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Pitkin County Environmental Health Department
Permit for an Individual Sewage Disposal System
0405 Castle Creek Road, Suite 10, Aspen, Colorado 81611
Phone 970-920-5070/FAX 970-920-5077
Permit# 04047 Parcel ID # 2473-231-00-040
Type of permit New( ) Repair( x ) Addition/Remodel to House( )
Name of Owner Nichols
Street Address 26603 F
Property legal description
Size of lot
Water source Private well
# of bedrooms in house
Caretaker unit
# of bedrooms in caretaker unit
Designed for what # rooms (list)
Designed by
Mailing Address
N/A -tank
y Trust c/- Kay Callison
Pan Rd, North Fork
Total square footage of the house 1,335 sq ft
# of offices, lofts & similar sized rooms in house
Total square footage of the caretaker unit
# of offices, lofts & similar sized rooms in caretaker unit
TWO (2) bedrooms
Permit information
Perc rate Profile hole depth Depth to groundwater or bedrock
Minimum Septic tank capacity 750 gallons Minimum Absorption area
Comments
existing
This permit is issued to replace a crushed sewer pipe under the road and to replace a metal septic tank.
Minimum horizontal distances between components of the system and physical features shall conform to the Pitkin
County ISDS regulations.
The septic tank must be a 750 gallon two-compartment concrete tank with an effluent filter on the outlet. A cleanout
must be installed between the house and the tank. The old tank must be properly abandoned.
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. The installer
must provide a final as -built design.
'Revegetation over the area of the field is very important for the functioning of the system. Pitkin County has guidelines that must be
followed to assure the plants that are introduced are appropriate for the conditions of the area. The use of native plants is strongly
encouraged.
Permit approved by: 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 included with this permit before the final
Installer. s'� � �41c rz 7 0 LL' 6 ...L� F�
Final approval: I /
(cop I1
issued.
Date: L o
,(„" X74ip�'l_'�__—'--`c �Q-�,tt� LL-
Jul -I6-2004 14:36 From -COMMUNITY HOaSCHEDULING 6702566512 T-766
a
PITKIN COLKH t 1BENTAL HEALTH DEPARTVENT
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM
0405 Castle Cheep Road, •suite 10, Aspen Colorado 816T1
Phone (970)920-SC7o Fax(970)920-5077
Name of OWNER
Ovmer'shtaakgaadress SS EP71Ti .,c %rte
P 001 F-126
1 Parte( ID a (avaNabw tram aasessoYsoNtce
at 420-000 or etvvww rodnassessor.o )� r1� 3
1• 40' &)
Street address of propeny �l p [2nd lir w r M ' ev � t}ivs..� 9.I...•.sr[L r . L —1 S�
Legal Descrlpion: Lot .Block ,Filing (, ,Sobdivlslat
Size of tot( acres. TYPO of pmpese: WillgfEvt
Total saoare fee! of house # of bodraoms (paenpat— )�irthe,ssa��
Caretaker Unit. Ahaehed ( ) Detached (
Totdt erea(sa R h of Caretaker unit a 01 r me (n0lentla0 In Cmtaker Jnll
Permit is for New Home ( ) Repair due to faimre (;Jy Remcde#AadIBOo ( ) Emergency use ( )
Wale•: P WhIc well ( ) 5pNhg ( ) Slrsarb ( ) G:mmur 4filaubiie Water System ( 7
II cOmmunily xvsram rnmw rr cv.ro,.. �
The fee for a ISOS applicaton is S600 for a permit that takes 0 rtouts on is" for the depa merh to e."rove. N xpprovattakea
fun0sr than h nears, a rata of S700par hour vrlN be utia:ged. The, maalmum tae i fICICO. Thabask feed S6116Iselue. a;the.
Wne of eppkation. The remainder. Yany. w01 be due In two steles! first. at the time cf lssuanca of :hs ISOs porri sosnno,
before `mal approval Or the ISIS parmd.
Applitahon lot an indnkfual sewage disposal system is hereby nubmilled. I heraty carnty that the above inforrialion is true and
accurate and than I have provided true and accurate inf«rwdon on braduns of all existing and proposed wells, contour
rt im,ri s, buildings, prapeny linea ditches. Slopes. vraierthes springs, suNian or Irr•gdon lines. drink ng weler cisrems, drLn
miss, Inigadcn ditches Ickes. were( caurses, streams, aoodploirs, dry gulches. and exlsting septic systems. t hereby coltiy
that any Such features not she -m en atleched airs rap art rot Presentlesuenes of the perm@ de" not unply the aporcual of
shy orner permit rm;ired for coretnichan pursuant hu Pkkm Courtly cotes. No construction may be uidertaken ,in if all
appra:als and perrn l= ha. been oeteinstr
Thrl'tti Colmly Eanrwmwtat Hearth DapaMraru, perm ouenly and eflpkyfwfi of thane agerKtes will be held harmless
erlould the lydlwdual sewage disposal system fall or malf tirmat. The permit to construct is Issued os .nforhladon submitted by
the applicant or Iva,•ber ropresen;ativea. Tint owner assumes full responsil„hist In Case of hilum of the system.
Signature of applicant
Received by
Data 6i7 -P4-
Receipt # /CSS D-ia 7 �6
Af eee it X0440%, 7,4 >,;
G,Vwsasps apsticuAwoo Ft"MI63.dnc
)50
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Pitkin County Environmental Health Department
Contact Log Sheet
Parcel lD#: Address: 6(Oo-)• [_0
Comments / Action to be Taken
WIN
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To: Dan Cokley - SGM From: Nancy MacKenzie
Fax: 945-5948 Pages: 2 (Including cover sheet)
Phone: Date: 7/19/04
Re: Nichols Family Trust Septic Permit cc:
Phone 970-920-5070
Fax 970-920-5077
0405 Castle Creek Road, Aspen CO 81611
1�
07/13/2004 15 14 FAX 970 945 5949 SCHMUESER GORDON MEYER
JUL-1E-04 03:39 PM CA wN. KAY 913+6626
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07/09/2004 08 34 FAX 970 945 5
7 SCHMUESER GORDON I MEYER
I.G - REE. $ SV. V ETO RS
SCHMUESER GORDON MEYER
® 001/004
F A C S I M I L E
M 118 w 611. SVITt 200 GLENWDOD SPRINGS. CO B 1801 U PO Box 2155 ASPEN. CO B 162 1
408 T1 IPD STREET. PO BOx 3060. CRESTED BU -+e. CO B 1 224
Dan Cokley 1./ __
26603 UpW Fork of the Fryingpan Road Alr 07/092004
Tn. Nancy MacKenzie Pitco Env. health .. 920-5077
To Kay Callison _ _ f._913.642-1626,
1 1 OPIOINAL MLILEO
Cuie
IY 1 ORIGINAL NOT M TIED
For your files I have drawn a schematic sltc plan of th, North Fork Cabin The drawmg is based upon field measurements
"tea wheel The ss o� sup the exicring_leachfieldje bAfiAd_Ypnn the Well nermil BDb31,1 which -__ awched __ __
W..4pmpoSt lomaF r -the emst ne I hrrak_ k under the road, ah radon Lhg, moingr 47avactle Lank and dU-wdl. and
msiall a new 1250 gallon concrete septic tank The existing cabin foorprint is shown on the plan Let me know if
ConhdrnnnGa Ararirt' Thir fummr4 rmnrmunon (aNd/o. dormnrncr arcvmµrnymg rd may mnram ron`idrnria/ infbrmormn bdongrng m rbr rind,, u b,rh u
pow ... I Ary da nrgrr.rr. Ifyou ore nol drr -wm&d wgi'Nr.
you art 1,mby mmnfi d char any ditebrum ropymg, duniburlon, nr rbr ukinj of any amnn in rdunrr on the comm, of rheinformation u mcity prnhrbnrd If
you hoot n•rTtisd clry rrnnrmmmn m n -ran plrmr rmmrdiarcly nor nr by rrkphnnr m nnangrlvr rhr arum of dr duurmrnu. Thank you
GLCNWOOO 5PR.NGS 970-945-1004 " 970.945.5948 A5D2N 970-925.8727 rx 970-9254157
CRCSTCO BUAE 970-3403355 Ea: 970-349.5358
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07/09/2004 08 34 FAX 970 945 595 SCHMUESER GORDON MEYER
ASSUMED LOCATION OF
UNDERGROUND SEWER LINE
REPORTED ORYWELL LOCATION
EXISTING CAVITETTE
TREATMENT UNIT
OBIT MnCwAV
_J________I__-
I
1 BCDPOON CABIN I
te' ]0' .AM ROOT
Y . 30' UVPFe
Isas roup s, r. I
�eevT uvvv roe. oc
mt rRTY+c TAN BVAD
I
APPROX SCALE: 1' _ 30'
EXISTING WELL \
fir. i_^ rC4
i1
/ I
25' 5ET\9ACR /
i
i
50' SETBACK
I � I
o �
GLORY N4 OUTLET
� l 1
SCHMUESER CORDON METER INC. SCHEMATIC SITE MAP
flB W. 8M St,00'940. olixSulfo 9 NORTH FORK CABIN
Gl5 enwood Spr0Dln0Dggs, C(oloraCo 87601
SCRMUESER� GORDOW MLYER �.70, 945-1 do4 (970) 025-6727 FAX 48) —
JAe2YM4-247001 0 -ow 6/17/04 Jib.. 4, 0,=4l,717_BAI
07/09/2004 09 34 FAX
to
970 94559 SCHMUESER GORDON MEYER
CO, U DIVISION OF WATER RGSOO -C
101 t, fmbma B:dg., 1845 She -.-Ian St., Denver, CuloLp B
91003/004
PERMIT APPLICATION FORM i r•;'�T
APplicatipn must
ba complete when ( ) A P: RMIT TO USE GROUND WATER
applicable. Type or ( X) A PERMIT TO CONSTRUCT A WELL
prnt N
print ;h
overstrikes
FOR. 1 1 A PERMIT TO INSTALL A PUMP u .ata{'i
or e..,sures unless (. 1 REPLACEMENT FOR N0. a's,�tt,„
l I OTHER
Ill APPLICANT - marling address
Peter Sanderson
NAME (for Mcivest, Inc.
STREET QOX R
CITY Meredith. Colorado 81642
(sw.) (zeal
TELEPHONE NO. None
(2; I_'?CATIGN OF FROPOSEO WELL
:AUn;V..P1ik1tL�..falQrac+ Vl the NW t14.-
NW % of enc SE %,/Suction _ 3_
Twp. R ..�_. Rig.. 83,..... — 6 PM
(3) V.1ATER USE AND WELL DATA
Proposer) maximum pumping rate (gpm) 15 zpm _.
A,evvr,annualamount of ground weer
to ba appropriated here-fee;1: 1-1/2
Number of acres to be irrigated: none
Proposed total depth (feet): esrlmate 100 It. } or
Aquifer ground water is to be obtained from:
Owners well dtolgnaslon
(` 2n(�NO Wa TER TO BE USED FOR:
HOUSEHOLD USE ONLY • no irrigation (0)
DOMESTIC (1) 1 1 INDUSTRIAL (5)
1 1 LIVESTOCK (2) 1 1 IRRIGATION (6)
( ) COMMERCIAL (41 1 1 MUNICIPAL IBI
f ) OTHER
(4) DRILLER
Ntune -Bbile Collins
Stress
City erbo e r do al
Telephone No.303/963-2973 Lic.No. 103/
FOR OFFICE USE ONLY: DO NOT ty"Mitill"VAIS COLUMN
Receipt No. =� I
Basin ____ Dm
CONDITIONS OF APPROVAL
This well shall be used in such a way as to cause
no material injury To existing waiter rights. The
issuanceof the permit does not fissure the applic3-.
th;,t no injury vvid uCCur to atoolher vexed walo:
right or preclude another ower of a vested watar
right from Seeking relief in a Civii Court action.
APPLICATION APPROVED
PERMIT NUMBER 80631 _
GATE ISSUED �� O -T
EXPIRATI ��EP 02 `%�
eL-4-
ENGJINE •R
BY nL .'.
10. ^ .. _ COUNTY
07/09/2004 OB 34 FAX 970 945 5 SCHMUESER GORDON MEYER
(51:THE LOCATION OF THE P OSED WELL and the area on
'Jlkh this Avatar will W used must a Indicatedon the diagram below.
Use the CENTER SECTION (1 section, 840 acres) for the well location.
+—t——+--4--+—� -i
{l- t MILE. 52e0 FEET
t - + -i- + +
'.( 1 NORTH SECTION LINE _ Y
• I I
NoRTH
• .
4-
4-
a t
I
_ , 1
a
C
L
L
v
t
{r
jfr
I
I
i
I
I
l
--� +—+—+--4--�—
The sole of the diagram is 2 inches = 1 mile
WATER EQUIVALENTS TABLE IRO..d d F�gurerl
An K.rdool COWrr 1 sera o1 HM 1 tee, deep
1 cubfe root par second lots) 449 gahons par minula Igpml
A family of 5 will require soom.imately t acre -loo, of water par ywr.
1 ecrrloot ... 43,560 cubK fp, ... 326,900 gellom.
7,000 ppm Pumped continuously' for one day Produces 4.42 ave-fut.
® 0(14/004
18► H
LM T BE LO ATEO BELOW
f
by dis es troln section hoot.
V �t,'e — r'^J
II. from _sec .line
Innnn or foam) .
—It. from sec. line
Ilea or r.uq
LOT BLOCK FILING or
SUBDIVISION
(7) TRACT ON WHICH -WELL WILL BE
LOCATED Ownn, Nicktresf Inc,
No. of acres 2 + Will this be
the only woll on this trocq Yes
(8) PROPOSED CASING PROGRAM
Plain Casing
�� Od) in. from 0 ft. to 82 ft.
in. from ft. to ft.
Performed easing
7 _ in. from 82 ft. to 100 ft.
In. from ft. to ft
(9) FOR REPLACEMENT WELLSgwedlstance
end dlrectlon from old well and plans for plugging
It:
does not apply
(10) LAND ON WHICH GROUND WATER WILL BE USED:
Ownef(s): Nirkvest 1nr- No. of acres: 300 ±
Legal description: as per attached
111) DETAILED of tfle usy f ground water Household use and domestic well mwr indrca4 type of o,sposol syslem
,p he „Ped. Barnesett well, 1750 Ballon Cavitette home sewaee treatment system.
44x2O leach field. Entire system already approved by Pitkin Courtry Sanitation,
Mr. Jim Roark, 5/23/75
(12) OTHER WATER RIGHTS used on this (and, including wells.
Type or right Used for (purpose)
None
Dasenption of land on which used
Mountain hillside
113)THE APPLICANT(S) STATE(S) THAT THE INFORMATION SET FORTH HEREON IS
�lJ TRUE T9-THErBEST OF WS KNOWLEDGE.
OF
rt
Ura additional shaate of papa, if more space is repuirad.
+
4
--� +—+—+--4--�—
The sole of the diagram is 2 inches = 1 mile
WATER EQUIVALENTS TABLE IRO..d d F�gurerl
An K.rdool COWrr 1 sera o1 HM 1 tee, deep
1 cubfe root par second lots) 449 gahons par minula Igpml
A family of 5 will require soom.imately t acre -loo, of water par ywr.
1 ecrrloot ... 43,560 cubK fp, ... 326,900 gellom.
7,000 ppm Pumped continuously' for one day Produces 4.42 ave-fut.
® 0(14/004
18► H
LM T BE LO ATEO BELOW
f
by dis es troln section hoot.
V �t,'e — r'^J
II. from _sec .line
Innnn or foam) .
—It. from sec. line
Ilea or r.uq
LOT BLOCK FILING or
SUBDIVISION
(7) TRACT ON WHICH -WELL WILL BE
LOCATED Ownn, Nicktresf Inc,
No. of acres 2 + Will this be
the only woll on this trocq Yes
(8) PROPOSED CASING PROGRAM
Plain Casing
�� Od) in. from 0 ft. to 82 ft.
in. from ft. to ft.
Performed easing
7 _ in. from 82 ft. to 100 ft.
In. from ft. to ft
(9) FOR REPLACEMENT WELLSgwedlstance
end dlrectlon from old well and plans for plugging
It:
does not apply
(10) LAND ON WHICH GROUND WATER WILL BE USED:
Ownef(s): Nirkvest 1nr- No. of acres: 300 ±
Legal description: as per attached
111) DETAILED of tfle usy f ground water Household use and domestic well mwr indrca4 type of o,sposol syslem
,p he „Ped. Barnesett well, 1750 Ballon Cavitette home sewaee treatment system.
44x2O leach field. Entire system already approved by Pitkin Courtry Sanitation,
Mr. Jim Roark, 5/23/75
(12) OTHER WATER RIGHTS used on this (and, including wells.
Type or right Used for (purpose)
None
Dasenption of land on which used
Mountain hillside
113)THE APPLICANT(S) STATE(S) THAT THE INFORMATION SET FORTH HEREON IS
�lJ TRUE T9-THErBEST OF WS KNOWLEDGE.
OF
rt
Ura additional shaate of papa, if more space is repuirad.
n
n
3
--� +—+—+--4--�—
The sole of the diagram is 2 inches = 1 mile
WATER EQUIVALENTS TABLE IRO..d d F�gurerl
An K.rdool COWrr 1 sera o1 HM 1 tee, deep
1 cubfe root par second lots) 449 gahons par minula Igpml
A family of 5 will require soom.imately t acre -loo, of water par ywr.
1 ecrrloot ... 43,560 cubK fp, ... 326,900 gellom.
7,000 ppm Pumped continuously' for one day Produces 4.42 ave-fut.
® 0(14/004
18► H
LM T BE LO ATEO BELOW
f
by dis es troln section hoot.
V �t,'e — r'^J
II. from _sec .line
Innnn or foam) .
—It. from sec. line
Ilea or r.uq
LOT BLOCK FILING or
SUBDIVISION
(7) TRACT ON WHICH -WELL WILL BE
LOCATED Ownn, Nicktresf Inc,
No. of acres 2 + Will this be
the only woll on this trocq Yes
(8) PROPOSED CASING PROGRAM
Plain Casing
�� Od) in. from 0 ft. to 82 ft.
in. from ft. to ft.
Performed easing
7 _ in. from 82 ft. to 100 ft.
In. from ft. to ft
(9) FOR REPLACEMENT WELLSgwedlstance
end dlrectlon from old well and plans for plugging
It:
does not apply
(10) LAND ON WHICH GROUND WATER WILL BE USED:
Ownef(s): Nirkvest 1nr- No. of acres: 300 ±
Legal description: as per attached
111) DETAILED of tfle usy f ground water Household use and domestic well mwr indrca4 type of o,sposol syslem
,p he „Ped. Barnesett well, 1750 Ballon Cavitette home sewaee treatment system.
44x2O leach field. Entire system already approved by Pitkin Courtry Sanitation,
Mr. Jim Roark, 5/23/75
(12) OTHER WATER RIGHTS used on this (and, including wells.
Type or right Used for (purpose)
None
Dasenption of land on which used
Mountain hillside
113)THE APPLICANT(S) STATE(S) THAT THE INFORMATION SET FORTH HEREON IS
�lJ TRUE T9-THErBEST OF WS KNOWLEDGE.
OF
rt
Ura additional shaate of papa, if more space is repuirad.