HomeMy WebLinkAboutpitkin.eh.247322100008 (1983)(1)Document Layout
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Please See Building and Land Use Approvals Files for additional information.
40
W, ftSPEN*PITKIN
ENVIRO MENTAL HEALTH DEPARTMENT
PFR IT *Il?9"RER—���oA- --- RECEIPT NUMBER
Owner
(�r�zn��P �4 .�
Phone No.
493- -bY4f
I
Owner
IsMailing Address_ lar n0 W 6(.tL Pl
nyU"Pa.-
Conon
.. ..L'uaFixa ctor' Phone Nc . 4 93 -GYq 1
Address 90 t. -e c>,.o dlcue
Legal
Type of Building by Use ora �-Ckl'�T l / '
ype of Water Supply _ Y�j e- -
OwneT'*f grrature Date
PLOT PLAN: ATTACHED REQUIRED
Type of Individual Sewage Disposal System 'nt,A- A a:� ."
Type of Soil or Soil Classificat
I;. Prvx_r:n2.3• Location of Bedrock
" Proxiian]-sccation of Ground Water Table
PeTcu%atioa T-cst Date 14� /
Minutes Per Inch
Minimum Recommended Absorption S;; stem Size
�6izz uu •RFc rnm®Lded:Tei�k Size 7!�Q <24L -L A a--_
Speciai Conditions of Issue:
VAULT !3OLL: EXPY /pr/ ° i /i`A/D
Lty�P�1u`'�vE� oN TH� D�fIN
AJ111 ✓!F'' t�lF NE TANK <
j/f
ed oi.';I:sv(.ar. e By le _
NOTICE
When proporl'I vgnod for u:-Rocl, this apphcerlO�
becomes vo,,r Carmlt. Acpllc.,tmn "alio one troar ffo•v
dote. If an IndlvN,,ai sewage •ticnosel Parrm't Is bsusd
for property on w�ich on hui Ning permit hes Dean
imse. the ind Wloual .eweyl diepotel perf••n --It
as Pin 120 dsvt cher Ys iwarnu. !f con4ru..ion'.is
not been commsoceG. Any ch�nga 'n Pldro or speci-
fications alter the permit het harsh lavarn ir.vslWiba
the permit, onloss ap PrOvAl i tacu•r11"M -.^v
L- Officer for such changes.
Dat
FINAL INSPLCTION' APPROVAL ate_
(Drawing of System onBackA/P. E. H. D. fi/SO
130 South Galena Street Aspen, Colorado 61611 303/925-2020
1 o-, s'
YA
i IN
N
9 SENDER; Complrm items 1, 2, and i.
- Add your address in the —RETURN TO" spare on
reverse.
1. The following service is requested (check one).
F1 Show to whom and dare delivered ............250
E] Show to whom, date, & address of delivery .....450
RESTRICTED DELIVERY.
Show to whom and date delivered ............850
❑ RESTRICTED DELIVERY.
Show to whom, date, and address of delivery .3 1.05
(Fees shown are in addition to postage charges and other
fees).
2. ARTICLE ADDRESSED TO:
3. ARTICLE DESCRIPTION:
REGISTERED NO. CERTIFIED NO. INSURED NO.
(Always obtain signature of addressee or agend)
I have received the article described above.
SIGNATUREf Addressee ❑ Authorized agent
ffMRED N').
1P1389v)
1.
DATE �DF V
p06iWRN
J (a!'.Yeya obtain ❑gnetnrr O} sittressae or age nli
IF
5. ADDRESS (Complete only it repuaa d)
n SIGNATURE ClAddraee 0Aathaslid yet
n ew
D -r
H a
n DATE OF DELIVERYQ� g
O
6. UNABLE TO DELIVER BECAUSE: CL If'$
IN4 LS
V,
H
N
v �h7EQ: Complex i1<ms 1, 2, ma 3.
naI roar= a `a<rsa � me••RrrdRN To' N¢e �
• tere:se.
I . The following service is requested (:heck ow.)
❑ lhGw to whore and date delivered............ —t
®Shen- to whom, de.le and address of d.:livety..--C
❑ RESTRICTED LL I.IYERY
Show to whom and dais detivercd............ _ <
❑ RESTRICTED Flil-MRY.
Show to whom, de:e, and sddress of delivery.$ ---
(CONSULT POST :.TASTER FOR FI: FS)
2. ARTICLE ADORES;EU TO:
t
1
C
ARTICLE DS..CIIIMOW
II REGISTERED NO.CERTIFIED NO.
ffMRED N').
1P1389v)
4q
J (a!'.Yeya obtain ❑gnetnrr O} sittressae or age nli
I':ave roaived Iho at, ;e described above.
n SIGNATURE ClAddraee 0Aathaslid yet
n ew
D -r
H a
n DATE OF DELIVERYQ� g
O
Z fL ADDREW (Cesnplere enlr it I d3S
�a
in
H
nCLEF, S
M& UtlABIF TO DELI4'ER EECAtJSE: INrTMLS
D
T.rW :I.or •,»
SAMUELSON PUMP CO.•
1000 GLEN OAk LANE WATER SYSTEMS
GLENWOOD SPRINGS SALES, SERVICE 8 INSTALLATION
COLORADO $1601 945.6309
Nqy 3/ / / 7�s�
itlOrr4 Fo�� OF R-Ywr, PAO
/,Z470 w- 66 -P -'PL -
ARvAr,A) (2o. ?ooe-l�
ALUtU: Me. 62r-t-EAv
Q/V N%Ay 3/, l�1$3 A WV -t-? WA-) (Qr✓�vr�7t'3 O -k1 A (V62- ..
LuCdTt--TA iv Fi7fi�U Co. OA) -1-�It S. t- y at 7HE 'v.,c. S ial
-22 7-uJP 8' S , ^00 - '?3
VLLOulrA)(5 //JFUklyXWTfDiv WIT 0!!,.an4)& .
. ctlt`'- p
S7AAA0/,V(9 4UA " 1.t'/.`. Z .Z/ / ,r
MA< 6PAW t-30wA.) 4 '5-r Pr,4�
/9Boavc?lc;U SG/om .
F you Nn L E AVY Q04?57/00s
7-AM(1aloA) AT o1�5,-G3o9 -
Sj�JCCr�cZ-`l
rAuu S�mc'eL- "'
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3
pLIfAS6. Conan -T me Ajt t)
ie
plication must
Iw complete where
a Itcable. Type or
III BLACK
_
No overstrikes
nr erasures unless
initialed.
C#,RADO DIVISION OF WATER RESOJ&E$
818 nnial Bldg., 1313 Sherman St., Denver, Colo 80203
a
PERMIT APPLICATION FORM
t
1 PERMIT 10 USE GROUND WATER
(1,1 A PERMIT TO CONSTRUCT A WELL i
FOR: 1 tl A PERMIT TO INSTALL A PUMP
(
I REPLACEMENT FOR NO.
( )OTHER
WATER COURT CASE NO.
(1) APPLICANT - mailing address
NAME J�+.vo-�nwc �avtr ret-v�
STREET 12b10 Lit (�l 41 Q�
CITY RTUCa,9A�alora�l� VOOOq
(State) (2i P)
TELEPHONE NO. 4'�� — LGA !fl —
(2) LOCATION OF PROPOSED WELL
County ` \ ki,� ►►,,`` CC ��//��
�' .. Y of the�►]t,�--- '/•. Section CF U
Twp. 5 • Rng. _.C91 /A_ —W, (0P. M.
iN.SI iEWI
(3) WATER USE AND WELL DATA
posed maximum pumping rate (qpm)
Average annual amount of ground water
to be appropriated (acre-feet):
Number of acres to be irrigated:
Proposed total depth (feet): I3(2
Aquifer ground water is to be obtained from:
Owner's well designation
GROUND WATER TO BE USED FOR:
I A HOUSEHOLD USE ONLY - no irrigation (0)
1 I DOMESTIC (1) ( 1 INDUSTRIAL (5)
I I LIVESTOCK (2) 1 1 IRRIGATION (G)
( I COMMERCIAL (4) ( ) MUNICIPAL (81
I )OTHER (9)
DETAIL THE USE UN BACK IN 0 1
(4) DRILLER
Name l—lCevv5-es
40reel
City -
11 ty—
f Telephone No. Lic. No.
FOR OFFICE USE ONLY: DO NOT WRITE IN THIS COLUMN
Receipt No. c23
Basin
Dist.
CONDITIONS OF APPROVAL
This well shall be used in such a way as to cause
no matrtial injury .o existing water rights. The
issuance of the permit does not assure the applicant
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.
APPROVED FOR HOUSEHOLD USE ONLY, FOR ON0
(1) SiNOLE FAMILY DWELLING AND NOT TO 13E
USED FOR IRRIGATION. THE RETURN FLOW FROM
THE USE OF THIS WELL MUST BE RETURNED TO
THE SAME STREAM SYSTEM IN WHICH THE WELL
IS LOCATED.
WNIWNEFS
APP IC
PERMIT NUMBER 124526
DATE ISSUED MAR 1982
EX TION DATE
�,/ 4"f
-AS—
i
RECEIVED
FEB 2 6 1992
WT* xf, \:)Uwu
MVL fY. mER
Mo
I.D. COUNTY 19
[WATE-k
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• ^ l•l.C.�LG,1lC :' �oll� YgYXlYE C0.��
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arts"3+'S�•'G. 130.35'.
s�
12v.�a
-apo w¢M
Legal Description
A tract of land situated in the SINE; of Section 22, Township 8 South, --ange
83 West of the 6Lh Principal Meridian/ Pitkin County, Colorado, beinG more
particularly described as follows: 1
Beginning at a point whence the E; Corner of said Section 22 bears N 69051'
39" E 108.33 feet, N 65031'56^ E 136.35 feet and S 71°52'09" E.771.09 feet;
thence S 73017'54" W 140.50 feet; thence N 60°06'15" W 71.73 feet; thence
N 13031'56" E 315.75 feet; thence S'80108'32" E 88.95 feet; thence S 07°31'
56" W 122.00 feet; thence S 17°08'04" E 173.90 feet to the point of beginninC.
I hereby certify that this.map accurately depicts a survey made under my su-
perviaiAn:on May 22, 1980 of the above described parcel of land.
M
6Vney 1 Sncicome L.S. 14111.
V
�0 �: �'u t'.��-1"�ji. i�-r_rr:i� ���rvc•.!
qfIJ LVfivs{ ••Ui: 'f '=. -'i� Y/p�?�11/. V SPAT, • i i/ ,,1/^,',�.r r
' ' f•,• �'•: (r� l"1:7�y%� f/Y,. LI/ YES I/
SYDNEY L/NC/COUE (L. S. AW//J
BOX 121 CARBONGALE COLO. 303-9f>3- :rS52