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HomeMy WebLinkAboutpitkin.eh.264316200002 (1993)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. Is •'`' EI*QVIRC ZMAEIVTAL HEALTH OEPARTMEIit T' INDIVIDUAL SEWAGE DISPOSAL PERMIT NO._� 2643-162-00-002 ?•2E: OF PERMIT: l A tial Construction ( Itmergency, Use ( )Rapllr work*(PEevtoua Permit 1 .) ( )Alteration of at.. existing system. X1n' installa:tor. (Previous Permit 1 _ )Ues pecmit as a result of, Sat. ( ]Others .) L:SSUED TO: DATE OF ISSUi:. 1--- 44244 3- Phone Business Phone �lilill?, tent Charles Cunniffe Architects (Kevin Mf•1parl)?hone _o_,,e__es��-- .:aili.n$ '.ddress . 520 East Hyman Avenue. AspenCol arafin R1611 I: swage Disposal System Work to be performed try _Ac�,ppn Far(-htnntr; n.. -his permit valid oniy for pcenisea location by the following legal dcscaptiont 01 n!1 r' A.. k r ;: SitE c NATER SUPPLY. private Well . AVEWtt:E PERCOLATION RATE_2D�gpi --o—nir�es '-::ls Individual Scvago Disposal Pormit is granted with regard to the follovlr+g want residence/caretaker =:r+lsor eft, hWiocas� t.efta DCarbage Olaposaie�Dishwashers 3 ciotncauaat•.ars CAL JLtTEO AVERAOS OAp LY .WASTE LOAD 900 CAiSOtis. "_HE NATURE OF THE SYSTE?: INCLUDED UNDER THIS PM1IT:. . I .nk or Treaoamt Unit& septic tanks - of Tina'-oi: poaait [ption Absorption Trenches Abtorptfoo (ineludtng braAd name, if any) of other equipment or appu[tnanecat Tama. Capacity, 1 750 - -_ Cailcn mtnimwi Arcs - 1 RDn* Square fr.,•t H(nlnu Total absorption area to be sized 508 of needed area by using Infiltrator gravel -less system, Condi Cianf or apccific.tioaat 2 one thousand gallon tanks are to be used. 9 trenches of varying length .to total field STAGES REQUIRING INSPECTION BY THE HEALTH DEPARTMENT: size. (L(nefore Excavation (jNUpon completion of excavation and prior to p(acc+ent of gr.val ( )Before cnveruq distribution rystem of absorption field ( )Prior to b4c1C11 of any component ( ]Ocher, speeifyt sea specitxc.ti.n. of the proposed sowagc disposal system have been eevlev d and, are considered . satl s fa4tory. P.rmlaaion nereby granteil to tl:e owner, or his agent to pertnra the work indicated above in accordance with the Pitkin County Individu.-I. +gr, UL.tpeaal Rc+tulations in Ctfuct on the date oC-imsue. In addition to general provisions set tort). on tLc raverse hereof- �I t•drmic is sun)ect to the following additional tenxu and conJitionsl ' / Q' iet.. APPROVED FOR ISSUE BY � (title) � wea�r� �J/��l,__ eb.,,c (nd(vldunl se+u•lo diapsa ac aal eyatcinalled by --- ;rCl% tnaPeeted for use by a rcprnaental: tive of the Aaen 1•tt in Gnvt roaa�nea .Ilea t. nt V.•rt•aent. Ta.: uunur an�u 4a !r• ;ol.abiiity in case of failure or'inid yuacY of chii, sewage disposal system. Complete as -built draving stteeb0J. DATE OF, FINAL. IUSPECTIO& 1[40 South Galen,. Sc.•eet Aopen, Colorada 131611 303/920-5070 1 ErUV1R0:V§ENTAL HEALTH 0EPARTM�'T' INDIVIDUAL SEWAGE DISPOSAL PERMIT 140, q 30 % 1 I "YPE OF PERMIT: - Initial Construction ( )Exergaacy Use ( )Repair Mark,(Pievioua Permit 1 .) ( )Alteration of an existing system, or Installation (Previous Permit 1 ,) )U.. Permit as a r ... It of Sala ( lotharl ISSUED TO: DATE OF ISSUE*. Ouuer. (�tlut�es Allo Rome Phone Business Phone. _ Mailing pp / Address �� uOX /D�z �iinG���/.'l �N i 1=L .3� Agent C &A f5 " %yc/PGS/ _Phone 9z SS50 :'ailing kdd.ress Sl Q �� y /�✓e Sewage Disposal System Work to be performed by This permit valid only for premises location by tho -following legal descriptions �%lo0 ���t/(L14e j�c"' -07 SIZE ) //O 04AAA) NATER SUPPLY riyaie (tit II AVERACC//��PERCOIATION RATE./' _ 'tits Individual Swage Oisposnl Permit is �grranted with regard to the folloving user K2SI�Ce Z6" -.y -vabcr of( . Dodrcoms _ Lofts j/�_. _ Garbage /�D�/ni�sposals__ Dkshvashers_�_ Clothes Mashors CALCULATED AVERAGE DAf LYY WA TC •AAD �W GALLONS. -.HE NATURE OF THE SYSTEM INCLUDED UNDER THIS PERMIT: .: Tank or Treatment Units -';�?F{Ic _"lzL k .. or Final Oisposali IY �w`-"' fl'[V) F e Ill, Absorptioa :tion (Including brand (name. 11 any) of other equipment or appurtncneoat P/a,yxS raft iOr, ZIPloeo VI pari ks C--16 U/frenckes OF ye,;yiry ler l/lIt fi�f~�rny ibrOU r Conditions or Spccificitionat V 0 Tank. Capaclty—jig � OGxllon HLninua Area It6ki _ Square rest minimum SkUr.tt � et f tttS,,,T!!lAGES REQUIRING INSPECTION BY THE HEALTH DEPARTMENT: { Before Excavation ( )Upon completion of excavation and prior to placement of gravel ( )Before covering) distribution / system of absorption fiold 1,APrlar to backf Ill of any component ( )Other, Speeifyt :ins and specifications o! the proposed sage disposal system have been reviewed and are consldered satisfactory. Permission hereby grar.tod to the, owner or his agent to perfarn the work indicated above in accordance with the Pitkin County Individual age Uixpos41 Reunlstions in effect on the date of issue. In addition to general provis)ons act forth on the reverse hereet, Ina Pdrmit is suhjcct to tale following additional terms and conditional . APPROVED FOR ISSUE BY L)!' P �G (title) 'flI 014iu't I.. <`nve ind(vidunl acuaga disposal ay.itca Installed by— lx•rn lnsp.cted (or use .by A representative of the Aspen Plf in Lnvtronm vile Ilea to BCVartrocnt• Tne uvnur an+unoa art r-. n,ibillty in eche of failure or inadegaaey of ina sr.agc disposal system. Complete as -built drawing attschod. DATE OF FINAL INSPECTION BY: 130 South Galer+a Streec TITLE Aopan. Colorado 01611 303/920-6070 2 • m O ,ado gal IUoo�l int re t k�..n k �/ba Fflt IJ M ASPEN*PITKIN ENVIFOVMENTAL HEALTH OEPAFWENT APPLICATION FOR AN INDIVIDUAL SEWAGE DISPOSAL- PERMIT Name of OWNER Gl/a�G�S �4 PHONE (J 3.415", l/ /�j7 Address of OWNER LoNGG"iIr KEY Fl,yz 7 34 Name of APPLICANT f - 5 GUN4)fL- fite/-IPHONE 9fZ5- 5S9'o PERMIT TO BE' 0(.Plcked Up ( )Mailed tot TYPE OF PERMITt P4 New Installation ( fowner ( )Applicant /! )Emergency Oso LAX-ATION OF PROPOSED SYSTEM, Legal Description 01470 C Q� TYPE OF 5TRDCTIRE' i 94ingle Family Dwelling go. of bedrooms ^ ' No. of Loft No No. of Automatic Clothes Washers WATER SUPPLY[ p4private Well, Depth- ( )Spring ( )Stream or Crcek L.Ja a ,o y ( )Repair ( )Alteration NOT due to failure JO CJAty .5 subdivision sire of Lot 6 7 040ther, L001r/i/ e,Aw4e UKII-you plan any further additions to the �/ residence? ( )YES )NO ( - of Garbage Disposals Z. No. of Automatic Dishwashers or ( )Public, Name of SYstem TrPES OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED' Aseptic Tank/Absorption Field ( )Aeration Plant/Absorption Field ( )Composting Toilet ( )Incineration Toilet ( )Mound ( )Pecyeling, potable use ( )Recycling, other use ( )Vault Privy ( )Other, The 'Initial site inspection must be arranged with the Aspen/Pitkin Environmental Health Department (925-]020. 0:30-9t30 a.m.) before • permit can be issued. The individual sewage disposal permit must be issued before a building permit can be obtained. FINAL INSPECTION APPROVAL MUST BE CIVEN BY THE ASPEN/PITAIN ENVIRONMENTAL HEALTH DEPARTMENT PRIOR TO BACKFILLING ANY PORTION OF THE SYSTEM. Application for an individual sewage disposal permit Is hereby, ubmitted_ The undersigned acknowledges that the above information is true and that false information will Snyglldate t e app ati n and Any subsequentuPermit. 64gnaaure of Applicant I / 3 (Thin application becomes. invalid 12 Aro chs 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. 5. Streams, lakes, ponds, irrigation ditches, and other water courses. 6. Proposed and existing individual sewage systems on subject property. I 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 permit n pl lcnclon and a perms ee in the Amow OC S / l Receipt Nvmb<c ISSz Date Fea Received ���� ,.by 4n Administvativa Officer 130 South Galena Street Aspen, Caloroda 61611 303/920-6070 H E MWrMcLaughlin Water Engineers, Ltd. MEMORANDUM DATE: November 16, 1993 TO: Pitkin County Environmental Health FROM: McLaughlin Water Engineers, Ltd.; G. Dean Derosier,P.E. RE: Charles Ho SEPTIC SYSTEM DESIGN; Design Review Memorandum Enclosed is the Septic System Design for the Charles Ho residence at 0100 Clark Lane in Woody Creek. The submittal includes a site plan showing the home, property lines, contours, and proposed septic system layout. I have also attached the required Pitkin County forms for the percolation test and profile hole, along with some of my design notes. Please review the proposed system and comment. If the system meets your requirements, please forward the approved documents to the planning and building departments. If you have questions, please contact my self and 925-1920 or Kevin Macleod at Charles Cunniffe Architects, 925-5590. G. Dean Derosier, P.E. CC: Kevin M. - CCA 31 7/c 1z2;$24-' -iA�/' lJ t-4 Jp C 400 I; ,,.�` goy 5 b} �F"" 0 I s • JUL 02 93 12:59PM CITY ASPEN 1-1 ----------------------- --------------- F' . 3 ASPEN/PITKIN ENVIRONMENTAL HEALTH DEPARTMENT i 130 South Galena, Aspen, CO 81611 303-920-5070 Property address p/00 GLAe?k GA---£ Legal description /-,11 FF 7-T 0 60 cl 12 S Property Owner: [[, NameN F, , 7lY S #0 — liEvr�� f'h�G�E�J Phone 5 5 5 ?0 Note: • Percolation Test Form, Site Plan and Grain Size Distribution Curve of the Sample must be submitted with this form. T. For all Lots <5 acres the site plan must include the entire lot. Test locations must be accurately tied to lot corners or other permanent markers. Location of pert and profile holes must be mapped adequately and identified with stakes, flaRRing, etc. Profile holes must be staked as #1, #2, and #3. Saturation and Swelling y • Smeared surfaces removed: —i -yes _No • Sand or gravel added: _Yes No • Date and me presoak water added: J • Amount of presoak water added (gallons): g CA L t • Date and time percolation test is started: • Did water remain in hole after the overnight swelling period: Hole I Yes x No Hole 2 _Yes —T—No — Hole 3 Yes No Percolation Rate Measurement /G Percolation Rate (min./in.) Hole I Hole �G Hole 3 3 3 Average aid Encountered @ feet. Estimated depth to maximum seasonal water table if not encountered in profile D04 • Is area believed to be subject to seasonal fluctuations which could result in a seasonal water table within 8' of surface? _Yes �NO Slope determination in absorption area:--: % to the 0_(direcuon) (Bedrock: • Encountered @ _feet. Estimated depth if not encountered in profile: 3U -t Type of bedrock: x Sandstone _Claystone Siltstone Other Is bedrock fractured or weathered? —Lyes _No Is bedrock believed to be permeable? (Pert rate <60 min./in.) _Yes u No .... ...----- ,JUL 02 93 01:00PM CITY q&SPEN Pohle Hole Information (Cont.) (Soils must be classified using Unified System ASTM D2487) Profile Hole Log —0 t�l �GdhlSA�n57Gn£ N \ =7 3 ' 5 `40" r v 7 8 \ 9 1 10 Certification P.a 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 County Health Department Regulation X by myself or under m supervision. G! l/ 5 4 ' tnal Si Date Company Name Address 5 Phone ?UL,02 '93 91:01P1`1 CITY OF ASPEN/PITKIN ENVIRONMENTAL HEALTH DEPARTMENT 130 South Galena, Aspen, CO 81611 303-920-5070 Percolation Test Result Form P,P, 191f-"Iw e1� 70 'Ijle/7 Hole Length of Water BtINt i Water $epttr Drop In Percolation Hole Depth Interval @ Stan @ End Water Level Bale @ Final No. (in.) (min.) of Interval of Interval (in.) Interval (in.) (in.) (min./in.) '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 unless (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 level drops do not vary by more than 1/16 inch in which case a two hour test may be conducted. q 10 /N? 30 (' G75- 173 '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 unless (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 level drops do not vary by more than 1/16 inch in which case a two hour test may be conducted. q 1 r _______________________________ _ J T_JL 02 '93 01:01P11 CITY OF0EN • P.`_• ASPEN/PITKiN ENVIRONMENTAL HEALTH DEPARTMENT 130 South Galena, Aspen, CO 81611 303-920-5070 Percolation Test Result Form HOIe Length 01 Water Depth Water Depth @ End Drop In Water Level Percolation Rate @ Final Hole Depth (in.) Interval of Start (min.) of Interval of Interval ('n) Interval No. (min./in.) 5- ��1 /G,,.., -/ice (•J s � 6'// � r P /G V 77/ Yfy)61 '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 unless (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 level drops do not vary by more than 1r16 inch in which case a two hour test may be conducted. �O McLaughlin Water Engineers, Ltd. Project T�t1P O [� ' E.S SE/��- Project No. ��-O 3 Sf. O/ Date Subject s��/ C /76 S/G.y Designed 2225E Page X- j6x�ec' fO SE i-i-e(GI /3Fi<w y� esu jf 194-- C /7 A AC � a /,� X u s _ //— A.O cw . C (y s 3 =7 50 , L * ih4d. //C5G 110,/3,P? Cz 164 G9E%Nc M.n. fG i` -&C Rcc—s �i9MS' Sri-i�-G G'= G /�!1 X a�•��//!/t' X 75 c.4(/�Rr/�'�., �( l,5 _ �3sGGIIS1/2 7-7;.K Sid _ /, 5 x Q = �/ �a 5 GAC ^� 2 - ), oo d G '4 ! la. r F /C 5 �J s E� -r s FC — -D. 00 G�/)-o rAL. 51.31-5r: Oev Ai / 5,v5/E —s TO T�9.c ", R = a��,-/i1. e%1` X r," A- x7 air T-,1 X.G 7e- /.I- r se--� a F G IA -5 5 J 5 e�,`) GLQ55 Z7— 5a/L /r`l[� 17,6 G /5 /r. X FGO /-' 131? r- 5-,9 0 5 -Ga 3= GOd oEO 50 6-0 r/ 1767 T^E- C41J; /3u i !9s s /c G L fess S�,L s� yyc- c nom qyc- Ice V3 4�5/G MW E McLaughlin Water Engineers, Ltd. Project Title J/v S J Project No. 2G Date // /AU/ '/ J Subject 4 Designed Page /�g 6#7- re3 5 �E h/ = ?Ja 1 F67 7 Li SE 6610 t a,oc- ,.. FCl6 q /e, /r �E x 1 Fran : PRLIL D'RMfaTO, BU&fR 303-925-8578 11.07.19% 05:22 PM P03 'OWbf2. SIA'IE OF GULUHADO � I Fcm.. u.d, o,uy forec OFFICE OF THE STATE ENGINEER PEF&CT NUMBER s1• c4m*mw swo., 1010 $� k, Do"r, Cora#do 00201 it.=1 eee35e1 FOR INSTRUCTIONS' SEE REVERSE SIDE REGISTRATION OF EXISTING WELL 1, WELL OWNER NAME(S) Charles HO Melling Address 2831 Rinql ing Blvd. Unit 118 City, St. Zip gArAfnt,l FlnridA 14957 Phone ( 8 1) 951-6987 a.o.lpr No. 2. wEL.1.ATION: COUNTY Pitkin OWNER'S WELL DESIGNATION N1 J 9�.— X 0100 Woody Creek Lane Woody Creek Colorado 81656 (bEr.r) (Gb) (Cur.) Mw NE 1/4 a th. NW 1/4, Sec. 16 Twp. 9 ❑ N. or E]S„ Range 85 ❑ E. or 7 W. 6th P.M Distances from Sealon lne� 175 Ft. from ® N, o. ❑ S. Line, 19 6 0 Ft. from ❑ E. a ® W. Lina. 3. The well has historically been used for the following purpose(s); Domestic 4. Water from the well was first used beneficially by the original owner for the above described purpose(s) on September 19 53, F. The total depth of this well Is 62 feet, The pumping rate Is is gallons per minute. 9D0 4/S �r) 7. The average annual amount of water diverted Is 1 . 5 acre feet. B. The land area of home lawn and garden Irrigated from this well is: 1 0 Acre or ❑ Square feet, (Numoep described as: NE } of the NW }, Sec. 16, Twp 9 S, Rnq 6S W, 6th P.M. (Lpu D.uripr ) or as Subdivision Lot(s) Block Filing/Unh 1 (we) have read the statements made herein, know the contents thereof, and state that they are true to my (our) knowledge, (Pursuant to Seaton 24-4.104 (13)(e) C,R.S., the makln of false statements herein consthutes per)u in the second degree and Is puglshable as a Class 1 misdeme or,] e. Namefrale (Pteame t" or pmo Ig atur ate X Paul D'Amato Builder Inc. X Representing Charles Ho 2/7/94 FOR OFFICE USE ONLY 4 Cur. Gnp4wr by Dns Court Case No. Div. Co. WD Basin MD Use From : PAUL D'AMATO, B*ER 303-925-e57e (5) THE LOCATION OF THE PROPOSED WELL and the area on ` whKh t e water well be used must be indicated on the diagram below. Use the CENTER SECTION (1 section, 640 acres) for the well location.' + — -F — i { — .� -- I- .. .+ -i- - 4- I I�---•--• 1 MILE, 5260 PELT -----► t + -h I I 1 I NORTH SECTION LINE — I NORT 4 H z J I o 4- t P W I s�wu �- 4 i I � X I I I - s I I I I The male 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 lend 1 toot deep 1 cubic foot per second (cfsl ... 449 salient per minute Igpm) A family of 5 will require approkimarely I acre-foot of water per year. 1 acre -fool ... 43.560 cubic feet ... 325,900 ee110n6 1,000 ppm ovmoad continuously for one day produces 4.42 acre•leet. 0.07. 1996 05:22 PM P02 (6) THE WELL MUST BE LOCATED BELOW by distances from section lines. 155 ft, from North _sec. line --- (narta pr tputnt _1960 ft. from_I4est sec. line (ant or welt LOT BLOCK FILING . SUBDIVISION (7) TRACT ON WHICH WELL WILL BE LOCATED Owner: Charles Ho No, of acres 11 . Will this be the only well on this tfact7 Yes (8) PROPOSED CASING PROGRAM Plain Casing 7 in. from 0 11.10 80 ft. in. from ft. to ft. Perforated casing 7 in. from 80 ft. to 100 ft, ------..__ in. from ft. to h. (9) FOR REPLACEMENT WELD give distance and direction from old well and plans for plugging it: Move 20' North. Abandonment of old well Arr-ordina to state specs. (10) LAND ON WHICH GROUND WATER WILL BE USED: ownerlsi: rharlpc._HD No, of acres: 11 Legal description: See attached sheet. 0 1 D-ETAIL_E_V plFSjQB P710N of the use of ground water: Household use and domestic wells must Indicate type of disposal systemtobeused. 1 house, 1 acre yard, noncommercial_ livestock_ watering, R�optic System IT eet.s County specifiratinn.- -. (12) QOM): B WATER RIGHTS used on this land, including wells. Give Registration and Water Court Case Numbers. Type or right Used fm (purpose) Description of land on which used None 1131 THE APPLICANTS) STATE(S) THAT THE INFORMATION SET F H HERE I TRUE TO THE BEST OF HIS KNOWLEDGE, Paul D'Amato Builder Inc. Representing Charles Ho A ruRE OF ADPL ICAN r(S) "a7 additional sheets of paper if more spare is required, 17 m I D I N � I N � m O 2 1 The male 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 lend 1 toot deep 1 cubic foot per second (cfsl ... 449 salient per minute Igpm) A family of 5 will require approkimarely I acre-foot of water per year. 1 acre -fool ... 43.560 cubic feet ... 325,900 ee110n6 1,000 ppm ovmoad continuously for one day produces 4.42 acre•leet. 0.07. 1996 05:22 PM P02 (6) THE WELL MUST BE LOCATED BELOW by distances from section lines. 155 ft, from North _sec. line --- (narta pr tputnt _1960 ft. from_I4est sec. line (ant or welt LOT BLOCK FILING . SUBDIVISION (7) TRACT ON WHICH WELL WILL BE LOCATED Owner: Charles Ho No, of acres 11 . Will this be the only well on this tfact7 Yes (8) PROPOSED CASING PROGRAM Plain Casing 7 in. from 0 11.10 80 ft. in. from ft. to ft. Perforated casing 7 in. from 80 ft. to 100 ft, ------..__ in. from ft. to h. (9) FOR REPLACEMENT WELD give distance and direction from old well and plans for plugging it: Move 20' North. Abandonment of old well Arr-ordina to state specs. (10) LAND ON WHICH GROUND WATER WILL BE USED: ownerlsi: rharlpc._HD No, of acres: 11 Legal description: See attached sheet. 0 1 D-ETAIL_E_V plFSjQB P710N of the use of ground water: Household use and domestic wells must Indicate type of disposal systemtobeused. 1 house, 1 acre yard, noncommercial_ livestock_ watering, R�optic System IT eet.s County specifiratinn.- -. (12) QOM): B WATER RIGHTS used on this land, including wells. Give Registration and Water Court Case Numbers. Type or right Used fm (purpose) Description of land on which used None 1131 THE APPLICANTS) STATE(S) THAT THE INFORMATION SET F H HERE I TRUE TO THE BEST OF HIS KNOWLEDGE, Paul D'Amato Builder Inc. Representing Charles Ho A ruRE OF ADPL ICAN r(S) "a7 additional sheets of paper if more spare is required, 17 SOUTH SECTION LINE I -}- The male 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 lend 1 toot deep 1 cubic foot per second (cfsl ... 449 salient per minute Igpm) A family of 5 will require approkimarely I acre-foot of water per year. 1 acre -fool ... 43.560 cubic feet ... 325,900 ee110n6 1,000 ppm ovmoad continuously for one day produces 4.42 acre•leet. 0.07. 1996 05:22 PM P02 (6) THE WELL MUST BE LOCATED BELOW by distances from section lines. 155 ft, from North _sec. line --- (narta pr tputnt _1960 ft. from_I4est sec. line (ant or welt LOT BLOCK FILING . SUBDIVISION (7) TRACT ON WHICH WELL WILL BE LOCATED Owner: Charles Ho No, of acres 11 . Will this be the only well on this tfact7 Yes (8) PROPOSED CASING PROGRAM Plain Casing 7 in. from 0 11.10 80 ft. in. from ft. to ft. Perforated casing 7 in. from 80 ft. to 100 ft, ------..__ in. from ft. to h. (9) FOR REPLACEMENT WELD give distance and direction from old well and plans for plugging it: Move 20' North. Abandonment of old well Arr-ordina to state specs. (10) LAND ON WHICH GROUND WATER WILL BE USED: ownerlsi: rharlpc._HD No, of acres: 11 Legal description: See attached sheet. 0 1 D-ETAIL_E_V plFSjQB P710N of the use of ground water: Household use and domestic wells must Indicate type of disposal systemtobeused. 1 house, 1 acre yard, noncommercial_ livestock_ watering, R�optic System IT eet.s County specifiratinn.- -. (12) QOM): B WATER RIGHTS used on this land, including wells. Give Registration and Water Court Case Numbers. Type or right Used fm (purpose) Description of land on which used None 1131 THE APPLICANTS) STATE(S) THAT THE INFORMATION SET F H HERE I TRUE TO THE BEST OF HIS KNOWLEDGE, Paul D'Amato Builder Inc. Representing Charles Ho A ruRE OF ADPL ICAN r(S) "a7 additional sheets of paper if more spare is required, 17 .. - From : PAUL D'AMRTO, BUWR 303-925-8578 07.1996 05:22 PM . WRJ•5•Rs+. 76 COLORADO DIVISION OF WATER RESOURCES 818 Centennial Bldg., 1313 Sherman St., Denver, Colorado 80203 (1) mailing address sc ■ a4 STREET 2831 Ringling Blvd. Vnit_,11B CITY_ Sarasota Florida 34237 . (5ut•) (Lot TELEPHONENO. 813-951-6987 (2) LOCATION OF PROPOSED WELL County Pitkin --tiP A of the NW lb, Section 1 F Twp. -9 -a, Rng. 85 .. --W-. 6th P.M. 1N•SI IE.W) E�(✓3)) WATER USE AND WELL DATA Proposed maximum pumping rate (gpm) 15 Average annual amount of ground water to be appropriated (acre.feet): Number of acres to be irrigated: Proposed total depth (feed Aquifer ground water Is to be obrainod from: Tributary 1.5 100 Owner's well designation GROUND WATER TO BE USE12 FOR: ( I HOUSE14OLD USE ONLY • no irrigation (01 ( X) DOMESTIC 111 ( ) INDUSTRIAL (5) 1 1 LIVESTOCK (2) ( 1 IRRIGATION (61 1 1 COMMERCIAL (41 ( I MUNICIPAL (8) ( ) OTHER (9) DETAIL THE USE ON BACK IN (11) (4) DRILLER dame Shelton Drilling, Inc. `�Geet P.O. Box 1070 City Basalt CO 81621 (Still) (zip) Telephone No. 927-3893 Lie. No, 894 .,I FOR OFFICE USE ONLY: DO NUI VvKHr IN )nra wwm". Receipt No. — Basin G This well s no materia issuance of That no inj right or pr( right from APPLICATI( PERMIT NUM DATE ISSUEC EXPIRATION PERMIT APPLICATION FORM Application must complete where ( ) A PERMIT TO USE GROUND WATER �licable. Typo or ( ) A PERMIT TO CONSTRUCT A WELL print inLB ACK FOR: ( ) A PERMIT TO INSTALL A PUMP INK. No overstrikes (K) REPLACEMENT FOR NO. Old _tt nrPgl.FitE'red well. or erasures unless initialed. ( )OTHER - OTHERWATER WATER COURT CASE NO. -- (1) mailing address sc ■ a4 STREET 2831 Ringling Blvd. Vnit_,11B CITY_ Sarasota Florida 34237 . (5ut•) (Lot TELEPHONENO. 813-951-6987 (2) LOCATION OF PROPOSED WELL County Pitkin --tiP A of the NW lb, Section 1 F Twp. -9 -a, Rng. 85 .. --W-. 6th P.M. 1N•SI IE.W) E�(✓3)) WATER USE AND WELL DATA Proposed maximum pumping rate (gpm) 15 Average annual amount of ground water to be appropriated (acre.feet): Number of acres to be irrigated: Proposed total depth (feed Aquifer ground water Is to be obrainod from: Tributary 1.5 100 Owner's well designation GROUND WATER TO BE USE12 FOR: ( I HOUSE14OLD USE ONLY • no irrigation (01 ( X) DOMESTIC 111 ( ) INDUSTRIAL (5) 1 1 LIVESTOCK (2) ( 1 IRRIGATION (61 1 1 COMMERCIAL (41 ( I MUNICIPAL (8) ( ) OTHER (9) DETAIL THE USE ON BACK IN (11) (4) DRILLER dame Shelton Drilling, Inc. `�Geet P.O. Box 1070 City Basalt CO 81621 (Still) (zip) Telephone No. 927-3893 Lie. No, 894 .,I FOR OFFICE USE ONLY: DO NUI VvKHr IN )nra wwm". Receipt No. — Basin G This well s no materia issuance of That no inj right or pr( right from APPLICATI( PERMIT NUM DATE ISSUEC EXPIRATION HO MINOR 1041 HAZARD REVIEW MAP ti''v � \��• � � D-rz i 1 ✓l-� C � i.}lP i r. shat' su-om c a w h shows ar � - croa j mi Y 1 ✓l-� C � i.}lP i r. shat' su-om c a w h shows ar � - croa h or - mi Y r,. N BUIL 1'=20' PLANVEET L LAJ Waft Z j V ti W U U z 0 �iwa,rMaVF9r� jif')Ilf 1171 G`/9Z ? . f,4EF NO. iCOPMOff @{ARIES CUNNIFFE ARCFI U'C' S W U U z 0 �iwa,rMaVF9r� jif')Ilf 1171 G`/9Z ? . f,4EF NO. iCOPMOff @{ARIES CUNNIFFE ARCFI U'C' S J �( ------------- - -------- -- VENT5 \ 80" 3-T r? l= 7©_ ----- 3'T NS' '>"F'r/� ScNc90 'VIA r < s�✓ C � , -r :4J G/d/'£?iK,ICX i t DESIGN! NOTF5- T H Iv K: G 13. �P, G2 = G 8 R Pfc 11 5. /? x 75 6 PPl°P X 1. 5 Q= 1,3506AL. q. T/I/V 5/7c = aXl.5 350 x 1,o00 6^L 7-A Nks FIEL D Df5/6/V 5T D TR L IVC i1 L A 5_5 `/1/ °7"'1130 �. X Y`/ i"RENC i = :c - L' ZNFILTA-ATO/7 -3o%/ ee. c"�OFT k 7 w/ Z/YFiLT//aTOn" TBPA 7bR — PROJECT NUMBER McLAUGHLIN WATER ENGINEERS, Ltd. rDE IGN' 2420 ALCOTT ST. DENVER, CO 80211 IAILECK DATE DRAWING NUMBER q