional copies have bow enclosed. n ce�
for thYour application.
The Original permit is on Ilse In the Denvaf office Records Section. Copies may be obtained for a fee of 50 cents per
page. Stakdes require that any charge of rr sling address or ownership be reported to the State Engineer. Form
number GWS -11 is used both by new owners to report ownership changes and current owners to report address
dan9es-
uest_ contact the Denver Office. or the Division Office in Me area where your well is located.
ifyou Ihave q
Division 2
Division 3
Division 4
Division 181 St. a Flow
310 E Abdardo Ave Ste B
301 Murphy Drive
MonJ671 East Main St.
1402
Greeley. CO 80631
Pueblo. CO 81004
(719) 542-3369
A11a�a GO 81101 9-6683
(7 )
�7h1or4rose
249AM
(97W 352-0712
Fox(970)391-1111116
Fax 1 544 -OW
Fax 19 589-6M
Fax 240)
9 8728
Denver Office
Division 5
Division 6
Diced mail to Box 773450
Division 7
701 Camino Del Rio Ste.
11313 St Rm. 818
Defect Mal to Box 396
C4enwood SM W 81602
WS Arhglem Dr. Suite 101
205
nver, CO 80203
(303) 888.3581
50033 U.S."6 b 24
Steamboat Spgs. CO
Durango. CO 81301
(970) 247-1845
Fax (303) 060-3589
Glenwood Spgs., CO 81601
80477_
Fax (303) 866-5417
970) 9458741 Call fast
Fax
Fax (970) 879.1070
06/10/2007 06:55
970927931:1
is
Name : Cintbia Andrews
C/o
Address : P.O_ Box 3317
City, St, zip :.Aspen Co 81612
Phone #
crit cAGH kX" rui
Shelton Drilling Corp
P.O. Box 1059
Basalt, Co. 81621
(970)927-4182
Lie. # 1095
•
invoice # : C-2561
Date 5/9/2006
Permit #: 260655
Location
rN oIt ab
Perforated Ft :
100 ft
Estimated :
4 gpm'
Static Level
7 ft
Total Drilled :
900 ft
ill
��®
1 X11
•
invoice # : C-2561
Date 5/9/2006
Permit #: 260655
Location
rN oIt ab
Perforated Ft :
100 ft
Estimated :
4 gpm'
Static Level
7 ft
Total Drilled :
900 ft
Recommended Pump Set Depth 890 FL Pumping 4 GPM
For pump installation We Recommend : Samuelson Pump 945-6309 (Raun Samuelson)
J & M Pump Co 945-6159 (Rick Holub)
Aqua Tec Pump 984-0311 (Tom Planer)
0
LAG H RA;N FDT
•
PAGE 02/00
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PAI
C.OPYR.TGHT, 2005 ALL RIGHTS RESERVED
ALL PLIGTITS, rDrASARRANGTMENTSAND
PLANS INDICATED BY TI ILSE DRAWINGS
AND SPECTIFICA'HONS ARE TI It PROPERTY
& C0PYR.JGT IT Or RDA AND 1C FERNANDEZ
DESIGNER, AND SIIALL NOT BE USED BY
ANY OTI IER- PERSON FOR. ANY tISE
VATI TOUT WRITTEN WM I PERMISSION.
project title
c1d
P4
LIP2005-003
COO
jdnw
CHECKED BY:
preliminary
ISSUE DATE:
08122/2005
FILE NAME:
LIP FLRPLN-062405
0
C:)
V)
7,
4-j
CLI
7�
CIO
C.OPYR.TGHT, 2005 ALL RIGHTS RESERVED
ALL PLIGTITS, rDrASARRANGTMENTSAND
PLANS INDICATED BY TI ILSE DRAWINGS
AND SPECTIFICA'HONS ARE TI It PROPERTY
& C0PYR.JGT IT Or RDA AND 1C FERNANDEZ
DESIGNER, AND SIIALL NOT BE USED BY
ANY OTI IER- PERSON FOR. ANY tISE
VATI TOUT WRITTEN WM I PERMISSION.
project title
c1d
P4
issued for
DESIGN
DEVELOPMENT
project data
PROJECT NO:
LIP2005-003
COO
jdnw
CHECKED BY:
preliminary
ISSUE DATE:
08122/2005
FILE NAME:
LIP FLRPLN-062405
C:)
V)
4-j
CIO
issued for
DESIGN
DEVELOPMENT
project data
PROJECT NO:
LIP2005-003
DRAWN BY:
jdnw
CHECKED BY:
preliminary
ISSUE DATE:
08122/2005
FILE NAME:
LIP FLRPLN-062405
sheet title
PROPOSED
SITE PLAN
V = 10T,
sheet #
C200
/0