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HomeMy WebLinkAboutpitkin.eh.247318201009 (1994)Document Layout (From Most Recent to Oldest Permit) Permit Application Log Sheet/Notes & Photos Communications. As -built Design Engineer Design Soil Information Water Permit & Information Second System on property Third System .etc. Floor Plans Please See Building and Land Use Approvals Files for additional information. • Parte Yy73- /Sa7 0/ 5�G PERµI�(r� ASPEN/PR}�N ENVIRONMENTAL HEALTH DEPART APPLICATION FOR AN INDIVIDUAL SEWAGE DISPOSAL SYSTEM (ISDS) PERMIT Name of OWNER �A5fCr) 4r4hur err klairicL Bus. Phone # �/� %- 3`/90 Mailing Address jUr,,,i 146 9/6`/,Z Home Phone # _ Name of AGENT Mailing Address (/Copy of Permit to be Sent to: Joh, Vask.-1 4,-4"f) Bus. Phone # Home Phone # PERMIT IS FOR: (,NEW INSTALLATION, () REPAIR, () ALTERATION NOT DUE TO FAILURE, or () EMERGENCY USE. for permit # STREET ADDRESS of Property: LEGAL DESCRIPTION of Property: Size of Lot � acres Type of Structure Proposed lot _, block _, filing _, and subdiv. # BEDROOMS 2, # LOFTS I , # GARBAGE DISPOSALS I , # DISHWASHERS L, # CLOTHES WASHERS / Water Supply: (,- Private Well, () Spring, () Stream, or () System (Public or Private Name: IS PROOF OF ADEQUATE WATER ATTACHED? () YES or () NO HAS THIS PROJECT BEEN APPROVED BY PrrKIN COUNTY? (y YES or () NO Application for an IndMdual sewage disposal system permit Is hereby submitted. The undersigned acknowledges that the above Information Is We and Mat false Information will Invalidate Me application aM any subsequent permit Issuance of Me permit does not explicitly w Implicitly imply Me approval of any other permit required for construction pursuant to Pitkin County codes. No construction may be undertaken until all approvals and permits have been obtained. The owner assumes all responsibilities in case of failure or Inadequacy of this system. SIGNATURE OF APPLICANT Date The application becomes invalid 120 days from the date signed. This Permit is valid only for the design as specified below. .:.........»............ :....BELOW FOR OFFICE USE ONLY*..*.**.**..** ...... / INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT # r// 4� 0 $150 fee paid dyes. Date received y - /(v - Q/ Receipt # 00oY39 Received By DESIGN CRITERIA OF SYSTEM TO BE INSTALLED: Any changes must be submitted and approved in writing. # of Bedrooms: a*/!r/Percolation Rate: /� mpi, Average Daily Waste Flow: 1 gallons. Is an Engineer Designed system needed? () Yes or (,)`No (NI pians and specifications of Me erginear shah be fellow" Any changes must be approved in writing and Me engineer shall certify the final Installation to the Environmental Health Department in writing.) (owns! w6nfS *, pu-i :T 12 sC 44n IL% Minimum Septic Tank Capacity /,100 gallons , Absorption Area y.S4. S square feet minimum )IE ( ) Absorption Bed, (4 Absorption Field in Trenches, (q/ Gravel -less system, () Pumping/Dosing Chamber, ( ) Absorption Pit 0461ne41 woa.(d t0Lt 4D use 1.'41111 ruffs in 4reidYs Vh,rh wo«Ir1 6e /Ser li,•vt.I4e,4 01- -75 un ts. A gTin;mfww horizrnla.L dtslunce of So if . n Lsf b� ma4,,la,.-ed he Weeii 44v- absorif;K&-) /rena.L d h;lh Wa4er 4crk of Jou r,Ver. iAe derkk- of a 4reeidl sha,aAcl not- ,fit eiucred 2/L r' llTt rt 3hor..rd be Stages r uiring Inspection: () Before excavation, ( ) Upon completion and prior to placement of gravel, (I Before covering distribution system of absorption field, (4 Prior to backfill of any component and any situation deemed necessary by Environmental Health Department Staff. Plans and specifications d Me proposed individual sewage disposal system have been reviewed and are considered satisfactory. Permission is hereby granted to the owner or his agent to perform Me work indicated above in accordance with the Pitkin County Individual Sewage Disposal Regulations In effect on the dale of issue. In addition to generst provisions tit forth in any attachments. Mia Permit is subiect to the following additional terms and conditions if any: APPROVED FOR ISSUE BY: \SeC pre l aus perm f J DATE OF ISSUE: The above individual sewage disposal system has been inspect for use by the As ryPl(kin Environmental Health Depanmenl The owner assumes all responsibilifies in case of failure or inadequacy of tors system. Complete as built drawing and ell specifications of as -Witt are included with this permit FINAL INSPECTION BY: l?o _ DATE OF FINAL INSPECTION: /0 BOTHOOD:JTCP VPRERMIT.6.1 0 SW ALENA STREET • ASPEN. COLORADO 61611 - PHONE 303.920.5070 - FAx 903.920.5197 NPEHO tiger PRINTED ON RECYCLED PAPER G faf of "&'-,krhed Soil ir-fwten Jfz 5'dewau lls 4� 4&, 4rcnriY5- Plea5[. ea -U 1--( 4tM5h,f.-)s . ASPWRKIN ENVIRONMENTAL HEALTH DEP.MENT FINAL SYSTEM DESIGN FINAL SPECIFICS OF THE SYSTEM INCLUDED UNDER THIS PERMIT: (As -Built Conditions) ,7 / Type of Tank or Treatment Unit: (M//ro Td Tank Capacity: _ gallons Type of Absorption Field: R/od,1- Se/ -i Absorption Area: S . S9 square feet DESCRIPTION, CONDITIONS, AND SPECIFICATIONS OF SYSTEM DESIGN: yS�.s l�J Oi e2S Uiodrtu5ra LI jj5 in o2 4(?,ndL.5 lL un;fs In / -lrNch /.3 i,t 4d> -c. Qlk�r �enc�I �c Skd (x Tan -ate in cFlt�n{ ltnc �ra� 4anr Id d4 FINAL AS -BUILT PLOT PLAN: (sef aAdxd FINAL INSPECTION BY: A!uh 4_4i DATE OF INSPECTION: :SOTH.LWVTCPC:WP:PERACT.9.1 7U 100 SOUTH GALENA STREET • ASPEN, COLOPADO 91611 • PHONE 50].920.5010 . FAX ]0].920.5191 PRIMED ON RECYCLED PAPER IN /ao ASPE+PITKIN Y / 3"/9a -Ol - Wig ENVIRO�N ENTAL HEALTH DEPARTMENT G4 INDIVIDUAL SEWAGE DISPOSAL PERMIT NO. ` 10 TYPE OF PERMIT: Anitial Construction ( )Emergency, Use ( )Repair Work,(Pievious Permit 1 .) ( )Alteration of an existing syutem, r Installation (Previous Permit 1 g ( )Use Permit as a result of sale ( )Other, ISSUED TO: T/ DATE OF ISSUE161719 Z Ocmer�P%lil)� J.li�i%/Yffli�L �"C Home Phone — -- Y/ Business Phone Mailing rr IIff Address �� G`tllL(CRESi 0,e/VC peiee' (/TAIL $y5-01 Phone 27-3221 Mailing Address Sewage Disposal System Work to be performed byeim L;f, WI.EY � tn' 2 C�/1 This permit valid only for premises location by the following legal deseriptiom ol_ � `� .13 t>rGc LOT SItE 2t 3 1 A ci?C5 MATER SUPPLY a)CL L- . AVERAGE PERCOLATION RATE 5 M A1ffCS LYf. This Individual Sewage Disposal Permit 1s granted with regard to the following use: AJ,,- Flimia ESI al Nwlber of, Dodreems 2 Lofts_ Garbage DisposalsDishwashers_ Clothes flashers CALCULATED AVERAGE DAILY WASTE LOAD 4�3 0 GALLONS. THE NATURE OF THE SYSTEM INCLUDED UNDER THIS PERMIT: (pa of Tank or Treatment Unitt &Cr 1 I CT A)r �l-- _tlwd of riral Disposal, 6s4 r•/ -O� �a € S (214 Absorptiop _scription (including brand name, if any) of other equipment or appuctnances, Tank Capacity ' _Callon Minimus Area square Peat Minimum leher Conditions or specifieationsl i NiU� LOCATE -S6/7-1e-TAN< -S-(_)FiedM GIIELL An/Q AB'WPP10q% A{ 14 % • ASPEN*PITKIN • ENVIRONMENTAL HEALTH DEPARTMENT APPLICATION FOR AN INDIVIDUAL SEWAGE DISPOSAL•PERMIT *J 50. Name of OWNER�p ana_ �r4/<<- ✓/�itta� PHONE amu/ /03l s Address of OWNER SU F oc<t 7 3a9/ Name of APPLICANT Sa m e PHONE ,j z � e �ER1(IT TO BE: `y)Picked Up ( )Mailed tot /,` ( )dinar ( )APPlicantn (4CATION OF PROPOSED SYSTEM$ a y5 -e / TYPE OF PERMIT: 94 New Installation I ))Emergency Use f 1 ( )Repair ( )Alteration NOT due to fallura �o4 � Piling J&e4/2 A' Subdivision C flo:, P .� Sime of Lot �3>'9 acre• Lotfl� Black e2I-iB TYPE -or STRUCTURE: / Single Family Dwelling ( )Other: / Do You Plan residence? any further dditions to the ( )YES NO Io. of bedrooms ._ : _ No. of Lofts_ No, of Garbage Disposals �_ No. Of Automatic Dishwashers AO. of Automatic Clothes Washers rATER SUPPLY: Private Nell. Depth or ( )Public, Name of System ( )spring ( )stream or Creek TYPES OF INDIVIDUAL SEWAr.E DISPOSAL SYSTEM PROPOSED$ 0 Septic Tank/Absorption Field ( )Aeration Plant/Absorption Field ( )Composting Toilet ( )Incineration Toilet ( )Mound ( )Recycling, potable use ( )Recycling, other use ( )Vault Privy ( )Other$ The initial site inspection must be arranged with the Aspen/Pitkin Environmental Health Department (925-2020, 8:30-9$30 a.m.) before a permit can be Issued. The individual sewage disposal permit must be issued before a building permit can be obtained. FINAL INSPECTION APPROVAL MUST BE GIVEN BY THE ASPEN/PITKIN ENVIRONMENTAL HEALTH DEPARTMENT PRIOR TO BACKFILLING ANY PORTION OF THE SYSTEM. Application for an individual sewage disposal permit is hereby submitted. The undersigned acknowledges that the above information is true and that false information will igv�lid)te7tthhe(Jf�{P11cat1on and any subsequent permit. Signature OT Applicant/A.- 6.iy/�//!/i?-C��+' Be \ DATE (This application becomes. invalid 12 months from the above date.) NOTE: PLOT PLAN must be filed with this application. Please locate the following items by measured distances: 1. Property lines and dimensions. 2. Proposed and existing water wells on subject property and adjacent property. 3. Domestic water service lines. 4. Proposed and existing buildings, driveways, and other structures. S. Streams, lakes, ponds, irrigation ditches, and other water courses. 6. Proposed and existing individual sewage systems on subject property. SUBMIT A REVISED PLOT PLAN PRIOR TO CONSTRUCTION IF INSTALLATION IS TO BE CHANGED FROM ORIGINAL PLAN. The undersigned hereby acknowledges receipt of this individual sewage disposal PCrelt appl�cation and a ra t f in the amount of i 2�(�. oc� Receipt Number 0bo'Z'3r1 Date Fee Received ct �° �� .bY AdslnlstratLv Off cot q130 South Galena Street Aspen, Colorado 81611 303/820d5070 i3�b. � -4 �o�s; b�� Wim - W �w�a �;� � �s� eor� �ti� ,,,,mak Wh.i4 ��t ��� s-� �o� �o;��l need -f,; eo"�`�-F .f lei u5 kyI1^o.,: �Ipclsti (`0.�� RnC� � (jia It 'i ��} 1-� yow�� bA wb�3 � 9�7- 3a9/ S^�S Pha�z ft R�ru- No a-*' c • /o -d4 - ?I x \bD g, 3� Fe oce �o %7` � 3 4niis in ircnch WELL 37, 3 7 1►a��,9 NOT ,—a Sc.+�� zo / 2 aal f5 in irenLF, BasejWc Tank Capacity • Number of Bedrooms ��"��/y�� '1 Minimum Effective Liquid I `r N of B d Tank Gp+dlr (gallons) IVr 1 or less 750 �2,I, 9 1000 L 1250 eC add,Wn+l bedroom • 2 — ._ Maximum Loading Rates of Eluent Volume for Soil Absorption Systems PocaUUon Rne rause J Typical Sail Teawrm Mulmum Ldadina Rate (minulu/NCAI_.__. Soa Can --I (Appe..dla 31 (9a1Jaq.lUdry1 .— 0.10 -- SaM Lb 2130 A6torpllw Area N N. K Abaermd. Area N p. R. Sa1Wy Loam 3L4AT_,.__ 33 3v.0 1 211 loam .50 Seepage pita JV Lwm /0 ., AO a v C1ar lwm a y term _]0 r Om. 60 v1 Olay 20 •Mevmum nr,maer o. we.. n 2.0 RI. •ApaapFer, area .or raepage pes n Rpured err Hu., aippwM Nw be ave• Yw iYN. lume Galt 4 I"Pa0e Pile a vaneau Non raw b over 111Ny 4301.nietau , per Nn2. 'uruat apla ler raeoape eed+ a paraWa2:pn rue I, aver• ata Nm (1l N away (501 mimdea •IMWllaaw err coneMl.MN aetwpign "Aam. 6t?OJ-54 ci in 4N3 -a izi -)rend k S - roes 9 L A = 93 Z So - a yr 7S = 9/a• 7S : 9/3 0 SO�d rrducfi�n= ySG.S ySG.S lS = a�.3'ii all; (15 --? l ;"Ya,! -4,) rause J Required Square Footage of Soil Absorption Systems -- Req.lred Roll. RNWred Rdllam A6torpllw Area N N. K Abaermd. Area N p. R. Required Sldewall Area' F Per ilNrwm• Iar Pa BedrdOn.• for In AA. It per ReMoam' ler Sella... Swndard TreneAea See~ RMa Seepage pita 1 165 315 1+5 II 300 Ie m sis eAS AM aep i IV $50 V 740 vl •Mevmum nr,maer o. we.. n 2.0 RI. •ApaapFer, area .or raepage pes n Rpured err Hu., aippwM Nw be ave• Yw iYN. lume Galt 4 I"Pa0e Pile a vaneau Non raw b over 111Ny 4301.nietau , per Nn2. 'uruat apla ler raeoape eed+ a paraWa2:pn rue I, aver• ata Nm (1l N away (501 mimdea •IMWllaaw err coneMl.MN aetwpign "Aam. 6t?OJ-54 ci in 4N3 -a izi -)rend k S - roes 9 L A = 93 Z So - a yr 7S = 9/a• 7S : 9/3 0 SO�d rrducfi�n= ySG.S ySG.S lS = a�.3'ii all; (15 --? l ;"Ya,! -4,) 0 ASPEN+PITKIN ENVIRONMENTAL HEALTH DEPARTANT FIELD TEST DATA SHEET ON PERCOLATION TEST Legal description: Address of Property: /_ /- Name of Owner: Address: (#&st Name of Agent: _ o. box) (city) (state) (zip) Lot Area:ZD- Water Supply:Public Utility_ Subdivision Private W611-4 Other Distance to Nearest Surface Water Type Dates Observations Made: Soil Borings: by Percolation Tests:/0-t-q) by SOIL BORING TESTS PERCOLATION TESTS Total Observed Depth Estimated Depth Character �Y` Depth to Groundwater to Groundwater of Soils I _ � C-.� fir✓`{( Q"/ B-1 v PERCOLATION TESTS �- W�Ww- -3 Depth �Y` 3i Sy Diameter ly Depth of Water (left after 8 hr. presoak) 6 �- W�Ww- =I�W�= a 0-1p Rate P-1 L R to P-2 Rate P-3 7.0 AVERAGE RATE: i minute inch Plan of the site and location of test holes on the back Comments on Soil or Site: Date V 17 g Si nature / 130 South Galena Street Aspen, Colorado 81611 303VO20-6070 S E ri 9 4A4 I(u 0 i OCT 5 1994 ENVIRONMENTAL HEALTH ASPBJ/PITKIN 'WR.ij;. Re v. J6 COLOR DIVISION OF WATER RESOURCE 818 Centenni. dg., 1313 Sherman St., Denver, Colorado 8 PERMIT APPLICATION FORM (JUN 1 J 19P.1Application must be complete where (X ) A PERMIT TO USE GROUND WATER 1SAiE(f ,losuu;r• fS :ggdicablu. Type ur (X) A PERMIT TO CONSTNUCT A WELL SfAll t(1G;N611)t print in BLACK FOR: ( X I A PERMIT TO INSTALL A PUMP Colo. INK, No overstrikes L or erasures unless ( I REPLACEMENT FOR NO. initialed. ( IOTHER ��C�i1S1'r1 WATER COURT CASE NO. YY LLLI (1) APPLICANT • mailing address 1:011 OI:rICE USE ONLY: DO NOT WRITE INlityLIAS COI.0 RfrouitCFS ArAFE ENGMEEP NAME_ ARTHUR AND LEA VASTEN Receipt No. 1/2.3-453� Coto STREET 0199 Sopris Creek Road Basin Dist. CITY'Carhnndnln Colorado (stater MCI CONDITIONS OF APPROVAL TELEPHONENO. —. 03-927-3452 (2) LOCATION OF PROPOSED WELL County Pitkin�r SE % of the Sly %, Sectio Twp. 8 A , Rng. 83 W 6th P.M. (N,$) IE.wI• (3) WATER USE AND WELL DATA Proposed maximum pumping rate (gpm) Average annual amount of ground water to be appropriated (acre-feet): Number of acres to be irrigated: 1 0 Proposed total depth (feet): 60 Aquifer ground water is to be obtained from: Owner's well designation VASTEN WELL GROUND WATER TO BE USED FOR: ( ) HOUSEHOLD USE ONLY -no irrigation (0) (X) DOMESTIC (1) - 1 ) INDUSTRIAL (5) 1 ) LIVESTOCK (2) 1 I IRRIGATION (6) ( ) COMMERCIAL 14) ( ) MUNICIPAL (8) ( ) OTHER (9) DETAIL THE USE ON BACK IN (11) (4) DRILLER Colorado Licensed Name Street City ISIJIeI I21PI Telephone No. Lic. No This well shall be used in such a way as to cause no material injury to 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 DOMESTIC USE, INCLUDING TBE IRRIGATION OF NOT OVER ONE ACRE OF HOME GARDENS AND LAWNS. OWNER'S COPY APPLICATION APPROVED PERMIT NUMBER DATE ISSUED 1218'2 n !jq1. D. 3k_COUNTY /a I/ (6) THE LOCATION OF IIIE I'IIM'OSED WELL :Ind fill- area of' which the waler will be used nuist be indir-aled on the diagram below. Use the CENILR SIXT1ON (1 section, 640 acres) for the well luralion. - -I- - + - + - --I- - -I- -- --I- - -I- 4 I !4 1 MILE, 5280 FEET --- }I I- -I- I -I- - -I- - NORTH a - { I 1 + I C I NORTH SECTION LINE 2 II — T II — T D C N J z O I I n n U_—_�__ U O N I 2 y I � I I X I I SOUTH SECTION LINE I J_ __ —I_� I I I I --I--+-+-+- I- --4- - The scale of the diagram is 2 inches = 1 mile Each small square represents 40 acres. WATER EOUIVALENTS TABLE (Rounded Figures) An acre-foot covers 1 acre of land 1 foot deep 1 cubic foot per second Icfs) ... 449 gallons per minute (gpm) A family of 5 will require approximately 1 acre-foot of water per year. 1 acre-foot ... 43,500 cubic feet ... 325,90.0 gallons. 1,000 gpm pumped continuously for one day produces 4.42 acre-feet. (10) LAND ON WHICH GROUND WATER WILL BE USED: by distances from section lines. . /' �n 163 ft. from South sec. t`i'me . (nonh or south) 2631 ft. from West sec. fine )cast or west) LOT BLOCK FILING a SUBDIVISION rplley L•state (7) TRACT ON WHICH WELL WILL BE LOCATED Owner Vasten Family No. of acres 2 . Will this be t if �rl�yrlNell :ori this tract? S 1 YIS Plain Casing 5 in. from 0 ft. to 50 ft. in. from ft. to ft. Perforated casing 5 _ in. from 50 ft. to 60 ft. in. from ft, to ft. (9) FOR REPLACEMENT WELLS givedistance and direction from old well and plans for plugging Owner(s): John and Lea Vacten No. of acres: Legal description: (11) DETAILED DESCRIPTION of the use of ground water: Household use and domestic wells must indicate type of disposal system to be used. Pitkin County approved Septic System (12) OTHEB_VJME_fiRlGHl$ used on this land, including welts. Give Renistralion and Water Court Case Numbers. Type or right None Used for (purpose) Description of land yn which used (13) THE APPLICANT(S) STATE(S) THAT THE INFORMATION SET FORTH HEREON IS TRUE TO THE BEST0 HIS KNOWLEDGE. SIGN TUBE OF 1PP I QLTISI rnti"- `:lional sherls of peprr If conte slsace is Icquirrd. + yI I I J_ __ —I_� I I I I --I--+-+-+- I- --4- - The scale of the diagram is 2 inches = 1 mile Each small square represents 40 acres. WATER EOUIVALENTS TABLE (Rounded Figures) An acre-foot covers 1 acre of land 1 foot deep 1 cubic foot per second Icfs) ... 449 gallons per minute (gpm) A family of 5 will require approximately 1 acre-foot of water per year. 1 acre-foot ... 43,500 cubic feet ... 325,90.0 gallons. 1,000 gpm pumped continuously for one day produces 4.42 acre-feet. (10) LAND ON WHICH GROUND WATER WILL BE USED: by distances from section lines. . /' �n 163 ft. from South sec. t`i'me . (nonh or south) 2631 ft. from West sec. fine )cast or west) LOT BLOCK FILING a SUBDIVISION rplley L•state (7) TRACT ON WHICH WELL WILL BE LOCATED Owner Vasten Family No. of acres 2 . Will this be t if �rl�yrlNell :ori this tract? S 1 YIS Plain Casing 5 in. from 0 ft. to 50 ft. in. from ft. to ft. Perforated casing 5 _ in. from 50 ft. to 60 ft. in. from ft, to ft. (9) FOR REPLACEMENT WELLS givedistance and direction from old well and plans for plugging Owner(s): John and Lea Vacten No. of acres: Legal description: (11) DETAILED DESCRIPTION of the use of ground water: Household use and domestic wells must indicate type of disposal system to be used. Pitkin County approved Septic System (12) OTHEB_VJME_fiRlGHl$ used on this land, including welts. Give Renistralion and Water Court Case Numbers. Type or right None Used for (purpose) Description of land yn which used (13) THE APPLICANT(S) STATE(S) THAT THE INFORMATION SET FORTH HEREON IS TRUE TO THE BEST0 HIS KNOWLEDGE. SIGN TUBE OF 1PP I QLTISI rnti"- `:lional sherls of peprr If conte slsace is Icquirrd. 11P.;.;. It �•H. Jb COLOR/P DIVISION OF WATER RESOURC 818 ComennIlWdg., 1313 Sherman St., Denver, Colorado REG1. i_S/iIL ,p 1:l PERMIT APPLICATION FORM JUN 1 5 19�� Application must be complete where (X I A PERMIT TO USE GROUND WATER K'A#rl .81:sVgt:qEs applicable. Type or (X I A PERMIT TO CONSTRUCT A WELL SrAil tpl;;IV6afi print in BLACK FOR: (X 1 A PERMIT TO INSTALL A PUMP - COLO. INK. Nooverstrikes or erasures unless ( 1 REPLACEMENT FOR NO. initialed. ( ) OTHER RECEIVED WATER COURT CASE NO.Jill V L1J 9 7 Inn (1) APPLICANT - mailing address FOR OFFICE USE ONLY: DO NOT WRITE IfivZNIIS COLUM aEsOURCES NAME ARTHUR AND LEA VASTEN Receipt No.,�_ NATE ENGMEEP COLO STREET 0199 Sopris Creek Road ) Basin Dist. CITY Colorado 8162 TELEPHONE NO. ,. 33-927-3452 (2) LOCATION OF PROPOSED WELL County Pitkin SE '/. of the SW Y., Sectio Twp. 8 S , Rng. 83 1V 6th P.M. IN,51 IE.WJ (3) WATER USE AND WELL DATA Proposed maximum pumping rate (gpm) 10 Average annual amount of ground water to be appropriated (acre-feet): Number of acres to be irrigated: 0 01 Proposed total depth (feet): Aquifer ground water is to be obtained from: Owner's well designation VASTEN IVELL GROUND WATER TO BE USED FOR: 1 ) HOUSEHOLD USE ONLY -no irrigation (0) (X) DOMESTIC (1) ^ 1 1 INDUSTRIAL (5) ( ) LIVESTOCK (2) ( 1 IRRIGATION (6) 1 1 COMMERCIAL (4) ( ) MUNICIPAL (6) 1 ) OTHER (9) DETAIL THE USE ON BACK IN (11) (4) DRILLER Colorado Licensed Name Street City Telephone No. 13 Lic. No. NDITIONS OF APPROVAL This well shall be used in such a way as to cause no material injury to 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 DOMESTIC USE, INCLUDING THE IRRIGATION OF NOT OVER ONE ACRE OF HO)lZ GARDENS AND LAWNS. PUMP INSTALLER'S COPY APPLICATION APPROVED PERMIT NUMBER DATE ISSUED EXP ION DA1 4r. Ass — BY -" I.D,.�r)� —COUNTY `/ J P.O. BOX 1070 - 2912 HIGHWAY 82 BASALT, COLORADO 81621 (303) 927.3893 LICENSE NO. 894 11(.s-T-Fh E n0739 DATE PERMIT NO. LOCATION I f! YF? `• t71 1: SW Depth Casing I.D. Size O.D. Feet Pert. Size Pero Water Level Estimated, Capacity Per Ft. Price I I II11 I 15I n I R, tl CE J A 1% handling charge per month will be added 15 days Irom first billing. ^ TOTAL I -1 ',AC) . �1 THIS FOR MUST BE SUBMITTED WITHIN F DA VS OP COMPLETION OF THE t OR K DESCRIBED HERE- ON. TVP E OR PRINT IN BLACK INK. COLCODO DIVISION OF WATER RESOURN 1313 Sherman Street - Room 818 Denver. Colorado 80203 WELL COMPLETION AND PUMP INSTALL ION REPORT PERMIT NUMBER � ?, - WELL OWNER "" "'''7-N V sign . 4 '/. of the of Sec. + ADLfRESS 50 �. I�,N�Qssrbe.�+Rirg (1�q�• T. O �. R. L ATE COMPLETED , 19 M HOLE DIAMETER WELL LOG — "7 in. from 0 to �jn � it. From To Type and Color of Material Water Loc. Q 31 1 A A L. 13 tit tt> Q 7 St� AjO f TOTAL DEPTH Use additional pages necessary to complete log. in. from to ft. in. from ftp f ft. DRILLING METHOD _ 151*74��_ CASING RECORD: Plain Casing 1/ b Size _� & kind "5r"4 from to �� ft. Size __ & kind from to ft. Size & kind from to ft. Perforated Casing 577rc Size--T!&kind from to 7'"' ft. Size & kind from to ft. Size & kind from to ft. GROUTING RECORD Material C efif l wyr Intervals 5 f •rb l g ' Placement Method GRAVEL PACK: Size Interval TEST DATA Date Tested _L 19 124 Static Water Level Prior to Test / i $ ft. Type of Test Pump '3 A I LE Q Length of Test f1eS Sustained Yield (Metered) L G P. m - Final Pumping Water Level .3 T f POWIPIWSTALLATION-HtHUFHI" �`y r •` • Pump'Make — Type Powered by — Pump Serial No. Motor Serial No Date Installe0 Pump Intake Depth Remarks HP WELL TEST DATA WITH PERMANENT PUMP Date Tested Static Water Level Prior to Test Le—th of Test Hours Sustained yield (Metered) -- GPM Pumping Water Level Remarks 3 J WATER Uy TABLE �w N FL 7. \ } ' W 0 CONE OF DEPRESSION CONTRACTORSSTATEMENT The undersigned, being duly sworn upon oath, deposes and says that he is the contractor of the well or pump installation described hereon; that he has read the statement made hereon; knows the content thereof, and that me is true o� n knowledge. Q Signature —i -,?-_ C �License No. �! State of Colorado, County of (W __ SS Subscribed and sworn to betore me this -Aday of , 19�- My Commission Expires June 14'198z My Commission expires: Notary Public FORM TO BE MADE OUT IN QUADRUPLICATE= WHITE FORM must be an original copy on both sides and signed. WHITE AND GREEN copies must be f led with the State Engineer. PINK COPY is for the Owner and YELLOW COPY is for the Driller I z O STANDARD BACTERIOLOGICAL WATER TEST SNOWMASS WATER A SANITATION DISTRICT P.O. BOX 5700 I SNOWMASS VILLAGE CO. $1615 Q k/11 5 d e Analyst H"W UNSUITABLE ❑ FOR TEST PWS IOM Sample Location # - p E/ �? NAME OF UM/ SAMPLE TAKEN: DATE b -J' /S TUM4'e-/aL-q}� SUPPLY r�� CHLORINE COUNTY 1- A SAMPLER lea VnS'el) MG/L c w DIflECI VEBIFII FECAL ( I COMMUNITY SUPPLY ( I ROUTINE DISTRIBUTION SYSTEM SUPPLY 1 1 NON COMMUNITY ( ) CHECK SAMPLE ( 1 PROCESS WATER OINS COUNT ( 1 OTHER PUBLIC ( 1 RAW Ix 1 GROUND ( 1 SURFACE (w PRIVATE 1 1 SPECIAL PURPOSE SAMPLE "NOTE: IF ALL INFORMATION IS NOT SUPPLIED, THE SAMPLE WILL BE DISCARDED. 20 ae REMARKS: RETURN TO X, 46L V49 Ste n BOB ADDRESS 9 1 1 AV, R Ad MPN CITY-STATE /47 ;72- 1SEE SEEREVERSE FOR TIME LIMITATIONS SAMPLING INSTRUCTIONS AND DEFINITIONS. LAB -MICRO 106 (fin, 3-79) 100M 970 - 9a 7- /aLI& ►*7 MEMBRANE FILTER c w O w � _v az ABSENT PRESENT 0 COLI LAURYL SULFATE BROTH COUFORM/IOOML RESULTS GREATER THAN ONE COLIFORM PER 100 ML INDICATES NON-COMPLIANCE WITH MINIMUM DRINKING WATER STANDARDS pw 00, & vuwT) az&a z I�- . Parcel Detail • • Page 1 of 4 Pitkin County Assessor/Treasurer Parcel Detail Information Assessor/Treasurer Property earch I Assessor Subset Query I Assessor Sales Search Clerk & Recorder Reception Search Basic Building Characteristics I Tax Information y� Parcel Detail I Value Detail I Sales Detail Residential/Commercial Improvement Detail / Land Detail Photographs Tax Area Account Number Parcel Number 12007 Mill Levy 014 R010728 247318201009 E 58.757 Owner Name and Address VASTEN DUANE J 24413 FRYING PAN RD MEREDITH, CO 81642 Legal Description SUB:CROWLEY SUBDIVISION LOT:9 DESC: PT OF LOT 9 Location Physical Address: 1124581 FRYING PAN RD MEREDIT Subdivision: CROWLEY SUBDIVISION Land Acres: 3.06 Land Sq Ft: 0 2008 Property Tax Valuation Information Actual Valu I Assessed Value Land: 150,0001 11,940 Im rovements: 1 256,7001 20,430 Total: 406,700 1 32,370 http://www.pitkinassessor.org/assessor/Parcel.asp?AccountNumber=R010728 6/10/2008 Parcel Detail • • Page 2 of 4 Sale Date: Sale Price: Basic Building Characteristics Number of Residential1 Residential Building Occurrence 1 Characteristics Buildings: FIRST FLOOR: Number of Comm/Ind 0 Buildings: FINISHED BSMT: Tax Information I0/ http://www.pitkinassessor.org/assessor/Parcel.asp?AccountNumber—RO10728 6/10/2008 Residential Building Occurrence 1 Characteristics FIRST FLOOR: 1,823 GARAGE DETACHED UNFINISH: 576 FINISHED BSMT: 991 WOOD DECK: 855 GARAGE BUILT INTO BSMT: 768 2ND FLOOR: 420 Total Heated Area: 3,234 Property Class: SINGLE FAM RES- IMPROVEMEN Actual Year Built: 1994 Effective Year Built: 1994 Bedrooms: F2 -- Baths: Baths: 3 Quality of Construction: GOOD T 12 Exterior Wall: WD SID AVE Interior Wall: DRYWALL Floor: CARPET Heat Type: FORCED AIR Heating Fuel: JFGAS Roof Cover METAL Roof Structure: GABLE/HIP Neighborhood: �FFPAN- ITHOMSASVILLE,MEREDITH Super nad-j FRYING PAN AREA Tax Information I0/ http://www.pitkinassessor.org/assessor/Parcel.asp?AccountNumber—RO10728 6/10/2008 IRA Parcel Detail • • Page 3 of 4 Tax YearI Transaction Type Amount 1997 F Tax Amount $1,965.34 1997 Tax Payment: First Half 1997 Tax Payment: Second Half ($982.67 1998 Tax Amount $2,085.36 1998 Tax Amount ($122.22) 1998 Tax Payment: First Half 1998 Tax Payment: Second Half 1999 Tax Amount $2,165.28 1999 Tax Payment: First Half 1999 Tax Payment: Second Half ($1,082.64) 2000 Tax Amount $2,225.70 2000 Tax Payment: First Half 2000 Tax Payment: Second Half 2001 Tax Amount $2,509.54 2001 Tax Payment: First Half ($1,254.77) 2001 Tax Payment: Second Half 2002 Tax Amount $2,575.24 2002 Tax Payment: First Half 2002 Tax Payment: Second Half 2003 Tax Amount $2,134.08 2003 Tax Payment: First Half 200371 Tax Payment: Second Half 2004711 Tax Amount $2,464.12 200471 Tax Payment: First Half ($1,232.06) 2004 1 Tax Payment: Second Half ($1,232.06) 2005 Tax Amount $2,263.26 2005 1 Tax Payment: First Half 2005 Tax Payment: Second Half 2006 Tax Amount $2,340.68 2006 Tax Payment: First Half ($1,170.34) 2006 F Tax Payment: Second Half 2007 Tax Amount $1,901.96 2007 Senior Tax Exemption 2007 Tax Payment: First Half http://www.pitkinassessor.orglassessor/Parcel.asp?AccountNumber—RO10728 6/10/2008 al Parcel Detail 9 . Page 4 of 4 Ton of Page Assessor Database Search Options I Treasurer Database Search Options Pitkin County Home Page The Pitkin County Assessor and Treasurer's Offices make every effort to collect and maintain accurate data. However, Good Turns Software and the Pitkin County Assessor and Treasurer's Offices are unable to warrant any of the information herein contained. Copyright © 2008 Good Tums Software. All Rights Reserved. Database & Web Design by Good Turns Software. http://www.pitkinassessor.org/assessor/Parcel.asp?AccountNumber=RO 10728 6/10/2008 BUILDING PERMIT MAP PARCEL No. 9 AS SHOWN ON THE MAP PREPARED BY KKBNA DATED FEBRUARY 16, 1981 SITUATED I\T THE N1/2 OF SEC. 18 & THE SWI/4 SEC. 7, T. 8 S., R. 83 W. OF THE 6TH P.M. COUNTIES OF PITKIN AND EAGLE, STATE OF COLORADO. N 19'10'09"E 16.18' - 10' UTILITY EASEMENT PROPERTY DESCRIPTION APPROXIMATE /�---� PARCEL N0. 9 CENTERLINE OF THE FRYING PAN RIVER CENTERLINE FRYING PAN RIVER �' BASED ON THE CONTOUR MAP PROVIDED (ACC. TO MAP PREPARED BY KKBNA, INC.) tK / A PARCEL OF LAND SITUATED IN A SUBDIVISION OF THE CLAUDE CROWLEY BY THE CLIENT AND BY FIELD INSPECTION (SEE NOTE NO. 3) ESTATE, SOUTH OF THE FRYING PAN RIVER, SECTIONS 7 AND 18, TOWNSHIP 8 SOUTH, RANGE 83 WEST OF THE SIXTH PRINCIPAL MERIDIAN, PITKIN AND EAGLE COUNTIES, STATE OF COLORADO, SAID PARCEL BEING MORE PARTIC- ULARLY DESCRIBED AS FOLLOWS: / N COMMENCING AT AN IRON POST AND BRASS CAP FOUND IN PLACE AND PRO- PERLY MARKED FOR THE NORTHWEST CORNER OF SAID SECTION 18, THENCE i S 85`37130" E 2195.44 FEET TO A POINT ON THE COMMON SOUTH LINE OF THE RED CROSS PLACER (U.S. MINERAL SURVEY #6300) AND THE NORTH LINE `L OF LOT 4 (AN UNPATENTED SUBDIVISION OF SAID SECTION 18) THE TRUE �i _moi titi POINT OF BEGINNING; THENCE N 19010'09" E 633.67 FEET TO THE EXISTING CENTERLINE OF THE FRYING PAN RIVER; THENCE ALONG SAID / CENTERLINE OF RIVER THE FOLLOWING TWO (2) COURSES: / GATE \ // I / W 76.45 00 1. S 30`10'46" E 354.54 FEET / CONC.WALL — — — — �f 0 / N06'20 2. S 23`44'30" E 290.00 FEET; THENCE LEAVING SAID CENTERLINE OF RIVER S 19' 10' 09" W 16.18 FEET;H 9 0 ' " 520'00" 85 — FEET • THENCE N 32' 22' 00" W 109.10 FEET THENCE N06 W176. 45 T FEET; THENCE N 65'02'00" W 167.50 FEET; THENCE S 12'15100" W 279.21 FEET; THENCE S 69`07'00" E 20.28 FEET; THENCE S 67`51'32" E 60.73 (P.O.L,) FEET; THENCE S 18'54'21" W 86.72 FEET TO THE NORTHERLY RIGHT-OF-WAY OF THE COUNTY ROAD; THENCE ALONG SAID RIGHT-OF-WAY N 70'49151" W / b \ 195.91 FEET TO THE TRUE POINT OF BEGINNING, SAID PARCEL CONTAINING \ \,I x 2.339 ACRES MORE OR LESS. POSE ' C AR e€ 24.0' 105CO INN i _ — 52.0' I 3Se• P 0 OSEDy- /-- //// • / /� �/ � / \ \ � 95.0 I /// � -- / � � / /I /�j / / END. REBAR &CAP SEPTIC TANK 3) I / \ L.S. 5447 TYP. I CH / i ELD / / )• / ARCEL No. 9 2.34 Ac.+Z / o / S / (IV x I ^M WELL 1 5\UTILITY EASEMENT S69'0700"E DEQ 20.23' SDE 009Lu l NOTES: s l / b5 ' 1 1 I s \' OF 1) BASIS9R10'09"WEALONG THE WESTERLY BOUNDARY OF PARCEL No. 9. �`'4 \ \ \ \ \ POP 2) DATE OF SURVEY WAS JULY 2, 1991. GRAPHIC SCALE • R \\ SED I > I / I f �p %\� 3 THIS SURVEY IS BASED ON A MAP PREPARED BY KKBNA ) Y AtV EX�S 633 TING/ROAD I // l DATED FEBRUARY 16, 1981. b 0 15 D0 60 120 6> \ / ��\\\\ 0)/ 4) THIS PROPERTY IS SUBJECT TO RESERVATIONS, RESTRICTIONS, COVENANTS AND EASEMENTS OF RECORD OR IN PLACE. IN FEET 1 inch - 30 )!t �� / 5) CONTOURS SHOWN HAVE BEEN PROVIDED BY THE CLIENT. �^ I SURVEYOR'S CERTIFICATE I HEREBY STATE THAT THIS MAP WAS PREPARED FOR ARTHUR AND LEATRICE VASTEN BY HIGH COUNTRY ENGINEERING INC. ��_/ I FURTHER STATE THAT THIS MAP IS. BASED ON A MAP PREPARED BY KKBNA INC. DATED FEBRUARY 16, 1981 AND' THAT THIS MAP IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF. 1 7\30\91 ADD'L CONTOURS, BLDG. SITE & PLOT RIVER RJ ' NO. DATE REVISION BY l PREPARED FOR: ARTHUR AND LEATRICE VASTEN FRANK W. HAR INGTON, 19599 50 EAST HILLCREST DRIVE PRICE, UTAH 84501 HIGH COUNTRY ENGINEERING, INC. NOTIM' ACCOROING TO COLORADO LAW YOU MUST COWMENCE ANY REQ ACTION BASED UPON ANY DEFECT IN TM SURVEY wmR6R THREE YEARS ,,, ,, � 923 COOPER AVENUE SHEET 1 GLENWOOD SPRINGS, CO 81801 DES. CK. FWH FILE NO. . BASEDUPONYOU ANANY OEC IN MS SURVEY SUCH DEFECT BE �COMM�EN� MAY THANC m+ (303) 945-8876 9046.202 DR. RJ DATE 7/3/91 OF 1 Y� FROM THE DATE OF CERMCATION SHOWN HEREON.