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HomeMy WebLinkAboutpitkin.eh.264308200001 (1995)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. P elln#�Ca�/3-D�pl-OD =001 *. ASPf ENVIRONMENTAL HEALTH DEP APPLICATION. FOR 1. DMDUAL SEWAGE DISPOSAL SYS I':h 'DS) PERMIT Name of OWNER n -,A,u d Bus. Phone # M Mailing Address Name of AGENT Mailing Address Home Phone # Bus. Phone # Home Phone # Copy of Permit to be Sent to: 4A,2,rd RMIT IS FOR: W NEN INSTALLATION. ( ) REPAIR- O ALTERATION NOT DUE TO FAILURE, or O EMERGENCY USE for permit #- STREET ADDRESS of Property: LEGAL DESCRIPTION of Property: I Size of Lot acres Type of Structure Proposed lot _, block _, riling _, and subdiv # BEDROOMS _, # LOFTS _, # GARBAGE DISPOSALS _, # DISHWASHERS —• # CLOTHES WASHERS Water Supply: O Private Well, O Spring. O Stream, or O System (Public or Private Name: IS PROOF OF ADEQUATE WATER ATTACHED? O YES or O NO HAS THIS PROJECT BEEN APPROVED BY P(TIQN COUNTY? () YES or () NO Appflca w for m WMduel sewage disposal system pemdt h hceby wbmM Tha mAd -lgncd wk Wwtedges IM[ IM above tidameaen k Nie end Nal lake Intametlm Wu kweadate Die applInatlon end any sebsequ nt mmIL Issuance of lire perms does not WwWy ar Wn Itty k" the aPproVal of eery ON Perms required Iw m suction Prnsuvd b P" Coumy .des. No consbuctim may be undedaken until tip approve% and rxnn0 have been oI Wned. The .w , assumes M res Aides In case of )allure or Inedequwy d ogs system - - SIGNATURE OF APPLICANT Date T Ir The application becomes invalid 120 days from the date signed. This Permit Is valid only for the design as specked below. fffflfffffffff 11f.. ffffffifffBEOW FOR OFFICE USE GNLYff Kffffff ffffffaffffffffffffe INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT # �I`}0 7� i�cV15 e-!) 5150 fee paid (.f/Yes. Date received l/ -& - 4 S/- Receipt # ,7K 3 Received By , U4r DESIGN CRITERIA OF SYSTEM TO BE INSTALLED: Any changes must be submitted and approved in writing. ' # of Bedrooms: S , Percolation Rale: /-/ mpi, Average Daily Waste Flow: 75V— gallons. Is an Engineer Designed system needed? ( ).Yes or WIN. W Pws .nal wecuKasone a Rha anet. aim be rawwed. my chances must be aM d In w itinq a Ne engineer nag CeNty the anal Installation N the EnwwwnmW Heafth Oep utmer$ In wd&W Minimum Septic Tank Cqpacfty /!d A gallons/ Absorption Area /V-1 square feet minimum 1 (1 Absorption Bed, ( Absorrption Field In Trenches.. (/ c�raveFless system, -Cr Pumping/Dosing Chamber, O Abso�/rr�ption Pit /S' -1,,Z( t Nu -art -�f m;n;mkrr7 is regf.L+'re-d . 4rrnrhs (50 7 /;y4/ -fed)- A SV 7o redree4iv is allowed -�- jrauel-less [hamhved 3ted& :^ -bmchs mhrch • wo Id be' 76/ S9 -4. o, ya ren,fs: Stages r uiring Inspection: () Before excavation, () Upon completion and prior to placement of gravel, Before covering distribution system of absorption field, (dor to backfill of any component and any situation deemed necessary by Environmental Health Department Staff. -tarss . 4 specaiutbns of Ne no sed kWlMdual sewage dispose) system he < bx rMewed aM we considered salisllactory. PerMssbn h hereby gnarled b Ne owner or Ms 69ent to perform Ne work 11` indksl d sbwe In eccaduse wMh Ne P"iWn C~y IMIVIdUw Sewwge Disposal neguteao^s In effect m me date of issue. In ad6tim b ger,c d pwtsim g,a Ia In any att=hments, this Pemnil is subied w $ Isllowkq ed WonN terms end c IiWns It any: APPEOVEU FOR ISSUE BY: DATE OF ISSUE: o? as - #� The above kemwaal sewage deposal system has been Inspected lar by tM %Min EWn nmenNl H Vi DePannwm. The owner assumes aY responnTsirilks In use d IaiWre w k degvacy o11Iris sys Cpnpkle ss-Wft drawing and all sped'"ttons III --dna IMIWed vii h this_pemit. FINAL INSPECTION BY: &Z TDATE OF FINAL INSPECTION: P0TN.UM.ITCPCIYP:PERLMIT.S.1 130 SOUTH ARENA STFI ASPEN. COLORADO $1611 • PHONE 300.92a3o70 • FAX 0 220.5197 M'EHO IN, PRINTED ON RECYCLED PAPER I FINAL INSPECTION BY. 69 DATE OF INSPECTION: u IW SOLRH GALENA STREET - ASPEN, COLORADO 01611 • PHONE =LM.5070 - FAX 000 M.5197 PRINTED OR RECYOLED PAPER -_j I Name of OWNER Mailing Address Name of AGENT Mailing Address _ .. au pa';t'-Vo _,v IID# _ 5� ASP lTKJN ENVIRONMENTAL HEALTH DEP ENT APPLICATION FOR AN INDIVIDUAL SEWAGE DISPOSAL SYSTEM QSDS) PERMIT o /2 itis) Aly Ot)A/ Bus. Phone # 923 (a.3 S� Ili // Il S/ 6 Af Ei 6% u/161Z- Home Phone # 923 P 3 �i6 JC/� l AJf �} Bus. Phone # �20 A?J / ?v a3054 n7/ ���� Cd iib �z Home Phone # %1 rJ 9L�,2 I Copy of Permit to be Sent to: Z f e'W'q u 6174x PERMIT IS FOR: (p NEW INSTALLATION, () REPAIR, () ALTERATION ) NOT DUE TO FAILURE, orr ( )) EMERGENCY USE. for permit # STREET ADDRESS of Property: / 90 Z-EM/4th&j• d qy C et—& tC , CO LEGAL DESCRIPTION of Property: lot block _, filing _, and subdiv. Size of Lot 61 + acres Type of Structure Proposed 12.5 w"11 A L # BEDROOMS # LOFTS �, # GARBAGE DISPOSALS # DISHWASHERS # CLOTHES WASHERS I . Water Supply: Private Well, () Spring, () Stream, or () System (Public or Private Name: ) `/ IS PROOF OF ADEQUATE WATER ATTACHED? (y YES or*NO HAS THIS PROJECT BEEN APPROVED BY PITION COUNTY? AYES or () NO Appllcatlon for an Individual sewage disposal system hereby suDmiaeb The undersigned acknowledges that Ne above information Is We 0.M Nat tats. information wla invalidate the applleatlon and any subseeuent permit Issuance of Ne permit do not esplkl r ImPlkltly imP1Y the approver d any other permit required for consbuction pursuant to Pitkin County codes. No construction may be undertaken :ntil all approvals and permits have been ob ell. The ownm canes all resparstlTaVties in case d failure or inadequacy d this system SIGNATURE OF APPLICAN� r Date The application becomes invalid 120 from ate stgaled. This Permit is valid only for the design as specified be ow. ..............................BELOW FOR OFFICE USE ONLY.a....e......•,.e....... ........ INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT # L2414) 70 /1 t— S150 fee paid �{(1 Yes. Date received Receipt # -1I �� Received By � 0-'V DESIGN CRITERIA OF SYSTEM TO BE INSTALLED: Any changes must be submitted and approved in writing. # of Bedrooms: Y , Percolation Rate: 1 mpi, Average Daily Waste Flow: Goo gallons. Q Is an Engineer Designed system needed? ( ) Yes or (a)/No W plans and specifications of the engineer shall be followed. Any changes must be approved In valang and the engineer shall cerdry the final installation to the EW,on, umw Hamm Deparane.t N wridng.) Minimum Septic Tank Capacity S-0 gallons Absorption Area /a / 7 square feet minimum W (eAbsorption Bed, (wrAbsorption Field in Trenches, () Graves -less system, () Pumping/Dosing Chamber, () Absorption Pit la/7 0 mJn;nlyray is req u ircrJ �rarLcht3 iYoC 1,rya/ -(F•�; ; 0.n Absor�*o­)fb�d is ehasen /SQa iS rei?"tecl • if a 9rautl-less sry-5}ier'n Is dh;red, (b hcf 4A;s 07et 4' -grinch or Stages re uiring inspection: () Before excavation, () Upon completion and prior to placement of gravel, (t�'0efore covering distribution system of absorption field, (yyrfor to backfill of any component and any situation deemed necessary by Environmental Health Department Staff. Plans and speoincations or the Proposed individual sewage disposal system have been renewed and are considered satisfactory. Permission is hereby granted to the ovmer or his agent to perform the work �ndloded above in a000,daro. with Ne Pitkin County Individual Sewage Disposal Regulation M effect an the date of issue. In addition to general provisions set forth in any seechnenb, this Permit a subieet to Ne following additional terms and conditions it any: APPROVED FOR ISSUE BY: 4� DATE OF ISSUE: Il' a j— rjy The above individual sewage disposal system has been Inspected for usethe Asp itkln Environmental HeaIN Department. The owner assumes all responsibilities in case of failure or inadeguary of Nis system Complete as -wit drawing and all specifications of u buia ami uded witD is permit FINAL INSPECTION BY: DATE OF FINAL INSPECTION: :SOTH:000:JTCPC;WP:PERMIT.9.I WEHD 1194 3W reducIr 4iAos. no /Zone 4h4n 100 SOUTH GALENA STREET • ASPEN. COLORADO 61611 - PHONE ]0].920.5010 - FAX ]0].920.5197 PAINTED ON RECYCLED PAPER fh� delpFcL i6olba orf "I �re"s or k<Iayie%ds she!/ be f r7 holt it'nlSlxd JCre-dG [Ales (04Cenrj zed try 4&L At&1,4 &greet 09/27/95 15:98 FA% 22 3039236189 Richard_A_Wax 02/15/12,06 Pot 0• 1610 Richard A. Wax & Associates February 15, 1895 Betsey Kipp Pitkin County Environmental Health Department Aspen, CO 81611 Dear Betsey, Please find enclosed a copy of the well driller's report and a copy of the septic system design. The septic tank size has been increased to 1500 gallons to accommodate the 5 bedrooms. It you have any questions, please call. Thank you - Sincerely, je--)J� Jeff Davis V0. Box 11540 • Upon, Colorado 81612 6 Talephona 303/923-6398 • TWefm 303)923-6189 u $ 3039236189 • Richard_A_Wax • 02/15i412:07 • eii �t� al�'sn•,arl 'rics�r� aas M 99LLEZ6EOE lob:9l SE+61/rT/Z0 E C24 Q 3039236189 Richard_A_Wax * • 0 02/15/95 12:07 *JI*, PO4 Pte{ 01 En RJ AM 02/14/1995 15:40 3039232766 808 1`-CLSON. NEWS,LTD afu4TJnyra(" eN}I wlc'e Irarctws. ElPW W 1WOCh kX17t1R WO "I h O..^.:or;lOiO@ Will+ slag and 4xtul roguulkv* Wittr(St" %,own.,. BCcm an 1t IcJ.Ing OdOwrA and Lx1tMm intYtrcNe YA*x xt tv alirn•r,]to .."Wonrio /G1 $Grow 4 *70k CWl?A n; tx;?tOr1 rl 17pt3n And nfar'• L.i Sr'ew ulv}n Brut r4uJf..: n+iJ in:at Ilnd jwtthpll} :1.11y'C'l,3 •.: Of lx:t INFIMAT?17` efK:mtw oi,- jCoal , rj,jfS: 9,r/a•;.;;r1� ..`IJ �:1it © P.MO AW Loll In "" inlet Fro d trench rnh f Nilic[;kr dow!104*drn 1.1 ttun natreJLtten pw" t"J'olI irsw Open"J In Ono ,Plot' out not h6vond xwcgt? rlyty Sinplr. Y:Rw ". ke+v5e'4 q r:r,:fl h SAMV. NPA deet trot nim"twiv nun the wvg*: of fylwtn. PrwiE 07 USc;o w 0-_.w onflare in dawnatrE3otn m 1 JI Iaft un" W too Ir. ow". NOW For f0l dstrieLdior of to klop me hIII t'oe 10WMBI, w tan CPP MIU PW14 d tl`1e Cl,>Ml sire rr+ &.0 cf the iw M . and fur! O {.'CCB Prow, rrtlt irsenirg !c r w rant french. UF.ir sk16 waU aw.7 M MP V. 071% w,,th MNW SWI "w64" !il, k.N: W.* 14. `t1•A;+WV r aqx= of Oois Nd is vnt IMPIMANI tD ACHENE La S=4I, rn � mIr InLm of I- ol ctiei c:•nnnrtri : rtw7 Senlr.;, !?x W jf;` n:ra ane to' h:! 1`120 tJ •!a R.,C;M 7 YJ W rix:NS ,r• tai) bock811 R,S• te,'i�; CAY/16N; !Svr ;7 Vol i cte !!aril.: On SAW."T. liLrii'I.d •a+ntlri:.:tr.)f1 fl^!; Y.;tl t1a> lei i:3i•!2C1 IhiS IS �r!I;,,laty irnVprlpn! !n Fan .,vt• Irtfle firuChaa: t!:Sret crJAsA -VO''19 vehIC* entr;: to prawnt Ccmdoctnn of the RWI- Mnv6 Y.r acm. (AIIW pr,aPw (J(tpth qt cOvw it co+rpr,.tw Om.1 b'?ied, INFllri:! X.V" Ww.hirw cf v�lws vAa than +Lgpxi v06,ACW we Iph3 na to tucowl TA.O O FM ptr a.wo kw H-*,(; unA enc 32.M, Itm pat w.w lo+ H-20 Lolls.;• 02/14/1995 15:40 O !fw 4 r,IN ")v L7• C.Fen. �. wexj Y:r sc G' 3 rx+rtrk*C w.'r• a k•.y c, Surglvk' j Aqugrrwnt 3039232766 BOB NELSON, NEA, LTD P,a6E 06 u 11 3039236189 Richard A Wax d%Klm Or" th& 601114 not IU*3tA *ft ,'�•*w -� r. �� "• Irdow.vivo ask" Cofrq)ocoon own PROBLEMS WITH GRAVEL: ■ Reduces IntUtmtlon roto 50% to 607E OCCO"ding to 03ert/ i Hor<NVV and waste ■ site dom09e • Cost Waley dlrp rw beneath Stores THERE IS A BETTER WAY... THE INFILTRATOR'" DESIGNED TO SOLVE PROBLEMS �4w� NR(1RATOR` ( Fft .� Ava1o1i4 In Slor XJWd M Hk;h Capaonlr ! �_ more t+on 22 ttnM /+ oreoter than a gromm � r trenol+ of eWd site Side wolf deslpned to mrimlte mo*ing effect Entire wtiom a trench provldw "weel �co I rootiveiurlece lFlO KATION SIZE WHONT V STORAGE IwnA for 17MLnWi To"T 3' X 6v.,a '1'`'I�� TX 654' X I% 10.1 tM(7T pal.) 1{.S M (122 9oL 02/15/ 12:08 P05 gone or pavei supportand o`r��od stwcme arW Gn7vel Dravida no treotmOnt i . pal VA r All nOotwe surbco backlit No vertrc& $IN intrusion Miao-lAoCy*Q Cnomtwj- (No need to peote tua) Ndnve Shc hotec%mo Ib tlw.e iWl baCKIl Ydrillo end cteatu Sold& Yv opwvol blond V Woe open 0011 prodde ow area eeq ddes at povel Iron Fri j �7 L:L/14/lyy1J 15:40 2' 14141161,- 13" blkn 4tp !,i Jt d• t0 B01104? tial Qrit !"9t+1 tSktt9 i F:Ityr . i GaaFHI 3039232766 •a BOB NELSON, NEWS,t_TD •r l ibel AA ") Residential Septic Tank Effluent Filter Specification: =WyIi:Ar,{NR : d a;l,. ba,a;• !: •t:n^.t F•L,w Rale: 21.•':.:1 a' rw V nn Insmllaruar, Th:- iMY: L n4a.•nr Flit,, : irrt• i,r, u•tll la.:nl a'.tw•1.UC far :r: l.w•tv,gp: rr(a. r,..•J ... 1+rPtti 'atlrk rddl,?{•'Idly 1'•!.: �t,l Citi a'lsre (yj•r• .tr !t•atr '•n.4i Ilo)••r. ,1,• ia.atun +,1 fl}, fdtaf a.lrrralwr •..+.►r. Typp:,31 Al 800 Ins1H►klinn 1. PAGE 06 5cni:e: Crrir tdr,:r Itan.11.vuJ t•nll up t••,. a.uw. :...+r '�•+birxl 'Tam•. LiltIVEN lws•,• "it 1.1k-mt. .:.III: fit !•lt ;:-Ii alliu: m 1"W" irtl.. dy :.nM uu) till, ••til Scroir••fin•qw;ne�:C7,•.,ttlha•1iL•.r..Ktna.y ahrr, ;,.•,.n•k t• n.aur.ta. in-pr.•d:J •unl pur.q-;.I idm.+iil.: Isle, r•,•n nf..hieJ VIA, Litrtimr Karranh:t..a.t.tadw fill;,:..rnal :.ria1• fl•' Is. nr. n,.:.lnJ re•ltv 1.611.sruNt" k lw,t in t'ib.It.J 0 .M l•, _ V 3039236189 .R ard_A_Wax 02/151 12!10 P06 i I I Zabel,ZZ00 Flow Dvider i Zabel KOO Flow Director BRANDNEuTOR94 TheZabelFlowDividertepp:acesnidfashioneddistributionhnxesandp,pe71ndscnlds and The 2abe1 Flow D!rector replaces expansive, old fashioned Y val:•es.'They are alkr more effect+vr and taaiet in LifetimelWau �n ytif Fat fail due oma ufactud[er�i de(eahn mal[erial or wcU groan h { The wuJ a^ted CaF"°t include replacement parts not sold by Zabel and does not include IaFwt for removal or teinstor [�s•in�st�allaro am L The Flow Divide distributes effluent leaving the 1. Th Director is r[ Flo -ides `virh a ppat• septic tank by means of a patented central weir entedsleevevalveinrtalledtodtyour chokete the and design[hanrtsurestheflowisevenlydividedeven ens Flew to a primary field of your cho{ce and it rhe Flow Divider is nor perfectly level. allows the .teondary fttld t(I rest until necJtJ 2. The inlet pipe of the Flow Divider is constructed i sothateffluentwill fwwfrom itand down into the effluent Inte two equal portions. I' 3. Dldstbutes flow r km ate suhjecrto frosthin t heave or gra nd settling. 4. Testing shows that ever. with a level dixapan<v of 1/8' or more between the right and left porl division of the flow wa. almost 50/5.0--s, standard D -box of manifold distorts rhe flow under these t same conditions. • Manufactured from injection molded PVC -Always insures an even flow. • Doesn't create solids build op e WIII not clog. • Lifetime Test Laboratory' Reil Results using 1000 ml samples ® 3 gpm The Flow [)wider automatically field andbAck tdtxstnc t ,he pt:nsry to the secondary depend on the honeownet to change the sleeve valve in the 1I7 v Director A suandard Y-v;lve LL dependent on the homeowner to change the tlow duectinn at the proper "me, Urfortunately, :his usually does nrx happen and a problems devel+:ps sitch as an effluent hreak out resulting in prtwnd water conramination. 3. At the time the septic tank is normally setvrced, the septic rank service urinpany' can redirect the flows lowing the primaryfield the opportunity to rest. Questioru Cor'icerning 2100 F"! Divider • Zabel 2200-D FOW [hrector phase call 1.800.221-5741 mFax (501) 2157.8801 for further information. c: (.r1. u, •, r," Average Distribution kv.e) Ri 6•ht Port 50.C.3`k• Lcfr Port 49.97R� t/16" Tot Right Port 50.2'x, I,ert Port 49.6% 1/8" Tilt Rigght port 51.3% Le(, Port 48.7`x The Flow [)wider automatically field andbAck tdtxstnc t ,he pt:nsry to the secondary depend on the honeownet to change the sleeve valve in the 1I7 v Director A suandard Y-v;lve LL dependent on the homeowner to change the tlow duectinn at the proper "me, Urfortunately, :his usually does nrx happen and a problems devel+:ps sitch as an effluent hreak out resulting in prtwnd water conramination. 3. At the time the septic tank is normally setvrced, the septic rank service urinpany' can redirect the flows lowing the primaryfield the opportunity to rest. Questioru Cor'icerning 2100 F"! Divider • Zabel 2200-D FOW [hrector phase call 1.800.221-5741 mFax (501) 2157.8801 for further information. c: (.r1. u, •, r," tY 3039236189 .Richard _A_Wax 02/14.x1995 15:42 303923276 02/15/95 12!11 P07 Fad 05 Q3B rg__,Cr.t. New ZabelA1800� ential sontic Tank EffluentFllteY ti: Filter is a true 1;16' effluent filter that w 0, ftt in Any 4" vInitary ice The New Zabel t`- 1800 Atsidenttic F�er at A% cr9 10W price. prt,v;dh,g a real Restdenlial Sep first geouir,e Septic Tank Filter I'" .e can ago Zai+trl JeeelopcJ the t icr than Filtcr veesua acretest Tvet tr fi ' Y part rack. Clrht f i", q r,umi rshace utilised An llli tnc< l l5" anJ 1132" filtration slots in a patented U'•sc v a lower ca: dtvict.'tY'e j elitve th+tt ;iny Je n'j"' l but we h:we fell,std to take rhi> .+cretin and off the he If a+mpOhe dr it an field "" e p in nnler to Cut ec"rt,. pr,wlJra sonic C•rtn, compromise r,mrstnniany waytt Cl ourtpn,dno uc[rquallty ar a, . .oven" app ciflcally h;,,w ;tAcr years ,+f ,}cvek+rnunt, 2mhel brINS ri"i a true Resdrnual Septic Tank &fluent Filar ++pe . r,¢ireered and menufacrurad with many of the tame g root feanues of Our bigger A1C0 and AlOi?ZAjtcl Filtcr+ At A uYr helow screens. Compare thea Feature51 kce— t. F',nay filrrAtion! The 1/16" flit"fort l Erne as i'tner than any Other device and t a tM•at Wiles require. 2 ptirchased AM filter LoIvtv c4*t: No other installej f r!tu-r screen can he S. F 0jr.r to install or retr,-,Rt� One sire tits all. The fiber cartridge fits in any 4 inch sanitary rce. 4pull thecartridge out hegratpinr the handle an,l pull /nil upward Tap the can ndge on the insiJe of tht: Inspectim port Or nusr Off Into the rank, if nteJcd, Arid rcinstall S. Self cleantniv Solids filtered out of the effluent wream attach to the inside of the vertical cylinder wmll anJ Jn,pu+thc htxntm of rhe tank when the flow it in a reAting tate. Sloughs MEW Wild! hack into the rank. b. Pnwcno siphoning Filter is l D', top vented and will not atphon into the pump chamber. 7.Scumlayercatu,utplug:L�rgcventupcnin� filter from plugging `vith tank acurn. S. ?revents effluent I'Vaal. If scum arks materW surge u,er tee, it cannot exit with(+Ul na`aing through the filter. 9. Servicing frequcncY'The filler should It, elvancd .,hen the tank o mxmally inspected and rumt+cd, The filter 3ne5 not increase the frequency of service in a rorma.l inrtallat on 10. Lifetime warrants' \X't are the only manufitcrurer 4 effluent filters that has enough confOcnee in the quality of rheir pcOducts TO prm'ide a lifepme warranty At the end of installarilon fill twtr and mourn the tncl<„td warrAnty ear . In the event the unit breakr due to faulty marerial or woik- manship on the part of the manufncru[cr, clean and return the used unit ft,r a new replacement. .putenr fending^100%U.S. ttd,kle Questions concerning the Zabel A 1800 Effluent Filter pleats cull 1.800.111-5742 or Fax (501) 167,8801 for further infcMnzMkM $ 3039236189Richard_A_Wax Rua li'a rm 51ii0RIIiING CO 02/15 12:07 FAX KC, 03@01 STATE OF COLORADO. OFFICE OF THE STATE ENGINEER WELL PERMIT NUMBER 184314 OWNE'R'S NAME($) Richard pax hWlinpAddroq P, O. Box 11540 bb. St Zip lapen, Co. 81612 _ WELL LOCATION AS DRILLED: HE 1/4 NV 1/4 Sec. DISTANCE FROM SEC. LINES: 330 Ft. From SU6DlVISION; North Sac. Line. And 3575 F1. From STREET ADDRESS AT WELL LOCATION LOT BLOCK GROUND SURFACE ELEvAT1ON P02 . .......... . P. 1 t+ovK A owsat 8 TWO 99 Range Bsv East Sec. Line. Or FILING (UNIT) DATE COMPLETEDft. DRILLING METHOD : Air Rotary 02/06/95 TOTAL DEPTH 140 h. COMPLETED DEPTH 140 h n d Nsttnct (Saw. (ktar. T" ext Wet«WOW) , 00-035 Boulders In Deka Dirt 35— 40 an oa Shale — — --6.6 —. 5 140 7. PLAIN CASING w�.. OD(in) Kind Wall Sit• From (1t) To (t) - 7.0 Stee 0.240 .0 5 ---.-.---_.-_ 5.5 PVC 0.250 0 60 M_. 5.6 PVC 0.250 00 1 100 5.6 PVC 0.250 60 80 5.5_ PVC 1 0.250 100 135 8. Filter Peck 0. Packer Placement IATER LOCATED : 60. 70, 120 Material Type Size Depth Interval 10. GROUTING RECORD: EMARKS: i MWrW arwurw nem wrrr nawmeN cenenL_ S a 6 /a 0-50 n , DISINFECTION ' TYP6 HTH Amt. Ueed oz. WELL TEST DATA: I ) Check Box If Test Data Is Submitted On Supplemental Form. TESTING METHOD : lir compressor Statlo Level: 45 ft. Data/Tlm• Measured 02/06/95 Productionc (titres) is ppm Pumping Laval ; Total h, Dau/Tima Measured 02/06/95 th Remarks ww I www oo� enl• m r.or eno mer n nw to"b 39-. aw+t le •aeon W 15 a 6. H n+ev`Y or M• nenernenH wren titin WI,^ N Vti Weld dory" end a pnohW4 to e dere I mmbmeanor.) CONTRACTOR: Shelton Drilling Co. Phone: 303-927-4182 Uc.No. 1D95 M•Illn Address : PO BoX 1059—.Basalt,Co. 81621 Nwm/Tu. (Fleece TtigewRW1 Slp r --- Der 02/14/95 Payne Shelton / Omer s u.u�u v.• .. u...vu v. an:U1WW1 _ _ Mlnlmum Effe . UQuld a r 01 O<�-^oms lana capaalT lanwnsl 1 1 t or tens 750 1 1000 y 12w . Each additional bedroom 250 _ Maximum Loading Rates of Effluent Volume for Sod Absorption Systems Pemol&Yen A&le Required Square Footage of TTPlc.1 Sall Te.lure. M..Ym.••• Leadiiip A&le (rWmde.Mcbl Samoa.. (Appwldl. 21 (paUeylVd.l) _-- 0.10--.—_._-1 SarW I]0 1-20--------------------S"dy`oam Pel sedroam' for Per Be.. ler b Loam _... - _. _ .22 21-30 nl I. so 21-.0 JV I.. b Sal, Loam .0 .1b0 V Clay Loam .70 O.ee M vl Clay .20 i 1 NU •84"VM1na rV•mbel a1 ball'.1 ... 121. 'AefarpYpr• area 1M I.., w. •. lip w •s dlepwbM al e sidenaa rw p•ePM M :l eei,able III,&eaoape Pa. a p W.l rare h o.er VIM, (201 minalec Par Iw. Onwaa04 b aeao.g. Pear Y percWYOn rale h as ane roti. (1.1 In PYA' (301.11illula.. •un&aXasle br con.enuenn .b.06..rurnis. r( "G/ v -s --�- _ , ass 62 A = lS� 3 - yl. 75 I. 7S = l 5-1W r 6;7,0 -7 I i ya 1 -44.) Su %� � Ira = 76/' 0 �02 (snot (Inin;mUA) ly Required Square Footage of Soil Absorption Systems -- ReQuIrM Rallam RepuYN gpRpm Ab.erPllon Are& M &R. K Ab.aepdarl Mea bl . R. ReRalred Sldeer&0 Are.• Pel sedroam' for Per Be.. ler Mary 11 per B<droom• ler SWI da.. Sl.nd.rd Trendier Sceppe Red& se.pape PII. 1 165 - 215 Is$ 11 ]bo 41313 135 111 .40 S2S 4/0 IV sw V leo vl • • . •84"VM1na rV•mbel a1 ball'.1 ... 121. 'AefarpYpr• area 1M I.., w. •. lip w •s dlepwbM al e sidenaa rw p•ePM M :l eei,able III,&eaoape Pa. a p W.l rare h o.er VIM, (201 minalec Par Iw. Onwaa04 b aeao.g. Pear Y percWYOn rale h as ane roti. (1.1 In PYA' (301.11illula.. •un&aXasle br con.enuenn .b.06..rurnis. r( "G/ v -s --�- _ , ass 62 A = lS� 3 - yl. 75 I. 7S = l 5-1W r 6;7,0 -7 I i ya 1 -44.) Su %� � Ira = 76/' 0 �02 (snot (Inin;mUA) ly J 0 ASPEN/PITKIN ENVIRONMENTAL HEALTH DEPARTMENT 130 South Galena, Aspen CO 81611 (303) 920-5070 SOIL DATA FORM PROPERTY ADDRESS LEGAL DESCRIPTION PROPERTY OWNER: n NAME ADDRESS �( •� qq PHONE��L" r�l Note: * Percolation Test Result Form and Site Plan must be submitted with this form. * Percolation and profile holes should be located within a 1200 square foot area'of the proposed septic system. * For lots <5 acres the site plan must include the entire lot. * Location of percolation and profile holes must be mapped adequately and identified with. -stakes, flagging, etc. Percolation holes must be identified. asJI, #2, and #3. Saturation and Swelling • Smeared surfaces removed: _Yes _No • Sand or gravel added: _Ycs No • Date and time presoak water added: • Amount of presoak water added (gallons): • • Date and Lime percolation test is started: • Did water remain in hole after the overnight swelling period: Hole 1 _Yes _No Hole 2 _Yes _No Hole 3 _Yes _No Percolation Rate Measurement Percolation Rate (minJin.) Hole I Hole 2 Hole 3 < Avcragc 4 Groundwater: Encountered @ _feet. Estimated depth to maximum sea§onal water table if not encountered in profile: Is area believed to be subject to seasonal fluctuations which could result in a seasonal water table within T of surface? Yes _No Slope determination in absorption area:_% to the _(direction) Bedrock: • Encountered @ _feet. • Estimated depth if not encountered in profile: Type ofbcdrock: _Sandstone _Claystone Siltstohe Other Is bedrock fractured or weathered? Yes No Is bedrock believed to be permeable? (Pere rate <60 min./in.) Yes No ,_. ASPS#*rKaq L-''NViTtONMLNTAL I � 'I;. DSPARTML=NT 130 Sollth Galcna, Aspen, C. 5161 303-920-5070 Percolation Test Result Form Hole Len !h of—_—�— Hv'!e Depth Interval Water Depih Start Water Drptlr Drop In End Percolation No. (in.) (min.) intervalQ Water level of of In erval Rale @ Final in (n.j (in.j Interval (rninJin.) 'Field Notes shall be recorded on this form or in this format; typed copies of field records may be submitted on this form. 'A four hour test must be conducted uniess (a) water remains in the hole after the presoak in which case one 30 min. interval is sufficient, (b) the first 6" of water seeps away in <30 minutes in which case a one-hour test of 6 - 10 minute time intervals may be used, (c) the test is being conducted in sand in which case a one-hour test of 6 - 10 minute time intervals may be used, (d) three successive water!evel drops do not vary by more ;Ilan 1/16 inch in which case a two hour test may be conducted. 3 u/utu �•• a••�/uw ua LL(LLWIIV MMlmum Effective UQ01d P of Bedrooms Tank C adt a0ons 1 w less 750 1000 e 17t Each additional bedroom Iso — Maximum Loading Rates of Effluent Volume for Soil Absorption Systemt PercaUYen Rale 'MYvnum m//nM al peyoemi .t I+P 121. •AptMPYp• •/a• Ip {apage p.t 61iau/M al [11KIiK y'C.O•a p4OMtlA Py kdal •llnP/aaple Ia/ awp•pa oils a x/cal•len /•.e n o/ar InNT ISOI atkaAa Par iasa •IMRidaak W stype peps a o.rcWlvn rue is o+r one 1mA 11'1 M a:y I201 aiaAaa •IhuilatAe Ip can.anYeau apsa/o6on snlcros. A- l/ s ((,06) IoS� .-72. �- IZSO' 33 A = /a►1 0 OK Yag Gnat -G. 1J -i40 -&r5 (I...d,,) y 3y aw4s a ►P-4 h_ &d I 1, 4,� (Goo) 17a. 33 #_ ls9a 0 s3 a n;+,5 Required Square Footage of Typical Sall Teeone. Pa.bsvnl la•di/y Pu. (miwl<slklcnl soa Gaa. (Appendls 21 (aa WUd-Y) 0.10' SaM IM 130 -- 1/ loam to loam , SOH Gat. 21-00 m loam 16S 215 . II n10 ln b loam loo ..0 a I .Itip V .Toam- l ]0 O.r Wvi 1 aaT .M i 'MYvnum m//nM al peyoemi .t I+P 121. •AptMPYp• •/a• Ip {apage p.t 61iau/M al [11KIiK y'C.O•a p4OMtlA Py kdal •llnP/aaple Ia/ awp•pa oils a x/cal•len /•.e n o/ar InNT ISOI atkaAa Par iasa •IMRidaak W stype peps a o.rcWlvn rue is o+r one 1mA 11'1 M a:y I201 aiaAaa •IhuilatAe Ip can.anYeau apsa/o6on snlcros. A- l/ s ((,06) IoS� .-72. �- IZSO' 33 A = /a►1 0 OK Yag Gnat -G. 1J -i40 -&r5 (I...d,,) y 3y aw4s a ►P-4 h_ &d I 1, 4,� (Goo) 17a. 33 #_ ls9a 0 s3 a n;+,5 Required Square Footage of Soil Absorption Systems -- PpWrM Bonom PepW.M Bottom t Ab.orpllon A .. h p. R AasorPYon Mea In a0. K RePaked Slde.vo Arep - A Per RMroom' for Par OMream• W In a It. Per Re*.- W SOH Gat. sl.ndud Lmcn<. S.PKK BMs Seepage PII. 1 16S 215 MS II M) .pp X05 nI .40 STS UNI IV 550 1 V 740 VI 'MYvnum m//nM al peyoemi .t I+P 121. •AptMPYp• •/a• Ip {apage p.t 61iau/M al [11KIiK y'C.O•a p4OMtlA Py kdal •llnP/aaple Ia/ awp•pa oils a x/cal•len /•.e n o/ar InNT ISOI atkaAa Par iasa •IMRidaak W stype peps a o.rcWlvn rue is o+r one 1mA 11'1 M a:y I201 aiaAaa •IhuilatAe Ip can.anYeau apsa/o6on snlcros. A- l/ s ((,06) IoS� .-72. �- IZSO' 33 A = /a►1 0 OK Yag Gnat -G. 1J -i40 -&r5 (I...d,,) y 3y aw4s a ►P-4 h_ &d I 1, 4,� (Goo) 17a. 33 #_ ls9a 0 s3 a n;+,5 •0 •0 Nelson Environmental & Wastewater Solutions Ltd E W October 31, 1994 S Mr. Richard Wax Richard Wax and Associates P. O. 11540 Aspen, CO 81612 Subject: Soils Evaluation and Percolation Test for Individual Sewage System Design for a Tract of Land in Lot 10, Section 5 and Lot 3, Section 8, Township 9 South, Range 85 West of the 6th P.M., numbered as 0190 Letey Lane, Woody Creek, CO 81656 Dear Richard, As requested, Nelson Environmental and Wastewater Solutions, Ltd., performed a soils study and percolation tests to design a septic system for the proposed residence on property owned by you. We conducted this study according to Section 4-5 of Pitkin County Regulations on Individual Sewage Disposal Systems on Monday, October 24, 1994. We have based our recommendations on the subsurface conditions encountered. You should furnish this letter to the Aspen/Pitkin Environmental Health Department to obtain a permit to construct this individual sewage system. Proposed Construction: The new residence to be constructed on this property is to be a four bedroom, four and one-half bathroom, house of approximately 6500 square feet. Site Conditions The property is 6.535 acres in size. The drinking water is provided from an individual well to be drilled on the property. The building site is in lower Woody Creek on a bench above the Roaring Fork River. It is a flat site with a small irri ation ditch traversing the property on the east side as shown on the site plan. There is also a irrigation ditch takeou o the West of the building site at the toe of the slope and on the river. The parcel is bounded on the West by the Roaring Fork River that is one hundred feet from the building and septic system sites and approximately fifty feet lower. The ground surface that appears natural throughout the proposed area of the absorption field, slopes rather gently to the Northwest at less than a 5% grade. The vegetation consists of native grasses and weeds. P.O. Box 6961 Snowmass Village, CO. 81615 Office (303) 923.3289 Home (303) 9232766 •0 Wax Property Soils Evaluation and Percolation Test for Individual Sewage System Design 0190 Letey Lane October 31, 1994 Page 2 Subsurface Conditions: •0 A soil profile pit, adjacent to the proposed absorption area, was excavated to a depth of eight and three-quarter feet below the existing grade. No groundwater was encountered and bedrock was not present within eight feet of the surface of the ground. There were some gravels and cobble intermixed with the soil matrix from two feet down, with diameters ranging from two -inches closer to the surface to four feet in the deeper portions of the profile pit excavation. The subsurface soil conditions were evaluated with the standard percolation test procedures at the approximate location shown on Figure 1. The test holes were excavated before our arrival at the site. The subsoil in which the percolation testing was run, consisted of reddish silty sands and cobble rocks to a depth of fifty inches. These reddish brown and tan sands were well consolidated, and showed little tendency to swell. There was a considerable portion (over 50%) of fine soil material in the shallow percolation test holes. Percolation Testina: Percolation testing was performed in the proposed absorption area northeast of the building site. Three shallow holes were hand dug in the bottom of a backhoe excavation to a depth of approximately forty inches. The percolation holes had been excavated earlier. We pre-soaked the percolation test holes by adding water approximately six hours before beginning the percolation test and then keeping the bottom of the holes submerged. There was no water remaining in any of the percolation test holes after each of the initial presoaking periods. The results of the percolation testing are presented in Table 1. These results indicate the silty sands have an average percolation rate of" 19 minutes per inch and are acceptable for a conventional infiltration design for the on-site se6 age system. 1. -1 Limitations: This report has been prepared in accordance with generally accepted practices in this area for use for sewage disposal design purposes. The conclusions and recommendations submitted in this report are based upon data obtained from our site visits at the location indicated. There is some possibility that the nature and extent of variations in the subsurface soils across the site may not have been evident at the time of this investigation, and may need additional evaluation if further excavation reveals conditions different from those described. This office should be advised of any unusual situations as soon as possible so we may reevaluation of our recommendations. I �' Wax Property Soils Evaluation and Percolation Test for Individual Sewage System Design 0190 Letey Lane October 31, 1994 Page 3 If you have questions or if we may be of further assistance, please call the office. Sincerely, Robert F. Nelson President Attachments cc: Stutsman -- Gerbaz Excavating 0C) Reviewed By: 1 ]mond, P.E. Schmeuser, Gordon, Meyer Engineering •0 •• Nelson Environmental & Wastewater Solutions, Ltd E W V1 Table I PERCOLATION TEST RESULT FORM Depth at Depth at Average Length of Start of end of Drop in Percolation Hole Depth Interval Interval Interval Water Level Rate Hole No. (in.) (Minutes) (Inches) (Inches) (Inches) (Min /Inch) 1 42 6 2 1/8 1 5/8 1/2 1/2 10 1 5/8 1 5/8 1/8 1 10 1 10 3/8 5/8 3 7/16 Refill 10 1 5/8 7/8 3/4 7/16 3 10 7/16 7/8 3/8 1/2 20 2 39 6 5 5/8 5 1/8 1/2 10 10 5 1/8 4 1/8 1 10 1 10 4 1/8 3 7/16 11/16 1 7/8 10 3 7/16 3 10 7/16 3/8 10 3 2 3/8 5/8 16 3 41 6 2 3/8 115/16 7/16 10 1 15/16 1 1/8 13/16 10 1 1/8 5/16 13/16 refill 10 1 7/8 1 7/8 10 1 3/8 5/8 16 Name: Richard A. Wax & Associates Property: 0190 Letey Lane Woody Creek Date of test: 10/24/94 P.O. Box 6961 Snowmass Village, CO. 81615 Office (303) 923.3289 Home (303) 923.2766 00 00 Nelson Environmental & Wastewater Solutions Rd E Property Address: 0190 Letey Lane, Woody Creek, CO 81656 W Legal Description: A Tract of Land in Lot 10 Section 5 and Lot 3, Section 8, S Township 9 South, Range 85 West of the 6th P.M. Property Owner: Name Mr. Richard Wax - Richard Wax and Associates AddressP. 0. 11540 Aspen, CO 81612 Phone (303) 923-6229 Contractor: Excavating Contractor: Name Owner Name Stutsman Gerbaz Excavating Address Address 0755 Gerbazedale Dr. Aspen, CO 81611 Phone Phone 923-2734 Saturation and Swelling o Smeared surfaces removed X Yes o Gravel Added X Yes To a 4" Depth o Date and Time presoak water added 10/24/94 (a, 11:05 a.m. o Amount of presoak water added apprommately 20 gallons /hole o Water remaining in holes after presoak? Hole 1: Yes X No Hole 2: Yes X No Hole 3: Yes X No Percolation Rate Measurement Hole 1: 20 minutes/inch Hole 2: 16 minutes/inch Hole 3: 16 minutes/inch AVERAGE 19 minutes/inch Groundwater: o Not Encountered to 8 3/4 ft. o Estimated depth to high seasonal water if not encountered- 60 feet o Is arca believed to be subject to seasonal fluctuations which could result in a seasonal water table? Yes X No Slope in absorption area >5% to the Northwest Bedrock o Not Encountered o Estimated depth if not encountered -100 ft. o T}pe of bedrock: Sandstone X Claystone or Shale Siltstone Other: Fractured Weathered o Is bedrock believed to be permeable'' Yes X No I certify that the above information is correct and complete to the best of my knowledge and that all tests were performed in accordance with the provisions of Pitkin County Individual Sewage Disposal Regulations, Section 4-5.1 through 4-5.7. Robert F. Nelson President Reviewed by: Gordon, Meyer EM 11.8.92 "� P.O. Box 6961 Snowmass Village, CO. 81615 Office (303) 923.3289 Home ~.. _._77._1.4. /SLA19 • FIGURE [ 9 WAX RESIDE'1' `N Aw 0�� AR W/PEAS. CAP 54 O /1 WITNESS \ E, ELEG rRANSFORACIR ///////// 10 4ER N a EUM MrR. O W I q,11 i II/ I % /PRoNus� J Wat PROPOSED BUILDING I/ FOOTPRINT EDGE OF ^ p ' / vEeerarmN /V�r 6.535 ACRES t /. 17 *P3 x I�/l//ill SE SNED/ / 00 S. 380 W. IIII1,(,14I ET. No -S REBAR W/PLAS. CAP PL S 24303 SET: No. 5 REBAR • • —'_P. L. S. 24303 - I � BUILDING ENVELOJE II / i -50- ` , r � �wOOD x / (To 6E REMOVED) EDl / 849 Forel No. _9 FACE OF THE STATE ENGINEER GWS -25, COLORADO DNISIq*0F WATER RESOURCES 818 Centennial Bldg., 1313 Sherman St, Denver, Colorado 80203 (303) 866-3581 APPLICANT RICHARD WAX P O BOX 11540 ASPEN CO 81612 (303)923-6229 PERMIT TO CONSTRUCT A WELL 10 WELL PERMIT NUMBER 184314 DIV. 5 CNTY. 49 WD 38 DES. BASIN MD Lot: Block: Filing: Subdiv: APPROVED WELL LOCATION PITKIN COUNTY 1059 NE 1/4 NW 1/4 Section 8 Twp 9 S RANGE 85 W 6th P.M. DISTANCES FROM SECTION LINES 330 Ft. from North Section Line 3575 Ft. from East Section Line ISSUANCE OF THIS PERMIT DOES NOT CONFER A WATER RIGHT CONDRIONS 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 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. 2) The construction of this well shall be in compliance with the Water Well Construction and Pump Installation 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 17. 3) Approved pursuant to CRS 37-92-602(3)(b)(11)(A) as the only well on a residential site of 6.53 acres described as that portion of the S 1/2 of Sec. 5, and the N 1/2 of Sec. 8, all in Twp. 9 South, Rng. 85 West of the 6th P.M., Pitkin County, being more particularly described on the attached exhibit 'A". 4) The use of ground water from this well is limited to ordinary household purposes inside a single family dwelling. The ground water shall not be used for irrigation or other purposes. 5) The maximum pumping rate 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 constructed not more than 200 feet from the location specified on this permit. NOTE: Monitoring and observation hole notice no. MH -24941, was acknowledged on December 16, 1994. OWNER'S COPY C)9 P /,)— 36 --FY APPROVED z �/� j� T JD2 ^ • Sate Engineer ev :J Receipt No. 0377226 DATE ISSUED JAN 0 3 1995 EXPIRATION DATE JAN 0 3 1997 Of- I HE STATE ENGINEER _jLORADO DNISIO�F WATER RESOURCES . 818 Centennial Bldg., 1313 She n St., Denver, Colorado 80203 (303) 8663581 APPLICANT RICHARD WAX P O BOX 11540 ASPEN CO 81612 (303)923-6229 PERMIT TO CONSTRUCT A WELL 1059 WELL PERMIT NUMBER 184314 DIV. 5 CNTY. 49 WD 38 DES. BASIN MD ,,..,y. ouuurv: APPROVED WELL LOCATION PITKIN COUNTY NE 1/4 NW 1/4 Section 8 Twp 9 S RANGE 85 W 6th P.M. DISTANCES FROM SECTION LINES 330 Ft. from North Section Line 3575 Ft. from East Section Line ISSUANCE OF THIS PERMIT DOES NOT CONFER A WATER RIGHT CONDITIONS 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 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. 2) The construction of this well shall be in compliance with the Water Well Construction and Pump Installation 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 17. 3) Approved pursuant to CRS 37-92-602(3)(b)(II)(A) as the only well on a residential site of 6.53 acres described as that portion of the S 1/2 of Sec. 5, and the N 1/2 of Sec. 8, all in Twp. 9 South, Rng. 85 West of the 61h P.M., Pitkin County, being more particularly described on the attached exhibit 'A'. 4) The use of ground water from this well is limited to ordinary household purposes inside a single family dwelling. The ground water shall not be used for irrigation or other purposes. 5) The maximum pumping rate 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 constructed not more than 200 feet from the location specified on this permit. NOTE: Monitoring and observation hole notice no. MH -24941, was acknowledged on December 16, 1994. PUMP INS [ALLEi?S COPY APPROVED //� .4 D Swe Engineer By I v Receipt No. 0377226 DATE ISSUED .JAN 0 3 1995 EXPIRATION DATE JAN 0 3 1997 WRJ;5-Rev. 76 Application must be complete where applicable. Type or print in BLACK INK. Nooverstrikes or erasures unless initialed. (1) COL�DO DIVISION OF WATER RESOURCJ& 818 Cen I Bldg., 1313 Sherman St., Denver, Colorado 03 PERMIT APPLICATION FORM kX) A PERMIT TO USE GROUND WATER kX) A PERMIT TO CONSTRUCT A WELL FOR: kX) A PERMIT TO INSTALL A PUMP ( )REPLACEMENT FOR NO. ( )OTHER WATER COURT CASE NO. mailing address NAME Richard Wax STREET P.O. Box 11540 CITY_ Aspen Co. 81612 (State) (Lu) TELEPHONE NO. 923-6229 (-2) LOCATION OF PROPOSED WELL County— Pitkin NE / of the NW y., Section 8 Twp. 9 S, Prig. 85 W 6 P.M M.SI 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 15 .5 J Proposed total depth (feet): 100 Aquifer ground water is to be obtained from: Tributary Owner's well designation GROUND WATER TO BE USED FOR- KX1 HOUSEHOLD USE ONLY - no irrigation (0) ( 1 DOMESTIC (1) ( 1 INDUSTRIAL (5) ( ) LIVESTOCK (2) ( 1 IRRIGATION (6) ( ) COMMERCIAL (4) ( 1 MUNICIPAL (8) ( I OTHER (9) DETAIL THE USE ON BACK IN 01) (4) DRILLER Name Shelton Drilling Co Street P.O. Box 1059 City Basalt, Co. 81621 (State) (Ziol Telephone No. 927- 4182 Lic. No. 1 059 FOR OFFICE USE ONLY: DO NOT WRITE IN THIS COLUMN Receipt No. Basin 1 Dist. CONDITIONS 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. APPLICATION APPROVED PERMIT NUMBER DATE ISSUED EXPIRATION DATE (STATE ENGINE R) I BY In __ _C0IJNTV ate. _ _ --- --- - (5) THE LOCATION OF THE P SED WELL and the area on which the water will be used must be indicated on the diagram below. Use the CENTER SECTION 0 section, 640 acres) for the well location. + - - + - -+- - 4-- - - �- - -4- - + -- 4 u I ! L 11 MILE, 5280 FEET --)rl T i — NORTH SECTION LINE I X — + — ,y T' T NOflTHI w z z C U w I F N SUU I M Sec I1UN LINE D n I I i I n � i I SUU I M Sec I1UN LINE 4-- The scale of the diagram is 2 inches = 1 mile Each small square represents 40 acres. WATER EQUIVALENTS TABLE (Rounded Figures) An acre-foot covers 1 acre of land i foot deep 1 cubic foot per second Icfs) .. 449 gallons per minute (gpml A family of 5 will require approximately 1 acre-foot of water per year. 1 acre-foot ... 43,560 cubic feet ... 325,900 gallons. 1.000 gpm pumped continuously for one day produces 4.42 acre-feet. 161 THE L MUST BE LOCATED BELOW by distances from section lines. 330 ft. from North sec. line (north or south) 3575 ft. from East sec. line (east or wast) LOT BLOCK FILING as SUBDIVISION (7) TRACT ON WHICH WELL WILL BE LOCATED Owner:Richard Wax No. of acres 6.53 . Will this be the only well on this tract? yes (8)PROPOSED CASING PROGRAM Plain Casing _Lin. from 0 ft. to 80 ft. in. front ft. to ft. Perforated casing 7 in. from 80 ft. to 100 ft. in. from ft. to ft. (9) FOR REPLACEMENT WELLSgivedistance and direction from old well and plans for plugging it: (10) LAND ON WHICH GROUND WATER WILL BE USED: Owner(sl: Richard Wax No. of acres: 6.53 Legal description: ( see attached sheet) (11) DETAILED DESCRIPTION of the use of ground water: Household use and domestic wells must indicate type of disposal system to be used. Household use only with state and county approved septic and leach field. (12) OTHER WATER RIGHTS used on this land, including wells. Give Registration and Water Court Case Numbers. 3) THE Type or right Used for (purpose) -Description of land on which used ICANT(S) STATE(S) .THAT THE INFORMATION SET FORTH HEREON IS THE BEST OF HIS KNOWLEDGE. J--1,7 Use additional sheets of paper if more space is required. D n H A n II a z I n J- I 4-- The scale of the diagram is 2 inches = 1 mile Each small square represents 40 acres. WATER EQUIVALENTS TABLE (Rounded Figures) An acre-foot covers 1 acre of land i foot deep 1 cubic foot per second Icfs) .. 449 gallons per minute (gpml A family of 5 will require approximately 1 acre-foot of water per year. 1 acre-foot ... 43,560 cubic feet ... 325,900 gallons. 1.000 gpm pumped continuously for one day produces 4.42 acre-feet. 161 THE L MUST BE LOCATED BELOW by distances from section lines. 330 ft. from North sec. line (north or south) 3575 ft. from East sec. line (east or wast) LOT BLOCK FILING as SUBDIVISION (7) TRACT ON WHICH WELL WILL BE LOCATED Owner:Richard Wax No. of acres 6.53 . Will this be the only well on this tract? yes (8)PROPOSED CASING PROGRAM Plain Casing _Lin. from 0 ft. to 80 ft. in. front ft. to ft. Perforated casing 7 in. from 80 ft. to 100 ft. in. from ft. to ft. (9) FOR REPLACEMENT WELLSgivedistance and direction from old well and plans for plugging it: (10) LAND ON WHICH GROUND WATER WILL BE USED: Owner(sl: Richard Wax No. of acres: 6.53 Legal description: ( see attached sheet) (11) DETAILED DESCRIPTION of the use of ground water: Household use and domestic wells must indicate type of disposal system to be used. Household use only with state and county approved septic and leach field. (12) OTHER WATER RIGHTS used on this land, including wells. Give Registration and Water Court Case Numbers. 3) THE Type or right Used for (purpose) -Description of land on which used ICANT(S) STATE(S) .THAT THE INFORMATION SET FORTH HEREON IS THE BEST OF HIS KNOWLEDGE. J--1,7 Use additional sheets of paper if more space is required. :ed on Recycled Taper',' ame of owner of property )wner's Mailing Address _ treet Address of Property . egal Description of Proper wner's Phone Number i LI LIV II I I V1 1 II II_., 16 (Z t c. Na &,Q (�JA lie /t CO Parcel ID#of Property a(eqz, -08a -DD-DD) Tax Schedule # of Property Structure type: Single Family Duplex Condo Apt= Commercial/Officen = Other Check one: New Construction Remodel _NUMBER & TYPES OF DEVICES YOU PLAN TO INSTALL: R OF CERTIFIED WOODSTOVES MAKE, MODEL # ROOM CATALYST? # OF FIREPLACES W/ GAS LOGS ROOMS) # OF DECORATIVE NATURAL GAS FIRE PLACE APPLIANCES W / 4" OR 5" CLASS &V&0t5V FZM4 2 B VENT MAKE, MODEL # t/ 2'4104010 ROOM(S) / AiAVIT UL• Ile9rJi�. OF WOODBURNING FIREPLACES / ROOM GRQ*IT ZDOR.s-7 DOES THE PLACE HAVE AN INSERT? (yes no) TYPEBk1LQ 1►J ROTHER DEVICES OOMS) If gas logs or a gas quires proof tha AGA and the m n' Signature of applic t Environmental He MW NEW TYPE NUMBER & TYPES OF DEVICES YOU AL- READY HAVE # OF CERTIFIED WOODSTOVES MAKE, MODEL # ROOM CATALYST? # OF FIREPLACES W/GAS LOGS ROOM(S) # OF DECORATIVE NATURAL GAS FIRE- PLACE APPLIANCES (WITH 4" OR 5" CLASS B VENT) MAKE, MODEL # ROOM(S) # OF WOODBURNING FIREPLACES ROOM(S) DOES THE FIREPLACE CONTAIN AN INSERT? TYPE # OF OTHER DEVICES _ TYPE ROOMS) are being installed in a bedroom, the Building Department re - or appliance is approved for installation in a bedroom by UL or o f 1 y Date�� �� Pec Paid o�5 ��0- nt provat Date /-73-1!/ Date Paid I1 tLr 1_1 4 VICINITY MAP 0 w W O 0 �IN 00 0 m MI EA M//VO/l 1041 RE VIEW for MAP HICH1415"D 61/%X I I' I. SET No.5 REBAR W/PLA �CA RLS 24303 1 � � TEL E. I I POLE \ ,TO WOODY CREEK R a v E� l �\ IrCH \ % I I 0 SCALE! ! I 40 40 80 120 160 200 FT. \ \ I I1IIl I " G _ ��r 1 � l 1-' l 21 CONTOUR INTERVALS IN Te PDL \1``I It I I�1 1 INSET \ 60 9_T_ 539.60 I ' I y 11 `? I ` �, 1 MATCH FOUND' No. 5 REBAR W/PEAS. CAP , / I , J / ` tI I LINE v / r L. S. 9018 £LEC. TRANSFORMER BUILDING ENVELOFE / �1� \ E o I III //WICORNER N �8c 54 ELEC MrR ISLA /EDGE/OF / vEyErarl/ l // roP 1 EDGE OF ]�l /./ �lll �l /VEOETAT/CN L OF / LOPE i RR. EDGE OF RIVER —; NOTICE According to Colorado law you must commence any legal scLon Meed upon any detect In this survey within three years after you first discover such dialect. In no event may any action based upon any defect In this survey be commenced more than tan years from the date of the certification shown hereon a� 0 STORAGE SHED III Illi f�ll� �� � r' I II i�il 0 d 0 0 100 YEAR FLOOD PLAIN FENCE -- IC£NT£RUNE TCH j\ Lp OVERHEoCD 1W/RES`1 \� S/TE ��� / \ R1� pp \\ l PLAN �\ 1 \ „ \ I / - t -PROPOSED (Fr)07PRLVT/ P L \, �� \ DRIVE , It 0 6.535 ACRES N W/R 1 EDG OF TREES / / ► m A i + + 1i / �oEEo\ o / a4� r� WARNING AND DISCLAIMER APPLICANT ACKNOWLEDGES THAT HE/SHE HAS BEEN INFORMED BY PITKIN COUNT OF THE EXISTENCE OF 1041 ENVIRONMENTAL HAZARD AREAS THAT MIGHT A)�FECT THE PROPERTY AND ANY IMPROVEMENTS, AND THE USE AND OCCUPAN THEREOF. ACCEPTANCE FOR RECORDING THIS 1041 REVIEW AND GENERAL SUBMISSION PLAT FOR THE DESCRIBED PARCEL OF LAND HEREON, HAS BEEN ACCEPTED FOR FILING IN THE OFFICE OF THE CLERK AND RECORDER OF PITKIN COUNTY, COLORADO ON THIS DAY OF 1994 IN PLAT BOOK AT PAGE AS RECEPTION NO. CLERK AND RECORDER CARMICHAEL SURVEYING, INC. P.O. BOX 136T CARBONDALEaCOLORADO 81623 (303 —963-07971 Surveyed 9 - 6 thru 9-9, 1994 Revisions Dratted 9-14-94 PLANNING DIRECTOR APPROVED: DATE FOUND' No 5 REBAR S TTN L \ 1 CONCRETE' I\ \ \ rAP E ,NgE1 cn a � \ SE cn \RAILROADrn \\ \\ y KS J � TRACKS \ 1 .`[ \ U f \ to H m Isi o c 0- \00 - C3 00 FOUND No. 5 REBAR N/PLAS CAP L.S. 20151 SUZANNE KONCHAN COUNTY PLANNING DIRECTOR a U 50 100 200 SCALE: I" 100' LEGAL DESCRIPTION A TRACT OF LAND SITUATED IN LOT 10, SEC 5; AND LOT 3, SEC 8; TOWNSHIP 9 SOUTH, RANGE 85 WEST, OF THE 6th P.M.; DESCRIBED AS FOLLOWS: BEGINNING AT A POINT ON THE SOUTHWESTERLY RIGHT-OF-WAY LINE OF THE D&RGWRR WHENCE WITNESS CORNER TO SECTION 4, 5, 8, AND 9 OF SAID TOWNSHIP AND RANGE BEARS N. 860 30' E., 3330.42 FEET; THENCE S. 510 06' E., 350.41 FEET ALONG THE RIGHT-OF-WAY LINE; THENCE S. 380 54' W., 849.89 FEET TO THE CENTER OF THE ROARING FORK RIVER; THENCE N. 440 04' W., 108.31 FEET ALONG THE CENTER OF THE ROARING FORK RIVER; THENCE N. 330 48' W., 254.40 FEET ALONG THE CENTER OF THE ROARING FORK RIVER; THENCE N. 880 54' E., 760.97 FEET TO THE POINT OF BEGINNING, EXCEPT A STRIP OF LAND BEING 25' FEET IN WIDTH AND AT ALL POINTS PARALLEL WITH AND ADJACENT TO THE SOUTHWESTERLY RIGHT-OF-WAY OF THE D&RGWRR FOR USE AS A RIGHT-OF-WAY OVER, ALONG AND ACROSS SAID PROPERTY. TOGETHER WITH A RIGHT OF INGRESS AND EGRESS TO SAID PROPERTY OVER, ALONG AND ACROSS EASEMENTS FOR ROADWAYS AS PREVIOUSLY RESERVED OR NOW IN USE. SUBJECT TO PROTECTIVE COVENANTS CONTAINED IN BOOK 212 AT PAGE 16 OF THE RECORDS FOR PITKIN COUNTY AND ALL RIGHTS-OF-WAY OF EASEMENTS OR RECORD OR NOW IN USE. 1111@ IU'tl KtVItVV MAt- for RICHARD WAX s/W no J'7 1 J Giant WAX i IN Te PDL \1``I It I I�1 1 INSET \ 60 9_T_ 539.60 I ' I y 11 `? I ` �, 1 MATCH FOUND' No. 5 REBAR W/PEAS. CAP , / I , J / ` tI I LINE v / r L. S. 9018 £LEC. TRANSFORMER BUILDING ENVELOFE / �1� \ E o I III //WICORNER N �8c 54 ELEC MrR ISLA /EDGE/OF / vEyErarl/ l // roP 1 EDGE OF ]�l /./ �lll �l /VEOETAT/CN L OF / LOPE i RR. EDGE OF RIVER —; NOTICE According to Colorado law you must commence any legal scLon Meed upon any detect In this survey within three years after you first discover such dialect. In no event may any action based upon any defect In this survey be commenced more than tan years from the date of the certification shown hereon a� 0 STORAGE SHED III Illi f�ll� �� � r' I II i�il 0 d 0 0 100 YEAR FLOOD PLAIN FENCE -- IC£NT£RUNE TCH j\ Lp OVERHEoCD 1W/RES`1 \� S/TE ��� / \ R1� pp \\ l PLAN �\ 1 \ „ \ I / - t -PROPOSED (Fr)07PRLVT/ P L \, �� \ DRIVE , It 0 6.535 ACRES N W/R 1 EDG OF TREES / / ► m A i + + 1i / �oEEo\ o / a4� r� WARNING AND DISCLAIMER APPLICANT ACKNOWLEDGES THAT HE/SHE HAS BEEN INFORMED BY PITKIN COUNT OF THE EXISTENCE OF 1041 ENVIRONMENTAL HAZARD AREAS THAT MIGHT A)�FECT THE PROPERTY AND ANY IMPROVEMENTS, AND THE USE AND OCCUPAN THEREOF. ACCEPTANCE FOR RECORDING THIS 1041 REVIEW AND GENERAL SUBMISSION PLAT FOR THE DESCRIBED PARCEL OF LAND HEREON, HAS BEEN ACCEPTED FOR FILING IN THE OFFICE OF THE CLERK AND RECORDER OF PITKIN COUNTY, COLORADO ON THIS DAY OF 1994 IN PLAT BOOK AT PAGE AS RECEPTION NO. CLERK AND RECORDER CARMICHAEL SURVEYING, INC. P.O. BOX 136T CARBONDALEaCOLORADO 81623 (303 —963-07971 Surveyed 9 - 6 thru 9-9, 1994 Revisions Dratted 9-14-94 PLANNING DIRECTOR APPROVED: DATE FOUND' No 5 REBAR S TTN L \ 1 CONCRETE' I\ \ \ rAP E ,NgE1 cn a � \ SE cn \RAILROADrn \\ \\ y KS J � TRACKS \ 1 .`[ \ U f \ to H m Isi o c 0- \00 - C3 00 FOUND No. 5 REBAR N/PLAS CAP L.S. 20151 SUZANNE KONCHAN COUNTY PLANNING DIRECTOR a U 50 100 200 SCALE: I" 100' LEGAL DESCRIPTION A TRACT OF LAND SITUATED IN LOT 10, SEC 5; AND LOT 3, SEC 8; TOWNSHIP 9 SOUTH, RANGE 85 WEST, OF THE 6th P.M.; DESCRIBED AS FOLLOWS: BEGINNING AT A POINT ON THE SOUTHWESTERLY RIGHT-OF-WAY LINE OF THE D&RGWRR WHENCE WITNESS CORNER TO SECTION 4, 5, 8, AND 9 OF SAID TOWNSHIP AND RANGE BEARS N. 860 30' E., 3330.42 FEET; THENCE S. 510 06' E., 350.41 FEET ALONG THE RIGHT-OF-WAY LINE; THENCE S. 380 54' W., 849.89 FEET TO THE CENTER OF THE ROARING FORK RIVER; THENCE N. 440 04' W., 108.31 FEET ALONG THE CENTER OF THE ROARING FORK RIVER; THENCE N. 330 48' W., 254.40 FEET ALONG THE CENTER OF THE ROARING FORK RIVER; THENCE N. 880 54' E., 760.97 FEET TO THE POINT OF BEGINNING, EXCEPT A STRIP OF LAND BEING 25' FEET IN WIDTH AND AT ALL POINTS PARALLEL WITH AND ADJACENT TO THE SOUTHWESTERLY RIGHT-OF-WAY OF THE D&RGWRR FOR USE AS A RIGHT-OF-WAY OVER, ALONG AND ACROSS SAID PROPERTY. TOGETHER WITH A RIGHT OF INGRESS AND EGRESS TO SAID PROPERTY OVER, ALONG AND ACROSS EASEMENTS FOR ROADWAYS AS PREVIOUSLY RESERVED OR NOW IN USE. SUBJECT TO PROTECTIVE COVENANTS CONTAINED IN BOOK 212 AT PAGE 16 OF THE RECORDS FOR PITKIN COUNTY AND ALL RIGHTS-OF-WAY OF EASEMENTS OR RECORD OR NOW IN USE. 1111@ IU'tl KtVItVV MAt- for RICHARD WAX s/W no J'7 1 J Giant WAX