Loading...
HomeMy WebLinkAboutpitkin.eh.264316303003 (2014)� 11'KIN CoU � Permit #: 0017.2014.powt ONSITE WASTEWATER TREATMENT SYSTEM (OWTS) CONSTRUCTION PERMIT 76 Service Center Rd. Aspen, CO - 81611 Phone: 970.920.5070 Fax: 970.920.5374 Parcel ID #: 163-03-003 Permit Issued: ❑NEW ®REPAIR ❑REMODEL/ADDITION ®TANK ONLY ❑FIELD ONLY [-]AMENDMENT Owner(s): Keith and Jess Gilmartin _ Property Address: Legal Description: Size of Lot: 2.66 Size of Buildinq: 60 Twining Flats Rd Acres 1866 Sq. Ft Detached Accessory Unit: Size of Accessory Unit: The system is designed for: 4 bedrooms Designed By: CBO, INC. Project #: Phone #: 970-704-0484 Mailing Address: Fax #: Email Address: Perc Rate: N/A ❑YES NNO Sq. Ft. Dated: December 16, 2013 Profile Hole Depth: N/A Depth to Groundwater or Bedrock: Y N/A Minimum Tank Capacity: 1125 gallons Minimum Absorption Area: Permit Conditions: N/A This OWTS Construction Permit is approved on the condition of compliance with the engineer design as submitted with the application and the specifications cited above. Changes must be approved by this Department and the engineer prior to construction. This permit is for the replacement of a metal septic tank and cast iron pipe. The new tank shall be a minimum 1125 gallon, 2 - compartment septic tank. The new tank must be a minimum of 50 feet to any well and 10 feet to the water line. 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 within 30 days of the final inspection, unless a longer period of time has been agreed upon, in writing. This Department must also be called for the final inspection with a minimum of 48 hours notice. Minimum horizontal distances between components of the system and physical features shall conform to the requirements of the Pitkin County OWTS Regulation. This Permit is conditioned upon the property owner(s) providing for regular inspection, cleaning, and maintenance of the system by qualified personnel, in accordance with the manufacturer's recommendations and the requirements of the Pitkin County OWTS Regulation. Issuance of this OWTS Construction Permit does not constitute a guarantee, warranty, or representation by the Department that the system will operate properly or will not fail. Issuance of this permit does not imply compliance with Pitkin County building and/or land use regulations, nor guarantee issuance of building and/or land use permits. THIS PERMIT IS EXPRESSLY CONDITIONED UPON COMPLIANCE WITH ALL REQUIREMENTS OF THE PITKIN COUNTY OWTS REGULATION, INCLUDING BUT NOT LIMITED TO THOSE CONDITIONS SPECIFIED ABOVE. Plans and specifications for the proposed OWTS have been reviewed and are considered satisfactory. Permission is hereby given to the property owner(s) to perform the work indicated in accordance with the Pitkin County OWTS Regulation. This Permit will expire 1 year from the date of issuance unless construction on the system has commenced. An "as -built" drawing must be submitted and approved by EH before final approval of the system will be issued. _ Issued By: Date: 4i23i2014 Expires: 04/23/2015 Installer: License #: Reactivation Authorized by: Final AppfovTI Issued By:`- Date: , /} +t _� {� + New Expiration Date: E] Fee PW 00 (1. SO (4. pow-rr :EH/NR ir ONSITE WASTEWATER TREATMENI SYSTEM (OWTS) CONSTRUCTION PERMIT APPLICATION 76 Service Center Rd Aspen, CO 81611 Phone: 970.920.5070 Fax: 970.920.5374 Parcel ID# (available from the Pitkin County Assessor's Office�� _ (� _ O3 _ 003, 970-920-5160 or at www.pitkinassessor.orq): Purpose of Permit: ❑ NEW ❑ REPAIR DUE TO FAILURE ❑ REMODEL/ADDITION TANK ONLY ❑ FIELD ONLY Cost of System Repair or Remodel/Addition (approximate): Property Address:. 1 -r -t `n+n F 1qj� Lot: !V• Block: `N Filing: I Subdivision: Property Owner(s)* Email Address: j Owner's Mailing Address: City, State, Zip: Home Phone: Business Phone: 41 'Contact information must be provided for the owner signing this application. Primary Contact Person/Applicant (if not owner): Company: Contact/Applicant Mailing Address: City, State, Zip: Cell Phone: Business Phone: Fax Number: Email Address: Building Permit # (if applicable): Lot Size (in acres): n b , I v / Size of Building (square feet): 8 3 ' ^ Number of Potential Bedrooms: 13 Detached Accessory Unit? Size of Accessory Unit (square feet): ❑ YES ;MO Number of Potential Bedrooms In or Fixture List for the Accessory Unit: Water Source: PRIVATE WELL ❑ SURFACE WATER ❑ SPRING ❑ COMMUNITY/PUBLIC WATER SYSTEM Name of Comm unity/Public Water System (if applicable): Engineering Firm: Job Number: Phone Number: Fax Number: Mailing Address: City, State, Zip: PLEASE READ BEFORE SIGNING: I certify that the above information is complete and accurate and that I have provided complete and accurate information in all of the documents included in my application package. I acknowledge that EH/NR may revoke any permit I am issued if my application is found to contain any inaccurate, false, or misleading information. I understand that no construction may be undertaken on an OWTS until an OWTS Construction Permit is issued. Owner Signature (Required): Date: Applicant Signature: Date: FOR OFFICE USE ONLY �+ Received by EN/HR Staff: Fee & Receipt #: Date: a \nWTi Merrh R 7008 NFW RFGS Office - Admin Forms OWTS Const Forms OWTS construction permit application.xls upda:cd W! /OS c .'-1 ONSITE WASTEWATER TREATMENT SYSTEM (OWTS) MIJ CONSTRUCTION PERMIT APPLICATION CHECKLIST 76 Service Center Rd - Aspen, CO - 81611 Phone: 970.920.5070 Fax: 970.920.5374 A complete application package must be presented at the time of your pre -application conterence for acceptance. To schedule a pre -application conference, please call 970-920-5070. PLEASE INITIAL EACH ITEM TO INDICATE COMPLETION Only one opy of each item is necessary. OWTS Construction Permit Application (completed) Site Plan [� Please indicate the type of document to be submitted below. 11" X 17" and/or Electronic document emailed to ehnr(a)co.pitkin.co.us before the date of the pre -application conference All designs must be 1" to 20' in scale. Site plan must include locations of existing wells, buildings, property lines, ditches, water lines, springs, irrigation lines, drinking water cisterns, drain tiles, water bodies, wetlands, riparian areas, floodplains, dry gulches, and existing OWTSs. Soil Testing Notification & Report (must be provided by a PE) This Department should be notified when soil tests are conducted. A 2"- 4" perforated PVC pipe should be placed in the soil profile hole for monitoring purposes. n Report must include percolation test results and the soil profile evaluation. Building Floor Plans n 11" X 17", or submitted electronically to ehnr(a)co.pitkin.co.us before the date of the pre -application conference. Land Use Approvals & Other Relevant Permits & Approvals Recorded Site Plan that designates approved envelope(s) for development. If the property is exempt from this requirement, please have a Community Development Planner email ehnr(aoco.pitkin.co.us with confirmation of the exemption. [] 24" X 36" and n 11" X 17", or electronic document emailed to ehnr@co.pitkin.co.us before the date of the pre -application conference Copies of all land use approvals, as well as all other documentation relevant to the siting of the OWTS(s) and any other development on the property (e.g., Resolutions, Administrative Decisions, recorded easements). Comments from EH/NR regarding Land Use review referrals can be accessed by opening http //www aspenpitkin com/pdfs/depts/7/landuse pdf and clicking the blue link in the "Referrals" column. Referral comments more than 2 years old may need to be requested from the County Planning Department. Construction Management Plan E] Required & Obtained ( Not Required Requirements: http//wwwaspenpitkin.com/Ddfsldentsl7/CMP Manual.pdf Forms: http//www.aspenpitkin.com/deptsl7lb/dgdiv.cfm Proof of Adequate Water Supply Legal way supply must be demonstrated in accordance with Colorado water law and meet the requirements of the Pitkin County Land Use 1FqXe. Private systems: Proof generally includes a well driller's report, well permit issued by the Colorado Division of Water Resources, final augmentation plan (if required), and a recent pumping report. Wells must be drilled before an application will be accepted. Public systems: Proof generally includes a letter from the CWQCD - approved public water system confirming it has sufficient water to supply the development and it has agreed to do so. Initial Site Inspection U All components of the OWTS, as well as the proposed buildings, water source, and other pertinent physical features must be clearly staked and labeled prior to the inspection. Inspection must be scheduled between May 1st and Oct 31st, unless otherwise approved by EH/NR. Applicab Fee U WTS Construction Permit: $1,023' Tank: Only: $523' 'There is an additional Administrative Fee of $175.00 for properties in the Town of Snowmass Village. Please Make Checks Payable To: Pitkin County Environmental Heattn & Natural rtesources uepartment TO SUBMIT A BUILDING PERMIT APPLICATION PRIOR TO OBTAINING AN OWTS CONSTRUCTION PERMIT THE FAST TRACK WAIVER MUST BE SUBMITTED TO COMMUNITY DEVELOPMENT WITH YOUR BUILDING PERMIT APPLICATION. Please note that this waiver only allows for the submittal of the Building Permit Application. It does not allow for the issuance or approval of the Building Permit without OWTS Construction Permit approval from the EH Department. G:\OWTS March 8, 2008 NEW REGS\Office - Admin\Forms\OWTS Const Forms\OWTS Construction checklist.xls Updated:3/20/09 i 12116/13 Grreil - 60 Twirling Flims 60 Twining Flats Bryan Daugherty<bryan.daugherty@pitkincounty.com> Wed, Dec 11, 2013 at 2:53 PM To: Carla Ostberg <carla.ostberg@gmail.com> The only thing in the file is a "Use Permit' from 1987. Pretty much the only information on it is that it had a 1000 gallon metal tank, a bed for the absorption area, and it was built in 1971 and didn't have a permit. Bryan Daugherty, REHS Pitkin County Environmental Health 970-920-5076 https:Hmail.g oog le.comlmaill?ui=2&ik=fee4fb5Oa9&\iew--pt&search=i nboxBdh=142e3a6cb94dc63d 1/1 5 3' 1, x December 11, 2013 Gabe Linehan gabelinehangaanail. com CBO Inc. 33 Four Wheel Drive Road Carbondale, CO 81623 cell) 970-309-5259 office) 970-704-0484 carla.ostbergCcNmail.com Proposal for Septic Tank Replacement Design and Verification of Existing Absorption Area 60 Twining Flats Road Pitkin County, Colorado Gabe, As requested, CBO Inc. is submitting a proposal for a. septic tank replacement design and verification of the existing absorption area which serves an existing residence on the subject property. A metal tank currently serves the residence. CBO Inc. proposes to assess the condition of the existing onsite wastewater treatment system (OWTS) and design a tank replacement according to Pitkin County regulations. The design will take approximately 5 business days to complete after receipt of the signed proposal and a site visit to assess the existing condition of the OWTS. The design package will be delivered by email as a pdf file unless another format is requested. Hard copies will be provided, upon request. An installation observation report is required by Pitkin County upon installation of the OWTS. This observation will be billed separately at a rate of $90/hour. Assurance of installation in accordance with design specifications and best installation practices will be dependent on several factors, .including, but not limited to expertise of the installer, design considerations, weather conditions, and soil type. Design changes requested by the client will also be billed at $90/hour. Prices are valid for 90 days. The above services will be provided for the following fees: 1) Assess and Document Existing Conditions (OWTS Inspection) --------------------------- $300.00 2) OWTS Tank Design ------ ------------------------------------ -------------- $350.00 3) Installation Observation(s) and record drawing (estimated 2 hours)----------------------- $180.00 Total: $830.00 The homeowner or excavator must contact Colorado line location services prior to digging, as required. We will not be responsible for locating utility lines not marked by UNCC members. A list of private utility location companies is available on the Colorado line location website, www.uncc2.org, or by calling 811. CBO Inc. will not be liable for subterranean structures (pipes, tanks, telephone wires, etc.). If this agreement meets your approval, please sign below. Thank you for the opportunity. Carla Ostberg, MPH, REHS -/3 Mountain Works P.O. Box 3260 Basalt,Co,81621 MOUNTAIN WORKS Bill To Gabe Linehan Estimate Date 12/12/2013 Estimate # 10341 Phone #970-927-0985 60 Twining Flats Fax # 970-927-0985 Terms Project 60 Twining Flats Descriction ON Bute Amount Transport PC138 Komatsu 1 400.00 400.00 1000 Gallon topseam 2 compartment tarok with effluent filter 1 2,470.00 21470.00 Replace approx 25ft 4" pvc sewer line into house plumber to tie plumbing 25 30.00 750.00 inside house Install new tank haul off and dispose old one 1 3,500.00 3,500.00 Price includes supply and install uew tack aul off old one install new pvc' line from t Mno Ouse tie into old line going to field. Price doesnot include relocation of any utilities if necesary or new drain field if necesary. Price gond for 30 days i Deposit required for tank. Owner responsible for pumping existing tank. Total $7,120.00 CBO Inca 33 Four Wheel Drive Road Carbondale, CO 81623 12/14/2013 263 60 Tw77Duen receipt DescriptionQuantity Amount Onsite Wastewater Treatment System (OWTS) Inspection - 60 Twining Flats 300.00 300.00 Septic Tank Replacement Specifications 350.00 350.00 Total $650.00 December 16, 2013 Gabe Linehan gabelinehana-gmail.com Onsite Wastewater Treatment System (OWTS) Use Permit Inspection and Septic Tank Replacement Specifications 60 Twining Flats Road Pitkin County, Colorado �aY t ef-- As requested, CBO Inc. performed an Onsite Wastewater Treatment System (OWTS) Use Permit inspection at 60 Twining Flats Road, Aspen, Colorado on December 13, 2013. Pitkin County Environmental Health Department was unable to provide an original permit and drawino of the OWTS for this property (Parcel ID # 2643-163-03-003)- Their records indicate that a '`Use Inspection" was conducted in 1987 and the system consisted of a 1000 -gallon metal septic tank and the absorption area was a "bed". Documentation also indicates that the system was installed in 1971 (see attached email from Bryan Daugherty dated December 12, 2013). Metal tanks are prohibited and the septic tank must be replaced (Pitkin County OWTS Regulation 6.28.070 C. 3). Observations of the existing OWTS were consistent with Pitkin County's records, with the exception of the absorption area. The current owner recalls the original property owner describing the absorption area as "a pyramid of cinder blocks" which may be a drywell or seepage pit. The existing metal septic tank holds water and an outlet tee was visible. Water was run through the system for approximately 20 minutes. Water appeared to flow normally through the system with no indication of surfacing, saturation, or failure. The existing metal septic tank should be pumped and either removed or properly abandoned in- place. The pipe from the house to the septic tank is cast iron and should be replaced with new, 4 - inch diameter SDR -35 sewer pipe with a double sweep cleanout within 5 -feet of the foundation. A new, 2 -compartment septic tank with a minimum capacity of 1000 -gallons must be installed to accommodate the existing 3 -bedroom residence. Either a plastic or concrete tank may be used. An effluent filter must be installed on the outlet tee of the septic tank. The septic tank must be located at least 5u -feet from any water well. At the time of the tank installation, the condition of the pipe from the tank to the absorption area should be verified. The absorption area should also be inspected to assure proper acceptance of effluent and a more precise location and approximate size should be estimated, if possible. I'ft [t EG E.EE t EG i!1 [t iG EE 37�.TG[.tl'J3 i, [i tG Gl[iSiti ii�. ��JE.GE E E GiIi�JTCEi v[.i til E,i� i Lit it.tii3E Ell i , VYIU 1 ti iG :7G�1[i'v [Qi ii. holding effluent properly and the absorption area showed no signs of saturation, and had no indication of failure. The size and location of the absorption area were not able to be verified. This evaluation is not a guarantee of future system performance. This inspection is good for one year. CBO Inc. c 33 Four Wheel Drive Road Carbondale, CO 81623 970-704-0484 cell) 970-309-5259 office) caria.ostbergagmail.com December 16, 2013 Gabe Linehan gabelinehana-gmail.com Onsite Wastewater Treatment System (OWTS) Use Permit Inspection and Septic Tank Replacement Specifications 60 Twining Flats Road Pitkin County, Colorado �aY t ef-- As requested, CBO Inc. performed an Onsite Wastewater Treatment System (OWTS) Use Permit inspection at 60 Twining Flats Road, Aspen, Colorado on December 13, 2013. Pitkin County Environmental Health Department was unable to provide an original permit and drawino of the OWTS for this property (Parcel ID # 2643-163-03-003)- Their records indicate that a '`Use Inspection" was conducted in 1987 and the system consisted of a 1000 -gallon metal septic tank and the absorption area was a "bed". Documentation also indicates that the system was installed in 1971 (see attached email from Bryan Daugherty dated December 12, 2013). Metal tanks are prohibited and the septic tank must be replaced (Pitkin County OWTS Regulation 6.28.070 C. 3). Observations of the existing OWTS were consistent with Pitkin County's records, with the exception of the absorption area. The current owner recalls the original property owner describing the absorption area as "a pyramid of cinder blocks" which may be a drywell or seepage pit. The existing metal septic tank holds water and an outlet tee was visible. Water was run through the system for approximately 20 minutes. Water appeared to flow normally through the system with no indication of surfacing, saturation, or failure. The existing metal septic tank should be pumped and either removed or properly abandoned in- place. The pipe from the house to the septic tank is cast iron and should be replaced with new, 4 - inch diameter SDR -35 sewer pipe with a double sweep cleanout within 5 -feet of the foundation. A new, 2 -compartment septic tank with a minimum capacity of 1000 -gallons must be installed to accommodate the existing 3 -bedroom residence. Either a plastic or concrete tank may be used. An effluent filter must be installed on the outlet tee of the septic tank. The septic tank must be located at least 5u -feet from any water well. At the time of the tank installation, the condition of the pipe from the tank to the absorption area should be verified. The absorption area should also be inspected to assure proper acceptance of effluent and a more precise location and approximate size should be estimated, if possible. I'ft [t EG E.EE t EG i!1 [t iG EE 37�.TG[.tl'J3 i, [i tG Gl[iSiti ii�. ��JE.GE E E GiIi�JTCEi v[.i til E,i� i Lit it.tii3E Ell i , VYIU 1 ti iG :7G�1[i'v [Qi ii. holding effluent properly and the absorption area showed no signs of saturation, and had no indication of failure. The size and location of the absorption area were not able to be verified. This evaluation is not a guarantee of future system performance. This inspection is good for one year. Item # 1 OOOT-2CP Top View Section View C 1000 Gallon Top Seam - -Two- Coiripatmenit _ 11 20• clear,ccess �--� (Big Hole Lid & Riser) I' �� (•. tJ 106" Rubber Want Digging Specs ( Invert 1 Dirnenskm *Meets ASTM C-1227 spec ! 56 11' Long x T Wide 1 Inlet � Outlet � Length � Width � Height below inlet inverta 56 f 53 ( 111 Or 68' Including C-1644-06 for resilient E --- connectors • 6000 psi concrete • Delivered complete with internal piping • PVC, poly or concrete risers available • Option of pump or siphon installed i _ i~ mist Skis I Outlet Side ; Total 687 gallons { 323 gallons 1,010 gallons NetW_eight --Tank ;- Total ! a 2,620 los ; 9,380 lbs 12,000 be _ 1 V41F, VALLEY • 0 System : / -• t \ 1 _ • t - Onsite Wastewater Treatment Systems (OWTS) Use Permit Inspection Form COUNTPitkin County Environmental Health Department 76 Service Center Rd, Aspen, CO 81611 Phone: 970-920-5070 Fax: 970-920-S374 Website: www.aspenpitkin.com/ehnr Inspection form for continued use of an existing OWTS Owner's Name: Address; Parcel Number: a jp +4 inspection Date: r f rpj. r* I 1 Inspector's Name; Business Name; r _ Phone Numberi? Email. l i`�i�Y. i v 41,.11411' 't Pitkin County Systems Inspector license Numbers A cap V of fhis inspection report will be remitted to Pitkin CauntFr Environmental He€rith t3epartment by the Licensed Svstems inspector within 6R days of the inspection regardless of whether the system i Passes or faits. QUESTIONS FOR PROPERTY OWNER PRIOR TO INSPECTION: is the home currently occupied? YE NO If NO, how long has the home been vacant? —' Now many bedrooms are in the home? If secondary treatment is used, who is the (� maintenance provider? RECORDS: , Were system records available from Pitkin County? YES NO If YES: Permit number: Date of Final Approval: # of bedrooms permitted: ---,,� Was an as -built drawing available? YES NO Is the as -built drawing accurate? YES NO If NO: Complete a drawing of the system on last page of this form as accurately as possible. Any question marked FAIL will require correction before an OWTS Use permit is issued. SITE CONDITIONS: Proper grading, no evidence of erosion? ` PASS FAIL r improper vegetative cover? _N{2 YES Evidence of compaction such as heavy machinery or livestock?Int@ YES Improper discharges such as straight pipes? P 5_ FAIL Evidence of high ground water? No- YES Snow cover present? NO YE5 Page 1 TANK: Tank I Tank 2 If.YES, is the pump/dosing siphon functioning properly? Tank 3 '—FATE Tank capacity r. gallons FAIL gallons PASS gallons Tank material Ports Probing Is a Secondary treatment unit present? YES NO.,.,� UNKNOWN # of compartments NO Inches Does the owner have a current maintenance contract for the unit? YES NO UNKNOWN Date of last pumping r u mac.) F� is it level and in good condition? PASS FAIL Lid!/risers in gpod condition i PAS FAIL PASS FAIL PASS FAIL Risers to grade NO YES NO YES NO Riser height . r Riser condition/watertightness #, Inlet sanitaryT/baffle PASS @ FAIL PASS FAIL PASS FAIL Outlet sanitaryT/baf€le AS' FAIL PASS FAIL PASS FAIL Effluent filter (if part of design) PASS FAILS ntj PASS FAIL N/A PASS FAIL N/A Condition of tank material PASS FAIL PASS. FAR PASS FAIL Tank was pumped for inspection YES ND YES NO YES NO If YES, list the pumping company , If No, when was the last pumping Scum level (ist Compartment), � z ..c r�c�res inches inches Sludge level (1st compartment) * ¢ l'}'inches inches inches Scum level (2nd compartment) ,¢, ' inches inches inches Sludge level (2nd compartment){ inches inches inches Backflow (if pumped) PASS FAIL PASS FAIL PASS FAIL Midtank baffle PASS FAIL 111/A PASS FAIL N/A PASS FAIL N/A Watertightness PASS FAIL PASS FAIL PASS FAIL PUMPS/DOSING SIPHONS: Is a pump or dosing siphon present? YES "'1V If.YES, is the pump/dosing siphon functioning properly? PASS '—FATE Does the pump/wiring/dosing siphon appear to be in good condition? PASS FAIL is the high water alarm working, both visible and audible? PASS FAIL SECONDARY TREATMENT: Ports Probing Is a Secondary treatment unit present? YES NO.,.,� UNKNOWN If YES, does the unit appear to be in good working condition? YES NO Inches Does the owner have a current maintenance contract for the unit? YES NO UNKNOWN Maintenance Provider: Phone: YES NO If there is no maintenance contract, a contract mustbe in place prior to occupancy of the home. A copy of tate contract must be submitted to Pitkin County Environmental Health Department. A13SORSTION AREA: Effluent sur acing? PAs i FAIL Evidence of past surfacing? r 4a ¢k YES Surface dampness? YES Excessive odors? 11t0, . YES Field location verified by observation ports or probing:. Ports Probing Liquid in observation port? NO YES if YES, record depth: Inches Distribution Box or ADV part of original design? YES NO If YES, Is it accessible from grade? YES NO is it level and in good condition? PASS FAIL Page 2 KNOW ACYt .WIWlwoe Any problems with the system that were notrddressed in the Inspection checklist? Please list any recommendations for the continued use of the system: Were any repairs done as a result of this inspection? If YES, please describe the repairs. NO �YES —` ' C- r To the best of my knowled a and training, the information collected in this inspection is accurate as of Licensed Systems Inspector Signature: PC9, Additional Notes: Clearly label any pictures and attach them to this form. Page 3 View of inlet(?) side of tank Tee not visible but you can hear water entering tank from this access outlet tee (under lid structure) Septic tank Approx. absorption area ar tree) This report should be submitted to the Pitkin County Environmental Health Department. An OWTS Use Permit cannot be obtained because of the presence of a metal tank. An OWTS Construction Permit (tank only) must be obtained. The OWTS Use Permit Inspection form and this letter should be submitted with the application packet. Please contact Pitkin County Environmental Health Department to set up a pre -application conference and review items on the checklist (not currently available on Pitkin County's website) to assure the application packet is complete. Application: http://www aspenpitkin com/Portals/0/docs/county/Com%20Dev/EHNR/OWTS construction permit application.pdf Please call with questions. Sincerely, C a,Lt t (. Carla Ostberg, MPH, REHS NAWT Certified Inspector Certification # 110441TC Exp. 2016 December 13, 2013 Lid covering access to septic tank (lid covers outlet) View of septic tank access Form COLORADO DIVISION OF WATER RESOURCES For Office Use Only No. DEPARTMENT OF NATURAL RESOURCES` ``'' GWS-11 1313 Sherman St., Ste 821, Denver, CO 80203 11/2011 Main�303) 866-3581 Fax. (303) 866-2223 dwrpermitsonline(a)state.co.us 14 CHANGE IN OWNER NAME/ADDRESS APR 16 CORRECTION OF THE WELL LOCATION RCES EER Review instructions on the reverse side prior to completing the form. WATER RESOL STATE 04GIN Name address anjd� phone claimino ownership of the well permit: LiLtNVVVLD ---o�f�person Name(s): Mailing Address: (a f ? City, St. Zip: Co �j �l(oi l 1 Phone C 34111 Email Address: CSS This form is filed by the named individual/entity claiming that they are the owner ofUie well permit as referenced below. This filing is made pursuant to C.R.S. 37-90-143. 1 WELL LOCATION: Well Permit Number: ,5,r C1 Uq Receipt No.:C41 I -I a�Cl Case Number: County t i-ki Well Name or # (optional) ;�Zz n Lr S� � i_g I-( (Addr s) (City) (State) (zip) N G 1/4 of the`J , 1/4, Sec. _, Twp. [ N. or K S., Range 50 0 E. orC�? W., ( T \1 P.M. Distance from Section Lines: ,,2 . 50 Ft. From I— N. or 7 S., H 15 Ft. From E] E. or EK W. Line. OR: GPS well location information in UTM format. You must check GPS unit for required settings as follows: Format must be UTM, I— zone 12 or I— zone 13 ; Units must be meters; Datum must be NAD83; Unit must be set to true north. Easting _ Northing Subdivision Name LotBlock Filing/Unit The above listed owner(s) say(s) that he, she (they) own the well permit described herein. The existing record is being amended for the following reasons: NChange in name of owner N Change in mailing addressv Correction of location for exempt wells permitted prior to May 8, 1972 and non-exempt wells permitted before May 17, 1965. Please see the reverse side for further information regarding correction of the well location. I (we) claim and say that I (we) (am) (are) the owner(s) of the well permit described above, know the contents of the statements made herein, and state that they are true tom our knowledge. Sign or enter the name(s) of the new owner(s) If signing print name & titleCLr1e.V-ZS Date (mm/dd/yyyy) ��l Yie� eSS•L�. iwvu�r�n ' II(i1) z� It is the responsibility of the new ownerW this well permit to complete and/or sign this form. If an agent is signing or entering information lease see instructions. US Mail Please send confirmation of acceptance of change in owner name/address via: Email address listed above IWV State Engineer By Date W U C O 5RN to — O O 1 n W `"' o 00 cr L� c W cn cfl NK tOW O'O (0(n cn 1 0 a o y= o 2,750 ft � f 0 3 m CD m=S ' C m -I @ ❑ rt tD oo m o rn �aommd o 0 La3 C co O C'"' o C cn —E=a m c m c0 A Ul momo�_n A �! ZL• y t� N d N= n 177 D 0 N r - 0 N < C O N ' O O - • Oy Ci O O'< = N `D -0'0 w -M 3 m.nm own , Ey • am o 0 1 o v = N = cn 1 2,750 ft A CD m=S m -I @ ❑ rt tD oo m o m C) A CD 10 o 0 La3 C r- , .n. _ N c0 A Ul ._�- N cn in y S O D 0 N r - 0 N Z O z `D -0'0 E; , 0 1 C o —I W o yr❑®❑❑®®z -0 6 C)O O G O )r ONDNc O N c 3 / =QyCD A Zn U, OZ O N N vii Z y a y r i 0 3 (n v y C CD o El® El El X 7 c , 8 S O 'O C C N 0 o -o 0 0 m O m D D N m ; m cm 4 3N to S n v y Z N W N O n n _ tt N ti, _. n N U1 N r 0 D° �m -�o- ZO o•>NW * c o o°hD ;o r'' -u Nm ? In_ CD cru) O x^ = ON 0 3 CD 4 CO W:3 . _ - - — 0G)99 7 7 W ID zc0 m NW co- Ogg yW :-4cn:A.. p .. 0'0 c:, 0� W OD^ r _"m J O cn cn O) A CD m=S m voo l< w a, �• m o m C) A co o CI La3 C N C,Cl) 7 A Ul O y S N Z O N v m aW�o o m . m O N c 3 / A N 4 r* (n CD v W:3 . _ - - — 0G)99 7 7 W ID zc0 m NW co- Ogg yW :-4cn:A.. p .. 0'0 c:, 0� W OD^ r _"m J O cn cn O) WRJ=25-72 COLIRADO DIVISION OF WATER RESOURCES THIS FORM MUST BE \ _WOMMED PRIOR TO 101 Columbine Bldg., 1845 Sherman St. THE EXPIRATION or THE Denver, Colorado 80203 i PERMIT. TYPE OR l a: (. I .[. v PRINT IN BLACK INK. . __.STATEMENT OF BENEFICIAL USE OF GROUND WATER —_-__AMENDMENT OF EXISTING RECORD PERMIT NUMBER._-_ 529 STATE OF COLORADO COUNTY OF Pitkin SS. THE AFFIANT(S)Jason James Jowell whose address is_ --__ P.O. Box 342 ` Aspen, Colorado 81611 being duly sworn upon oath, deposes and says that he (they) is (are) the owner(s) of the well described hereon; the well is N.E. sew. , 1b - g --- - - - located in the. _ /4 of the /4 of Section.___.__ -__�, Township�._T (N. or S.) W. 6th -- P.M. at distances of-g1�Q___feet from the North section line ,------- (E. or W.) (North or South) and__?!' d -.._____.-.feet from the_ West section line; the total depth of the well is___75 ____feet; Walter from this well (East or West) was first applied to a beneficial use for the purpose(s) described herein on the---- J5..__.day of____ Jae_ the maximum maximum sustained pumping rate of the well is__._ Z _.....gallons per minute, the pumping rate claimed hereby is..... 5-.. gallons per minute; the average annual amount of water to be diverted is -1_0 __-..._- --.acre-feet; for which claim is hereby made the legal description of the land on which the water from this well is to be used -- which totals 2.61 -acres and which is illustrated on the map on the reverse side of this form; that this well was completed in compliance with the permit approved therefor; this statement of beneficial use of ground water is filed in compliance with law; he (they) has (have) read the statements made hereon; knows the content thereof; and that the same are true of his (their) knowledge. Signature(s)—r . ------- FOR OFFICE USE ONLY Subscribed and sworn to before me on this______ --_day of �r�A n ► � PJ`a 192. My ComiTlission expires; -\,) cseai) Notary Public ACCEPTED FOR FILING IN THE OFFICE OF THE STATE ENGINEER OF COLORADO ON THIS DAY OF , 1.9_ STATE ENGINEER WHITE COPY FOR DIVISION OF WATER RESOURCES PINK COPY FOR WELL OWNER The amount of appropriation In acre #set Is not considered to 119 M8te' tial to the terms of this permit pursuant to &-ction 148-21.-45 CRS. Prior, Date—_, Well Use—]_..-___- --- -'/a,—'/a, _---'/a. Sec.--- T. ec._ T. --- R - - -- -... --__ ._P.M. In NORTH N jo rJ THE LOCATION OF THE WELL MUST BE SHOWN AND THE AREA ON WHICH THE WATER IS USED MUST BE SHADED OR CROSS -HATCHED ON THE DIAGRAM BELOW. This diagram represents nine (9) sections. Use the CENTER SQUARE (one section) to indicate the location of the well, if possible. '+---1 Mile r� THE SCALE OF THE DIAGRAM IS TWO INCHES EQUALS ONE -MILE Meter Serial No. ❑ Flow Meter ❑ Electric Meter ❑ Fuel Meter_`' Owner of land on which water is being used WATER EQUIVALENTS TABLE (Rounded Figures) An acre-foot covers 1 acre of land 1 foot deep. 1 cubic foot per second (cfs) ... 449 gallons per minute (gpm). 1 acre-foot ... 43,560 cubic feet ... 325,900 gallons. 1,000 gpm pumped continuously for one day produces 4.42 acre-feet. 100 gpm pumped continuously for one year produces 160 acre-feet. 1 i NORTH SECTION LINE + w + � w + o .f H + M02 + U Cly + + SOUTH SEC I ION + + + + + + THE SCALE OF THE DIAGRAM IS TWO INCHES EQUALS ONE -MILE Meter Serial No. ❑ Flow Meter ❑ Electric Meter ❑ Fuel Meter_`' Owner of land on which water is being used WATER EQUIVALENTS TABLE (Rounded Figures) An acre-foot covers 1 acre of land 1 foot deep. 1 cubic foot per second (cfs) ... 449 gallons per minute (gpm). 1 acre-foot ... 43,560 cubic feet ... 325,900 gallons. 1,000 gpm pumped continuously for one day produces 4.42 acre-feet. 100 gpm pumped continuously for one year produces 160 acre-feet. 1 i W R.} -26-a2 RECEIVED _ COLORADO DIVISION OF WATER RESOURCES THIS FORM MUST BE SUBMITTED 101 Columbine Bldg., 1845 Sherman St. W)Th'!N 60 DAYS OF COMPLETION(D Denver, Colorado 80203 OF THE WORK DESCRIBED HERE- __ ON. TYPE OR PRINT IN BLACK WELL COMPLETION AND PUMP INSTALLATION REPORT WATER RESOV(U: L "'wrF FWIIVC f INK. PERMIT NUMBER c sr?? f6 ^' WELL OWNER t S 2( .-L. !J ADDRESS DATE COMPLETED ZV"_ 142 19V WELL LOG Water From To Type and Color of Material Loc. TOTAL DEPTH — —f= -- Use additional pages necessary to of the /U Yq of Sec. 1 , T. R.P.M. HO%L�E' DIAMETER in. from 0 to ft. in. from to ft. in. from to ft. CASIVt-",L,& CORD: Plain Casing Size kind from —Q_ to 14 ;Z ft. Size - & kind from to ft. Size & kind from _ -- to ft. Perforated Casing Size Z� & kind `,f from f to /,, 9 ft. Size - & kind from _______ to ft. Size & kind _ from to ft. GROUTING RECORD JJ'' Material C T Intervals- ." -'' - - Placement Method GRAVEL PACK: Size Interval TEST DATA Date Tested AwT4i__'197.2 Static Water level Prior.to Testi ft. Type of Test Pump Length of Test 5 Sustained Yield (Metered) Final Pumping Water Leve{ T� .. . a PUMP INSTALLATION REPORT 1)lv)&6 c.v'V lump Make Type 'owered by lump Serial No. Motor Serial No. )ate Installed -- lump Intake Depth 3emarks HP 'YELL TEST DATA WITH PERMANENT PUMP )ate Tested 1)'i wv Static Water Level Prior to Test _ength of Test Hours sustained yield (Metered) GPM lumping Water Level i9emarks _ x h Lj: 3D J -j WATER > v > 'TABLE W ..! a w -4 oc v~i w t- �y_ __-___�-_ a � � moo.' 9L 3 i GON E Of DEPRESSION 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 same is true o his own knowledge. Si nature' ` 9 License No. State of Colorado, County of SS Subscribed and sworn to before me thisqAtay of _ `_ , 19 �l✓ M\1 Commission expires: _ I ,�2 — 3 c) _ 19 ;; J Notary Public FORM TO BE MADE OUT IN QUADRUPLICATE: WHITE FORM must be an original copy on both sides and signed. WHITE AND GREEN copies must be fited with the State Engineer. PINK COPY is for the Owner and YELLOW COPY is for the Driller. ¢ W; _ _7 1 CORRADO DIVISION OF WATER RESOURCES r f•' - 7 5 101 Columbine Bldg., 1845 Sherman Street, Denver, Colorado 80203 TYPE OR PRINT IN BLACK INK. APPLICATION MUST BE COMPLETED BEFORE ACCEPTANCE. APPLICATION FOR- A PERMIT TO USE GROUND WATER A PERMIT TO CONSTRUCT A WELL REPLACEMENT FOR NO. A PERMIT TO INSTALL A PUMP _ OTHER APPLICANT Street Address City & State � Dom- n A 6 1 Telephone No. NAME OF AQUIFER GROUND WATER %IS TO BE OBTAINED FROM: e 4 _. PROPOSED TOTAL DEPTH OF WELL Ft. ESTIMATED MAXIMUM PUMPING RATE GPM AVERAGE ANNUAL AMOUNT OF GROUND WATER TO BE APPROPRIATED Acre-feet ANTICIPATED GROUT PROGRAM Material & 02e.c) 1 Intervals /0 Placement Method GROUND WATER TO BE USED FOR: DOMESTIC 1 Cd�t+ QIALI (4) LIVESTOCK (2) INDUSTRIAL (5) MUNICIPAL (8) IRRIGATION (6) OTHER WELL LOCATION COUNTY j ii✓ _925-7 of the A_ 4 of Section T_ R. P.M. IN DITI N TO THE ABOVE, THE WELL MUST BE LOCATED WITH REFERENCE TO GOVERNMENT SURVEY CORNERS, MONUMENTS OR SECTION LINES BY DISTANCE AND BEARING (DOMESTIC WELLS MAY BE LOCATED BY LOT, BLOCK, & SUBDIVISION.) ft. from section line North or South ft. from section line East or West LOT BLOCK FILING #• SUBDIVISION % Ground Water Basin A01 61 s � Water Mgnnt. Dist. s Anticipated drilling date 19 Owner of land on which well is located: PROPOSID C TNG: Plain in. from Q ft. to ft. Other water rights on this land /l/OAl, in. from ft. to ft. Perf. in. fromS1 ft. to ft. in. from ft. to ft. / Driller t '_ :ZIA - No. !� <-- / Signa e of A plicant Address _ c'Ove i2rJ0��e IF WELL IS USED FOR IRRIGATION, BACK SIDE OF THIS APPLICATION MUST BE COMPLETED. D-% - 6 �5 APPLICATION APPROVED: VALID FOR ONE (1) YEAR AFTER DATE ISSUED UNLESS EXTENDED FOR GOOD CAUSE SHOWN TO THE ISSUING AGENCY. PERMIT NO. 52964 DATE ISSUED MAR 14 1972 STATE ENGI'ER y a BY e��� %W • THE LOCATION OF THE PROPOSED WELL MUST BE SHOWN AND THE AREA TO BE IRRIGATED MUST BE SHADED OR CROSS -HATCHED ON THE DIAGRAM BELOW This diagram represents nine (9) sections. Use the CENTER SQUARE (one section) to indicate the location of the well, if possible. + + + + + + NORTH SEC11011 LINE + w + r ® w {_ + O H O U C�l� Ej + U dZ + SOUTH SECTION + + + + + + 1 THE SCALE OF THE DIAGRAM IS TWO INCHES EQUALS ONE -MILE Owner of Number of acres irrigated land to be irrigated, Legal description of irrigated land WATER EQUIVALENTS TABLE (Rounded Figures) An acre-foot covers 1 acre of land 1 foot deep. 1 cubic foot per second (cfs) . 449 gallons per minute 1 acre-foot .... 43,560 cubic feet .... 325,900 gallons. 1,000 gpm pumped continuously for one day produces 4.42 acre-feet. 100 gpm pumped continuously for one year produces 160 acre-feet. State of Colorado Water Res—irces- View Well Details: Receipt 911 "'?19 Page 1 of 2 Well Constructed Receipt: Permit #: Well Name / #: Designated Basin: Case Number: WDID: 9117229 Division: 5 52964-- Water District: 38 County: PITKIN Management District: Help [-] Applicant/Owners History Date Range Applicant/Owner Name Address City[ Unknown - Present JOWELL JASON J PO BOX 342 ASPEN, [-] Location Information Approved Well Location: Q40 Q160 Section Township Range PM Footage from Section Lir NE SW 16 9.OS 85.OW Sixth 3190 N 2350 W Northing (UTM y): 4348264.4 Easting (UTM x): 337032.5 Location Accuracy: Spotted from section lines Physical Address City/State/Zip Parcel ID: 49-2643-163-03-003 Subdivision Name TWO MOON Filing Block Lot 3 Acres in Tract: 2.61 [-] Permit Details Date Issued: 03/14/1972 Date Expires: Use(s): DOMESTIC Aquifer ALL UNNAMED AQUIFERS Special Use: (s): Area which may be irrigated: Maximum annual volume of appropriation: Statute: Permit Requirements: Totalizing Flow Meter No Cross Reference Permit Number Permit(s): Geophysical Log No Receipt Aband No http://www.dwr. state.co.us/WellPermitSearch/View.aspx?receipt=9117229 4/21/2014 State of Colorado Water — sources - View Well Details: Receipt 17229 Page 2 of 2 Comments:GWS-11 submitted 04/16/14, to correct location & change owner. No water right fount for this well. Tax #R016718. Phy address: 60 Twinning Flats, Asepn, CO 81611. dmw 10/04/11 [-] Construction/ Usage Details Well Construction Date: 03/16/1972 Pump Installation Date: Well Plugged: 1st Beneficial Use: 06/15/1972 Elevation Depth Perforated Casing (Top) Perforated Casing (Bottom) Static Water L 75 62 72 42 Lic # Name Address Driller 634 COLLINS, F. E. TODIE" 0525 COUNTY RD 109 GLENWOOD SPRINGS, CO 81601 [-] Application/ Permit History Statement of Beneficial Use Received 01/11/1973 First Beneficial Use 06/15/1972 Well Construction Report Received 05/26/1972 Well Constructed 03/16/1972 Permit Issued 03/14/1972 Application Received 03/06/1972 [-] Imaged Documents Document Name Date Imaged Annotated Original File 12/03/2007 No Copyright © 2009 Colorado Division of Water Resources. http://www.dwr.state.co.us/WellPermitSearch/View.aspx?receipt=9117229 4/21/2014 ■w■i�r+rrrrrrrr rriuirrrrirrrrrrr �i�rrrrrrrr��rr■r Pitkin Country Environmental Health Department Contact Log Sheet Name: Parcel ID#: Z' 3 --16 3 - 0- 0 Address: 60 -G-o n r Date ,. Person S 9ken To Comments /-Action to be Taken _. _ Initials Time i Cc,('lu. 046" t4e CcLr., O-rC-� M C, on. 5► %ran rt4 cx5 n -� m&8- 6-i U, o n-tAf4 1 k aip (O(OCV- co 5,'r k Wack j G..\.LS�L� 0� /1� GO O Ct/1 C cL�W o QkAA M J 4e �'� <11.0 S S Sv. i'f<k,:-e 60 Twining Flats Septic Agreement We, the undersigned, are in agreement that the sales price for 60 Twining Flats shall be amended by $10,500 (to a sales price of $349,037). $10,500 will be held in escrow at closing to pay for a new septic system. Buyers will install the new septic system (fiberglass, concrete or plastic and otherwise according to Pitkin County code and guidelines) by July 31, 2014. Buyers will then have the new septic system inspected per Pitkin County guidelines. Buyers will then present an invoice for the new septic system and a copy of a passing .inspection report to APCHA sales staff. Costs for the new septic system and inspection will then be paid to vendors by Stewart Title Company out of escrow funds. Any remaining escrow funds will be released to Buyers. Buyer: Keith Gilmartin STATE OF COLORADO ss. COUNTY OF PITKIN Date Buyer: Jessica Gilmartin The foregoing instrument was acknowledged before me this Gilmartin and Jessica Gilmartin. Witness my hand and official seal; My commission expires: / / Notary Public Date day of January 2014 by Keith AGaehan Date STATE OF COLORADO 55. COUNTY OF PITKIN The foregoing instrument was acknowledged before me this day of January 2014 by Gabe Linehan. Witness my hand and official seal; My commission expires: 1 19'�'1-20tc.o CINDY CHRISTENSEN Notary Public State of Colorado ASPEN*PITKIN ENVIE-sONMENTAL HEALTH DEPARTMENT Date Requesteda Bill To r) i Y i P- 4, i -TV, . t Inspection Requested B _ Original Report To Be Sent To Copy Of Report To Be Sent To 14, Block---, Building Occupie, Date Septic Tank Check/Receipt Number DEPARMW BVQ • Permit Number A16/L%` Year Issued No Records Found Septic Tank Capacity (Gallons) Septic Tank Maty�� Leach Field Size N a (Sq. Ft.) Leach Field Type Date Off Inspection C'!1! 75l Inspector !� Soil Conditions: Dry__ Saturated Snow Covered Other Septic System: Functioning Satisfactorily--_4-Not Functioning Cannents: Water Supply: Public: Name Private: Well_X—, Spring , Cistern , Surface , Other Well Construction And Location: Approved Unapproved Because Bacteriological Water Test: Lab Number SYS; Date 6 Acceptable ac Other A.P.E.H.D.:4/87 130 South Galena Street Aspen, Colorado 81611 303/925-2020 ; if GO ....... ..... . 90A 'Al I: I m .k% .4 7- "N 45A A/ 4 ks Its A -e 77- 3A-/V4� 77" GO ....... ..... . 90A 'Al I: I m .k%