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Home My WebLink Aboutpitkin.eh.264310102001 (2005)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. Permit # 05014 Pitkin ounty Environmental Health DepartmnR PerrIWr an Individual Sewage Disposal S 0405 Mtle Creek Road, Suite 10, Aspen, Colorado TIT11 Phone 970-920-5070 / FAX 970-920-5077 Parcel ID # 2643-101-02-001 Type of permit New( x ) Repair( ) Addition/Remodel to House( ) Name of Owner Sadies Holding, LLC Street Address 130IILittle Woody Creek Road / .2.�2 S Property legal description Lot 1 Sachs Woody Creek Exemption Size of lot 16.168 acres Total square footage of the house Water source Private wells # of bedrooms in house Caretaker unit # of bedrooms in caretaker unit 6273 # of offices, lofts & similar sized rooms in house Total square footage of the caretaker unit # of offices, lofts & similar sized rooms in caretaker unit Designed for what # rooms (list) 4 bedrooms — office not to be used as a bedroom 44&tY)C6la1v'4 j -c uSc -SU Re 12,2oob Permit Information Designed by All Service Septic Mailing Address PO Box 2844, Glenwood Springs, CO 81602 Perc rate 24 Profile hole depth 9 ft Depth to groundwater or bedrock Minimum Septic tank capacity 2275 gallons Minimum Absorption area Comments Greater than 9 ft 891 so ft w/ 50% reduction Septic permit approved per compliance with the engineer design and specifications from letter and Revised Figure 2 dated May 2, 2005. Any changes must be approved by this department and the design engineer prior to them being made. Minimum horizontal distances between components of the system and physical features shall conform to the Pitkin County ISDS regulations. Setback from the field to any wells must be at least 165 ft. Sewer lines must be encased at crossings of water lines and within 50 feet of the well. Refer to May 2, 2005 Revised Figure 2 for correct sizing. This system will include one 2500 gallon two compartment tank with an effluent filter on the outlet. A distribution box will be used to distribute effluent to four trenches, each with 23 Quick 4 chambers for a total of 92 Quick 4 chambers. There must be at least 6 feet of undisturbed soil between each trench. This department does not endorse any brand of products. This permit must be kept on-site during installation. The engineer must do a final inspection of the installation and submit an as -built letter to this department. This department must also be called for an inspection with a minimum of 48 hours advanced notice. 'Revegetation over the area of the field is very important for the functioning of the system. Pitkin County has guidelines that must be followed to assure the plants that are introduced are appropriate for the conditions of the area. The use of native plants is strongly Permit approved by: Cn,t-tkCt_ CL Date: C510 I bC Plans and specifications of the proposed individual sewage disposal system have been reviewed and are considered satisfactory. Permission is hereby granted to the owner or the agent to perform the work indicated in accordance with the Pitkin County ISDS Regulation in effect at the time of issue. This permit becomes invalid 6 months from the date that the permit was issued unless system construction has commenced or an extension has been approved in writing by the Department. As -built drawings mu ;t be included with this permit before the final approval will be issued. ,1. Installer. 4i: fS nnrt 1A �P 11rt �i i c,i1S2 — Final approval: _ jp„�t7 �_ Date: 113125 p Inas 0 0 PITKIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM 0405 Castle Creek Road, Suite 10, Aspen Colorado 81611 Phone (970) 920-5070 Fax (970) 920-5077 RECEIVED MAR 2 4 2005 Name of OWNER Q CX ; C .5 L I- -100 - Owners Mailing Address fc A..4c- ,: 4. T ol5 City. State, Zip Business Phone: Home Phone: 970- 4? Qi — 'Zq 1 d E-mail Address: Primary Contact Person (all communication regarding this permit will go through this person) Name n c Crx Com ny C � f A Contact Mailing Address c o Ci , State, Zi S Business Phone : 941S-- ev%: Cell Phone: - lzrglo I Fax. q E-mail Address: �j/,rcn `I'fU�Wg1 Parcel ID s (available from assessors office at920.5160crat:-:::- ) Building Permit # (if available) -7 �c/� ,1 I ` n e Street address of property /366 Li r7[c (fid y Ce -eek M �� 4 UC¢i<f Cd Legal Description: Lot ,Block ,Filing ,Subdivision �o ��JtiCfEeA I Size of lot: 16,1603 acres. Type of proposed structure: 4L. Y l . Total square feet of house 6 oZ%� # of bedrooms (potential) in house Caretaker Unit: Attached ( ) Detached ( unit Permit is for. New Home ('L) Repair due to failure ( ) Remodel/Addition ( ) Emergency use ( ) Water. Private wall (>e-) Spring ( ) Stream ( ) Community/Public Water System ( ) If community system: Name of system The fee for a ISDS application is $600 for a permit that takes 6 hours or less for the department to approve. If approval takes longer than 6 hours, a rate of $100 per hour will be charged. The maximum fee is $1000. The basic fee of $600 is due at the time of application. The remainder, if any, will be due in two stages: first, at the time of issuance of the ISDS permit; second, before final approval of the ISDS permit. Application for an individual sewage disposal system is hereby submitted. I hereby certify that the above information is true and accurate and that I have provided true and accurate information on locations of all existing and proposed wells, contour intervals, buildings, property lines, ditches, slopes, waterlines, springs, suction or irrigation lines, drinking water cisterns, drain tiles, irrigation ditches, lakes, water courses, streams, floodplains, dry gulches, and existing septic systems. I hereby certify that any such features not shown on attached site map are not present. Issuance of the permit does not imply the 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 Pitkin County Environmental Health Department, Pitkin County and employees of these agencies will be held harmless should the individual sewage disposal system fail or malfunction. The permit to construct is issued on information submitted by the applicant or his/her representatives. The owner assumes full responsibility in rase of failure of the system. Signature of applicant Received by '�Zt Receipt # Date TH % C450.% //,S3 Date 4 4-'__ r 3 PHONE CALL • 0 Pitkin County Environmental Health Department Contact Log Sheet Jame: Skat,4 S fH a:9 4D IV(n S LLCM - 'arcel lD#: y3 - DI— a2 00 Address: 17-2S' ;tel lt Date Person Spoken To Comments / Action to be Taken Initials Time lk 1 � � t ' I's -11 , it )po`?e ------------------------------------------------------------- ----------- REASON FOR ERROR E-1) HANG UP OR LINE FALL E-2) BUSY E-3) NO ANSWER E-4) NO FACSIMILE CONNECTION 0 0 Go PITIQN COUNTY ENVIRONMENTAL HEALTH & NATURAL RESOURCES DATE: 10/25/20p5 Send to: Structural Associates: Shane or Fred From: Alicia Gomez Fax Number: 945-0482 Phone Number: 920-5087 CC: All Service Septic Number of Pages, Including Cover: 2 CC Fax Number: Cl URGENT O REPLY ASAP CI PLEASE COMMENT O PLEASE REVIEW ® FOR YOUR INFORMATION COMMENTS: Septic Permit 4f05014 for parcel 2643-101-02-001, owner Sadies Holding, LLC, has been finalized. Please feel free to call 920- 5070 if you have any questions. C Pitkin County Environmental Health and Natural Resources 0405 Castle Creek Road Suite #10, Aspen, CO 81611 Phone (970) 920.5070 1 Fax (970) 920.5077 Web site w .aspenpltkln.com/ehnr Z' COO ICATION RESULT REPORT OCT. P. 1 x : ( 25.20 2:20PM ) x * x FAX HEADER: ENVIRO HEALTH NAT RESOURCE TRANSMITTED/STORED OCT.25.2006 2:17PM FILE MODE OPTION ADDRESS RESULT PAGE ---------------------------------------------------------------------------------------------------- 747 MEMORY TX 9450482 OK 2/2 TIM PETZ OK 2/2 ------------------------------------------------------------- ----------- REASON FOR ERROR E-1) HANG UP OR LINE FALL E-2) BUSY E-3) NO ANSWER E-4) NO FACSIMILE CONNECTION 0 0 Go PITIQN COUNTY ENVIRONMENTAL HEALTH & NATURAL RESOURCES DATE: 10/25/20p5 Send to: Structural Associates: Shane or Fred From: Alicia Gomez Fax Number: 945-0482 Phone Number: 920-5087 CC: All Service Septic Number of Pages, Including Cover: 2 CC Fax Number: Cl URGENT O REPLY ASAP CI PLEASE COMMENT O PLEASE REVIEW ® FOR YOUR INFORMATION COMMENTS: Septic Permit 4f05014 for parcel 2643-101-02-001, owner Sadies Holding, LLC, has been finalized. Please feel free to call 920- 5070 if you have any questions. C Pitkin County Environmental Health and Natural Resources 0405 Castle Creek Road Suite #10, Aspen, CO 81611 Phone (970) 920.5070 1 Fax (970) 920.5077 Web site w .aspenpltkln.com/ehnr Z' Fax: Phone: Date: ,Cil W D j Re: Ck((bc_�knnA; L cc: PPS -7-- :303-�I1a- ETA Plea" cU re o 4 i r6la,C ,5 i -o w Iry oua.y 2 ecu V4 . \+QO A yveh rv,U-QJ �e 105 rel.- COLU "' o -n UR� vmaAvikS Phone 970-920-5070 02( b, Fax 970-920-5077 0405 Castle Creek Road, Aspen CO 81611 920 ,54,�� • fl[[��LVV��L[[ pftn" Slllllll .Wbm coe1 October 9, 2006 Structural Associates Attn: Fred Wilson 4185 County Road 154 Glenwood Springs, Colorado 81601 Installation Observation, Proposed Shaw Residence Lot 1, Spear Woody Creek Subdivision — Permit #05014 1300 Little Woody Creek Road Pitkin County, Colorado Mr. Wilson, Project No. 1004 FXCEIVED OCT 16 7.006 PITKIN GUUN"' L !rjNMtNTAL HEALTH & NATURAL RESOURCES ALL SERVICE septic, LLC performed installation observations for the subject property. The installation included one 2500 -gallon, two-compartment precast concrete septic tank with an effluent filter on the outlet, followed by 908 SF of gravelless chamber trenches. Two trenches had 19 `Quick-4'Tm chambers and three trenches had 18 `Quick-4'TM chambers, for a total of 92 chambers. A distribution box will be used to distribute effluent. An as -built drawing is included. Two cleanouts were installed, as indicated on as -built drawing, to allow access to sewer and effluent lines. The water line has been re -located to accommodate appropriate setbacks to OWS components. The OWS was installed according to specifications. This observation is not a guarantee of workmanship and/or parts and materials. ALL SERVICE septic, LLC should be notified if changes are made to the OWS. Sincerely, ALL SERVICE septic, LLC r^ Timoth R. Petz 2 copies sent Copy sent to Pitkin County Health Dept, Attn: Carla Ostberg G F SCALE C' = 40' NORTH 0 OWS AS -BUILT DRAWING TO SEWER LINE ENCASED WITH SCHEDULE 40 PVC BENEATH DRIVE AND WITHIN 25' OF WATER LINE WATER LINE DIVERTED TO STAY OUTSIDE OF 25' SETBACK TO DRAIN FIELD. 4 -INCH PVC EFFLUENT LINE LUF9l:1L l��l[iL`I Z�Z CLEANOUT 908 SF OF DRAIN FIELD IN 5 GRAVELLESS TRENCHES. TWO TRENCHES = 19'QUICKA' CHAMBERS THREE TRENCHES = 18'QUICK-4' CHAMBERS TOTAL CHAMBERS =92 OBSERVATION 25' L 4 -BEDROOM CLEANOUT v \ 2500 -GALLON TWO-COMPARTMENT \ PRECAST CONCRETE SEPTIC TANK WITH EFFLUENT FILTER ON OUTLET G. 1300 LITTLE WOODY CREEK ROAD ALL Project No. 1004 CATTO/SHAW RESIDENCE SERVICE SEPTIC, LLC PITKIN COUNTY, COLORADO 970-618-5033 FIGURE 1 PITKIN ENVIRAENTAL HEALTH DEPARTMENIP ISDS DESIGN CALCULATIONS Owner's Name Parcel ID # = House Size (sq. ft.) (75 gpd, 100 gpd, or 130 gpd) Number of Bedrooms in Main House Number of Offices, Libraries, Studies, Similar -sized Rooms in Main House Number of Bedrooms in Detached Caretaker unit Number of Offices, Studies, Similar -sized Rooms in Caretaker Unit (If the caretaker unit is ATTACHED, treat as if part of main house.) Average Daily Waste Flow 1040 State Review Required? no Perc Rate -(T) Design Flow (Q) = # potential bedrooms X 2 people/bedroom X gpd X 1.75 Q= 1820 Minimum tank capacity 2275 gallons Absorption Area (=Q/5 X SQRT perc A = 1783.2285 sq. ft. of absorption area required 115 gravelless chamber units without reduction # of Perc Holes Required: 3 1 in every soil type? Spaced uniformly over proposed area? A = 891.61427 sq.h. with 50% reductionTRENCHES 91 graveBess chamber units with reduction STANDARD A- 891.61427 sq.h. with 50% reductionTRENCHES EO 36 58 graveBess chamber units with reduction 56 EQ36 units in TRENCHES SETBACK FROM WELL # of feet = 165.6 SETBACK FROM POND, STREAM OR IRRIGATION DITCH # of feet = 115.6 SETBACK FROM DRY GULCH # of feet = 90.6 /U 130 QUICK 4 9.2 1248.26 sq h 30% reduction BED 136 chamber units with reduc. 1248.26 sq ft 30% reduction BED 81 chamber units with reduc. 100 EQ36 units in a BED f�b $0 0 flrrrypLY ��L7r Mox2944 SLIII IIR me1602 u�65 F;a3n96 May 2, 2005 Daniel Shaw PO Box 432 Woody Creek, Colorado 81656 Project No. 1004 Revised Onsite Wastewater System Design, Proposed Catto/Shaw Residence Little Woody Creek, Sandies Holdings Lot 1, Spear Woody Creek Subdivision, Sach's Woody Creek Exemption Pitkin County, Colorado Mr. Shaw, ALL SERVICE septic, LLC performed a percolation test and an onsite wastewater system (OWS) design for the subject property. The finished living area in the proposed residence has been increased to over 6000 square feet. This letter is to be used in conjunction with plans provided. Figure 2 of original OWS design dated August 16, 2004 should be discarded to avoid confusion. Replace with Revised Figure 2. All other original documents should be used for design. SUBSURFACE The subsurface was investigated by excavating a 9 -foot test pit near the proposed drain field location as shown on attached plans. The test pit indicated the site has a 6 -inch topsoil layer, underlain by silty, clayey sand, with angular rock fragments to the maximum depth explored of 9 feet. Groundwater or bedrock was not encountered. A percolation test was performed on August 12. The results indicated an average of 24 minutes per inch (MPI) DESIGN SPECIFICATIONS The OWS design is based on 4 -bedrooms and greater than 6000 SF of living area. The installation must include a 2500 -gallon, two-compartment septic tank, followed by 908 SF of drain field using `Quick4' Infiltrator""' chambers in trenches. OPERATION INFORMATION AND MAINTENANCE The surface of the drain field should be seeded upon completion. Vegetation is an important factor in drain field performance. Geo -fabrics or plastics should not be used over the drain field. Livestock should not graze on the drain field. r 0 uP„c�A nwc txq:m Project No. 1004 May 2, 2005 Page 2 The homeowner should pump the septic tank every two years and clean the effluent filter as needed. Garbage disposal use should be minimized, and non -biodegradable materials should not be placed into the OWS. Loading from a water softener should not be discharged into the OWS. No hazardous wastes should be directed into the OWS. Mechanical room drains should not discharge into the OWS. The OWS is engineered for domestic waste only. INSTALLATION OBSERVATIONS ALL SERVICE septic, LLC, and the county must view the installation of the OWS. The observation should be performed before backfill, after placement of chambers and distribution pipes. Septic tanks, distribution devices, pumps, dosing siphons, and other plumbing, as applicable, must also be observed. ALL SERVICE septic, LLC should be notified 48 hours in advance to observe the installation. ADDITIONAL CONSTRUCTION NOTES If design includes a pump, air release valves and weep holes should be installed to allow pump lines to drain to minimize risk of freezing. Extensions should be placed on all septic tank components to allow access to them from existing grade. Precast concrete tanks and distribution boxes should be used, unless plastic or fiberglass is required. Access to all tank compartments and distribution devices is optimal. LIMITS: The design is based on information submitted. If soil conditions encountered are different from conditions described in report, ALL SERVICE septic, LLC should be notified. All OWS construction must be according to the county regulations. Requirements not specified in this report must follow county regulations. The installer should have documented and demonstrated knowledge of the requirements and regulations of the county in which they are working. Please call with questions. ALL SERVICE septic, LLC Timothy R. Petz 1 copy sent 2 copies sent to Structural Associates, Attn: Fred Wilson 1 copy to Pitkin County, Attn: Carla Block �J -r It PITKIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT Percolation Test and Soils Data Form - TABLE 1 - PROJECT 1004 PROFILE PIT Date of Test: 8-12-04 0-6... Topsoil, Root Zone, Sandy 6" - 9' Sand, Silty, Clayey, Angular Rock Fragments, Dense, Moist Red/Brown. 6" Rocky Layer at 1.5 feet. Colluvium No Groundwater or Bedrock was Encountered Hole Hole Interval Measurement at Measurement at Change (in.) Percolation Rate No. Depth (in.) (min.) Start of Interval End of Interval (min./in.) MPI (in.) (in.) 1 33 20 3.50 5.75 2.25 20 5.75 7.00 1.25 20 3.00 4.50 1.50 20 4.50 6.00 1.50 20 6.00 7.50 1.50 20 7.50 9.00 1.50 16 2 28 20 2.25 4.25 2.00 20 4.25 5.75 1.50 20 5.75 6.75 1.00 20 6.75 7.75 1.00 20 3.25 4.00 0.75 27 20 4.00 5.00 1.00 3 39 20 3.50 5.25 1.75 20 5.25 6.75 1.50 20 6.75 7.75 1.00 20 7.75 8.75 1.00 20 8.75 9.50 0.75 27 20 9.50 10.50 1.00 AVERAGE = 24 MPI 06/16/2004 14:50 3032162796 PETZ 0 ALL SERVICE septic, LLC Cdi1�LR Po Box 2844, Glenwood Springs, CO 61602 rl Ph- 970.618-6033 Fex 303-216-2796 ter_ timpetz@mell2tim.Gdm 1 VACe- For Your Viewing Pleasure I � l�rS contact: goug Graybeal 970-704-1188 Address: U tle i/ttoody Creek Road (Just Past Wyly Res on lett side.) Project: Cattommm tseideope Map and Notes: PAGE 01 LCC,At_ S ANrnes ►io�at► S ,Lor SPEER wr)010Y CQEEtL SAC"S v4OC +Z)� c-Rk:trK Exer��'i taJ S 1 i �l aC- 0 - SAND, SILTY, Curt Ey M .D& i tU& 2cD A96v%.AR t3KK F1zAC�+rer�5 qct PLA0 0 v2 b�A r"5 $ o so iM RED PLA. W CURVE D6TA ANGLERADHN RAC CHORD C1URD BEARING C I 1T 13'U. 308.03' 115,73' 1«.37' S Or"'27'W C 2 30'07'27' 24I.U' 110.9"' . d3 Ir was, 37.98' 74.93' 74J8' B 7r02'00.9 LIM BEARING 01 STANCE L 1 3 Ba'29'SD'W 92.02' L 2 3 BI'SO'24'Y 0.85' /a CN IUTIM RED PLA. W OVERHEAD UTILITIES BLIT R.O.W. g1ANT FOR FENCE AND 21 IRD VA1$01A1 W.DATIED JUNE COC-a880O CH ) SPIRE 9 w rIA IMI«TIRN. DITCH i"1-7 �.�C�.��H MTI. s y- � J0.00ROAD EA3EMENI PIPtlNo n ASPEN SURVEY ENGINEERS. INC. 210 wain 9.LRw aTRaT All.. mARRAOR nw P.I. IN91 0211-3610 0AYS N •'97 O3A6 FIRE NYORq ♦ h� LEGEND AND NOTES SLANTED TEXT UEMTES RECORD 1x 0111API710N O FOUND SURVEY NONUENT REBAR WITH W AS DESCRIBED —8 WOOD FENCE ♦ WIRE FENCE y ❑ UTILITY BOY a :EJ ELECTRIC TRANSFORMER • SURVEY CONTRM MINT THIS LOT IS SUBJECT TO A SO ROAD EASEMENT RECORDED IN 80011 2" AT PAC{ 547 `f STEWART TITLE OF ASPEN TITLE COMMTSENr ORDER N0. 0002318. DATED AUG. IS. I9v0 WAS USED IN THE PREPARATION a THIS SURVEY. \' HOUSEUNDER CONST. 6/9I fa � cnasui �-o v -o g�paA ptyx�r sr. o$�tZ�( 1 rola w a1« \ LOT I \ AREA 15.17A ES •/- - t \ 1 / 1 aM2HISi .. .��TT�E w000Y CREEK i MPROVEMENT SURVEY / ��.—_ LOT VVV 1. SA HS NODDY CSEEK E!KEPPTIONL ACCOROIRD TO THE PLAT TN RECORDED IN PUT BOOK IS AT PAGE 70. COUNTY OF PITKIN. STATE I D w rIA IMI«TIRN. DITCH i"1-7 �.�C�.��H MTI. s y- � J0.00ROAD EA3EMENI PIPtlNo n ASPEN SURVEY ENGINEERS. INC. 210 wain 9.LRw aTRaT All.. mARRAOR nw P.I. IN91 0211-3610 0AYS N •'97 O3A6 e/meire.rrm YIIpIIFIT C.Arro mmove. wlaw� OOCIlIIW .ww wrw v¢� a� 0 0 01L' POBa2544 �� o8,�z SfNrll April 18, 2005 Daniel Shaw PO Box 432 Woody Creek, CO 81656 Project No. 1004 OWS Water Line Clarification Letter Clarification for Existing Residence and Barn, Catto/Shaw Residence Little Woody Creek, Sandies Holdings Lot 1, Spear Woody Creek Subdivision, Sach's Woody Creek Exemption Pitkin County, Colorado Mr. Shaw, ALL SERVICE septic, LLC has prepared a water line clarification letter for the subject property. This letter, and attached plans is to be used in conjunction with the report and plans dated August 16, 2004. All sewer lines must be encased with schedule 40 PVC within 50 feet of onsite wells, and 10 feet of water lines. The design is based on information submitted. If structures are different from described in report, ALL SERVICE septic, LLC should be notified to modify letter. Please call with questions. ALL SERVICE septi , �� JC Timothy R. Petz 1 copy sent Copy Sent to Pitkin County Health Department, Attn: Carla Block CJS 01 01 031 o 1ACW .Aar 14 05 09:59a OCT -15-2004 10:40AM tM} n T"F IN, PR UNI IM ♦ 1111 COPT OF ♦CC[P OIwR1R NPrL[D OMN R(ISUEfT Dgug Graybeal 97704-0187 p.2 6 FROWDJOIATEKS OT04458T41 T-383 P 002/004 F-160 COLORADO DIVISION OF WATER RESOURCES BIB C,ntestrild 814, 1313 Sheesem Sr, STATE OF COLORADO - s . Den.". C4lera.9 OOZ03 !!NT 1 TiL 35.OD 35.00 DEC 1 7 I , STATEMENT OF BENEFICIAL USE OF GROUND IWER 0•W -ear— AMENDMENT OF EXISTING RECORD t T? LATE REGISTRATION Xy"1�50423 /1 �4 PERMIT NUMBER fL_Aa"4 LOCA7fON_OF WELL THE AFFIANT(S) -base not I wig C� address is E. a '50; '26'? AIA) It A rw JrVE X. well-. L City 4k� Cr e e K iso $ N+s 6 9. s, .....T15 -W 6 rA hitting duly sworn vpon ood+, deposes and says Ihd he (they) Is (we) the awroy(s) of dna well described heroes, the well ;s locco" as deso;bed obo.a, at distances of 300 Feet ho. the A#'OJ,24 seet;on Int and 115 DO lest Goo the E'`� _�- section, line; water [rem this well was first aPp)ied ra o benefic:ol use fee the puroose(s) described herein as the day of j9±0—; tho reo.iotun, sasrained pimping rete of tilt well is [-5�- gallons Per r;,wit, the pulping rate domed Iwebf is �._ gallons per Iwinviv; dls rotd__,20 hes � depth of t1y well is f, the amm .eroge oeol w.nl of .sew to be diverted is 4- , acre-ket; ly which china is hemby mads fes JRlfe5t-C I &lE dewsk" l r6aT-je4✓ Xiw t Fire, PWPDse(s); the legal eg desv;plipn of tine land on which the -vier how This veli is used is .slsa Mj&--'Cr ( Azp of wh:d. .--LccmT; on irrigat" and which is ;Ilastroted on the nap an the reverse side of this forst: thm this well Mos aomplered In cornpl)o s;v with the parnit approved ihehwfw, this statmment of beeollicial use of prvund wets, is filed ;n cestplionae with law; he (they) has (have) read the stesnrnptts wads heron; knows the contant tbereol; and Thot IV* wase ran twa of his ("r) Inewledge. (C 7 E�EREVERSE SIDE OF THIS FORM) Signarytrs(s .! Subscribed d swo to before ,rte on this day of 19 _ My Commission espires: .w... Ye..111 .r ACCEPTED FOR FILING BY THE STATE ENGINEER OF COLORADO PURSUANT TO THE FOLLOWING CONDITIONS: .il tl 1' ✓K '� �I B OF we "Mm IIID JAN 2 0141 D.TE txr FOR OPytCE USE ONLY Cyn Core N.. I Nell bgns_� re. D'. OCT -15-2004 10:55Ah1 FAX: 9709458741 ID. HOLLAND 9 HRRT Amar 14 05 09:59a IINg Gra9beal 97:704-0187 p.3 OCT -15-2004 10:50AM FROM-DIVRMATERES 9709459741 T-383 P. M3/994 F-1 60 WR}5.R" t6 COLORADO DIVISION OF WATER RESOURCES I— SIS CmaetiMr 81ft. 1313 el.r.ee st. 11na.er, Oploradp Soma RG(YA A rtw�E�^,r�yi�y yJ PERMIT APPLICATION FORM OEC 1 7� 9 . tie comWeee *tmw — ( I A PERMIT TO I15E GROUND WATER _ ago' bit. Type or ( I A PERMIT TO CONSTRUCT A WELL am print in RUCIa)AN 1 9 POR: t 1 A PEflMIT TO INSTALL A PUMP .a INN. Noone am tM cremes untessAllm.� tx) REPLACEMENT FOR NOOJd nttlesClccnlad �-1 idtelad. cow1 IOTHER ' WATER COLeA CASE NO. NAME RAI= pmr STREETP. O. Boat 269 CITY 1102117 C1eeY, Co. 11,616 A e I TELEPHONE NO. 303-923-2368 _ k of tM�9E sG. Sac4on In _ TWFL 9_ jL. Rms. %t.it �. MA tWl (31 Prapotad maximum pumping rna (gaml 15 Away a2roW amaant of ground water 1 5 to cc apmwpwtgd to ft-aeu: Number W saes to be in{yyd: I� Prepond total depin (ferU: 250 Apuitm 9r 6d water 4 e be ubtaned Nom: Q w 's well desivw0on GROUND WATER TO RE USED FOR I 1 HOUSEHOLD USE ONLY - m irrigation (0) ID 1 DOMESTIC Il) 1 1 INDUSTRIAL (5) 1 1 LIVESTOCK 12) 1 ) IRRIGATION IBI ( 1 COMMERCIAL NI ( ) MUNICIPAL 18) I 1 OTHER (B) DETAIL THE 11SE ON BACK IN 111) 14► DRILLER Stmt R 0 Bots 3070 Gty aasAlt, cc. 81621 M• Ta mbant rJ27-4182 Lc. X896 OCT -15-2004 10:55AM FAX:9709458741 ...—.. _ OFFICE USE ONLY: DO NOT WRITE IN THIS COLUMN Reeeipt Na 63529 1 Bath Dot. This well drag De used in such a way as to cauw no material injury to existing wetar riahm The iae,anwof the permit does rot amus theappAmm that no injury vvil) occur to another vested wow right or preclude another owner of a vested www right from scdting relief in a civil court action. 1) APPBOIBO PURSUM TO CBS 37 -W -802(3)(c) JIM m MICI 41 uisnm VEIL POWT Hp,. . 2g$ MONT= mm )EST DE PIDD(i9)D AID ANAINIO ® AOp7(a M 1D ffi =JS AID D>BMMMONS FOR NAM M111 ARB PIMP IWALLA720E CORMIACMM 111.17$01 IC31M (90) DAYS Or COMP18TUM Or Ma OW MUL. T)$ 9HC1D= AFr=V" FUM NBT BE CMVLB YD AFrINK IG TSAT = OLD WELL WAA FLAX D AND ABA1DOe®. 2) TO USE OF ®tem WAM MW Ws MELL IS LIl9ITD) " GomTNA f H(NMLD pwam I16= 7mm Sime FANUT maw.0m, = flAmm or OMMIC AMM, AHD THE MMTIGN Or NOT NODE .IS10 OM AM (W HUM 0691031E 1NA LAW. -;�;* 771. r -=t -PB APPLICATION APPROVED �/� PERMITHUMBER_ 150423 /7 DATE ISSUED JAN 29 w EXPIRA-n 9DATE,/��,t 7 �' ER . y.44 STA R) B q ID. s` '� a COUNTY / ID:HOU-AND 8 HART lyar 14 05 09:59a (131 THE APPLICANT($) STATE(S) OCT -15-2804 10:50M Dg Graybeal � FROWD I Y5MTERES 97704-0197 p.4 OT09458741 T-383 P.MAU F-100 lb) TOC�TIQN_OF TUE PRQffiSED WELL rd dtr rs on • - aw wwr.. m d m Ow tm dr *cm SECTION (1 ammo, BIO amw tar Arwvwlilocaum. f -. - i .. .:i �''-` -4- — i- - + - -f- - I-1NRE.®FEET �.►1 + — — UNEC�ION UNE — + — f I �RIII�TION ! I t t 4- -t _ + - I I t ! -k- 4- I + t i- -- 11113: I Tho sada of t4 dlapam is 2' cls- - 1 mit _ Emch small M Wra rapr.eelda 40 asses. � � X 1 I 1 1 I 1 WATER SOJIVALENTS TAELE IRm..dad Flyrl AI...Iafoot.wars 1 eo. of Iwd 1 Idet dw 10Aic fool Oar moo" Edd ... 4*9lrrdr. ow mil.Itr Ipd A ta.ly of 5 WE rapr.agre.nwrde 1 .r.dm/ I... pr Y1Y• I .or~ ... 42Bapolac IwI ... M,9M aWw MIM) fw..+IPd m *tr V fm OND d.r Pl 4A2.n.4la 110) LAND ON WHICH GROUND WATER VALL BE USED: pt,,,,.r1,1;_ ColstOCk Ranch Inc. IBI 400 tcfrnm- -j�r 1500 ft East a .S, lim r LOT ----BLOCK FILING • WaaIVIS10N�er�dy Creek (7) ��1�� L&ATED O,rr,a Comstock Ranch nb-cf ace t15 Acres ' . wn this b. dw oroy wo on tee Matt! Yes - 0) PRIDEDSED es0)PROPOSED CASING PROGRnM Pwil Calm 5 ul.lydnl D ft o 200 ft M - ho, n h.w .ft_ Ptirfprsald �r8 5 in. horn 200 h n 250 fL in. 7,om ft. W :L 191 FO�HEP�ACEMENT WELLSgI.*e u,ln and dambW h oW well rd pdra for *Awn h: the old well is approxillmtlar 200 )brthwest. The old well will be plugged with inert material -ID-LD ft. and gement 10 ftssurface. Nm of aaa:_ 1_15 acres Ill) DETAN-ED D6SiCRIMON of the we of ground wmw: Hdf1lYloltl we and demunk taabimm indiatl type ofdfvow aPNNII u A rf.LL The well wSll he L594 for eam-Air rAirposes for un to thrfan hpi,SeS with septic tank and leach field diemeall sysi le and fM'tD one acro of irridAt2d lawn and garden area. (12) OTHER WATER RIGKU urd on this Ertl. IneWng mft Gine R90suatiow and Maw Coot Case NaftberE. Type or rloht Umd for (purool.l Deeaipt:on of Irp oo which uwd D'Ayiynon Ditch , rrigdttion Sano_as Item 1D THAT THE INFORMATION SET FORTH HEREON IS Um adcmLw l shahs of Pipet If M. fpaW is raNiTed OCT -15-2004 10:55AM FAX:970945e741 ID:IOL.PM & HRRT PAGE:004 R=100> 1 �4 y ._♦ COLORADO DIVISION OF WATER RESOURCES 1 41988 .B 1313 Sherman Street - Room 818 V♦ THIS FORM MUST.BE SUBMITTED WITHIN EO DAYS O�,COMPLETIDN Denver, Colorado 80203 OF THE WORK O F,�CR I BE D HERE- ON. ERE-ON. TYPE OR PRINT IN BLACK WELL COMPLETION AND PUMP INSTALLATION REPORT INK. PERMIT NUMBER WELLOWNER HaTrY FOX NW %of the NHS of Seo- 10 ADDRESS P•Or Box 269 Wax Creek. Co. 87656 T. 9 S R. 85 V 6 P.M. DATE COMPLETED 19 B5 HOLE DIAMETER WELL LOG 9 in. from 0 to ,51__ ft. Water - in. from _1— to 250 ft. From To Type and Color of Material Loc. 0 47 Topsoil, Dirt, Rock 47 250 Maroon Formatio n 225+ TOTAL DEPTH 250 i+♦+,Use ditional pages necessary to complete log, in. from to ft. DRILLING METHOD AIT Rotaty CASING RECORD: Plain Casing Size 7 & kind Steel from 0 to ,51 ft. Size 5_ & kind PVC from 44D_ to 200 ft. Size & kind from to ft. Perforated Casing Size 521 & kind PVC from _ZOO —to250 ft. Size —& kind —from—to—ft. Size —& kind from to ft. GROUTING RECORD MateriJTQZP t Intervals Placement Method Gravity GRAVEL PACK: Interval Size TEST DATA Date Tested 6/11 1�"L Static Water Level Prior to Test 60 ft. Type of Test Pump Alt Compressor Length of Test 2 hours Sustained Yield (Metered) 14* Final Pumping Water Level total PUMP INSTALLATION&ORT Pumg..Make F-_. Type Powered by Pump Serial No. _ Motor Serial No. Date Installeo Pump Intake Depth Remarks WELL YEST DATA WITH PERMANENT PUMP Date Tested Static Water Level Prior to Test length of Test Hours Sustained yield (Metered) GPM Pumping Water Level Remarks CONTRACTORS STATEMENT 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 the samie'is true of his own kpoWledge. Signature I Te State of Colorado, County of Subscribed and sworn to betore me this _L day of My Commission expires: 12Zz L , 19 8� Notary Public /d([/ltei / A'12� D(P License No. 10-95r'- SS 11p'SS 19 - e Parcel Detail• • Page 1 of 3 Pitkin County Assessor/Treasurer Parcel Detail Information Assessor/Treasurer Property Search I Assessor Subset Query I Assessor Sales Search Clerk & Recorder Reception Search Basic Building Characteristics I Tax Information Parcel Detail I Value Detail I Sales Detail I Residential/Commercial Improvement Detail Land Detail I Photographs Tax AreaI Account Number Parcel Number Mill Levy 007 R011033 264310102001 J26.012 16.17 Owner Name and Address SADIES HOLDINGS LLC C/O CATTO PO BOX 432 CO 81656 Legal Description SUB:SACHS WOODY CREEK EXEMPTION LOT:1 Location Physical11 Address: 11 1225 LITTLE WOODY CREEK RD WOODY CREEK Subdivis ISACHS WOODY CREEK EXEMPTION Land Acres: 16.17 Land S Ft: 0 Property Tax Valuation Information Actual Value=1 Assessed Value Land:1 4,500,0001 358,200 Improvements:I 1,472,7401F 117,230 dp http://www.pitkinassessor.org/assessor/Parcel.asp?AccountNumber=R011033 10/11/2006 Parcel Detail • • Page 2 of 3 II Total -d 5,972,7401 475,4301 Sale Date: 10/2/1996 Sale Price: JF3,071,500 Basic Building Characteristics Number of Residential 2 Buildings: LOFT: Number of Comm/Ind 0 Buildings: WOOD DECK: Tax Information Tax Year Transaction Type Amount 1997 Tax Amount $7,796.48 D http://www.pitkinassessor.org/assessor/Pareel.asp?AccountNumber=RO 11033 10/11/2006 Residential Building Occurrence 1 Characteristics LOFT: 261 WOOD BALCONY: 604 WOOD DECK: 781 FIRST FLOOR: 2,009 Total Heated Area: 2,270 Property Class: SINGLE FAM RES- IMPROVEMEN Actual Year Built: 1492 Effective Year Built: 1993 Bedrooms: 2 Baths: JF2 Quality of Construction: GOOD T 12 Exterior Wall: LOG 10" + Interior Wall: DRYWALL Floor: WOOD Heat Type: FELE 13/13 Heating Fuel: ELECTRIC Roof Cover: ASP SHINGL Roof Structure: GABLE/HIP Neighborhood: RIVER ROAD HIGH END Super Nbad:RIVER RD/WDY CRK Tax Information Tax Year Transaction Type Amount 1997 Tax Amount $7,796.48 D http://www.pitkinassessor.org/assessor/Pareel.asp?AccountNumber=RO 11033 10/11/2006