HomeMy WebLinkAboutpitkin.eh.264335203002 (2013)�j'�KIN
COUNT
Pitkin County Environmental Wealth Department
Onsite Wastewater Treatment Sys, -.m (OWTS) USE PERMIT
Permit for Continued Use of an Existing OWTS
76 Service Center Road, Aspen, CO 81611
Phone: 970-920-5070 Fax: 970-920-5374
www.aspenpitkin.com/EHNR
#: 2643-352-03-002
KParcellD
Use Permit #: 0014.2013.powu
sued: 04/22/2013
Issued By: Kurt Dahl
Expiration Date: 04/22/2014
Owner(s): Helipolis Investments LP
Property Address:
496 Johnson Dr
Legal Description:
R-39 Block 4 Starwood
Licensed Inspector: Carla Ostberg
Inspection Date(s): 04,/03/2013
SYSTEM INFORMATION
Components
Type
Capacity/Size
Primary Treatment Unit
concrete Two-compartment tank
1250 gallon
Secondary Treatment Unit
Absorption Area
N/A
Rock and Pipe seepage bed
N/A
12' X 63' (750 ft')
Other System Components
N/A
N/A
OWTS Use Status:
® In use at the time of the inspection. ❑Not in use at the time of the inspection.*
*if the OWTS was not in use at the time of the inspection, it is recommended that the system be re-evaluated when it is in use for a more accurate
evaluation of the system.
System Records:
Permit #: 76088 Date of Issuance: 10/08/1976 Date of Final Approval: 10/20/1976
# of Bedrooms or fixtures served by OWTS: 2 total bedrooms
Operational Status: The system appears to be functioning properly and not in failure. The septic tank is in good
condition and there is no evidence of saturation or surfacing effluent from the soil treatment area (covered in snow
during inspection). The intlet "t" was missing and replaced.
Inspector Recommendations: Install an effluent filter in the second compartment of the tank.
Department Recommendations: Install an effluent filter in the second compartment of the tank.
Issuance of this OWTS Use Permit is based solely on the conditions observed and reported by the inspector to the Department on the date of the inspection(s) and
on Department records at the time of permitting. The issuance of this permit does not constitute a guarantee, warranty, or representation by the Department
that the system will operate properly or will not fail or that the system will not be subject to future enforcement action to correct non-compliant conditions.
Estimated capacity of the system has been listed on the permit and we recommend that you monitor and/or meter water use to prevent overuse and possible
failure.
0C)IL1. 7_0 (3, P0wU
Pitkin County Environmental Health Department
If It. IN Onsite Wastewater Treatment System (OWTS)
f USE PERMIT APPLICATION
76 Service Center Rd
Aspen, CO 81611
Website: www.aspenpitkin.com/ehnr/
Anntie-atinn fnr ('.nntimilpd U-qn of an Existinat OWTS
Parcel ID# (available from the Pitkin County Assessor's Office _
970-920-5160 or at www.pitkinassiassor.oro):
fj _
Purpose of Use Permit:
PROPERTY TRANSACTION ❑ REMODEL/ADDITION
Property Address:
qq�
O O j
- , &aen . t1l) 11
Lot: Block:
i
Filing: Subdivision:
L..%
Residences:
Other
Other
# of Bedrooms: <�r tt/�fit�i
fixtures/uses:
Property Owner(s)*: Email Address:
g?) . !l 11 s 1 •
Owner's Mailing Address Q% -State, Tip: rrl
Z V' 1 r ! • 1 l
Home Phone: Business Phone:
r �
'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:
Indicate Preferred Method of Permit. Receipt:
,prmail ❑ Fax
❑ US Mail
Mai Indwildress:
.� /. 1 /1 %.' 7z
PLEASE READ BEFORE SIGNING:
1 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 this department may revoke any permit I am issued if my application is found to contain any
inaccurate, false, or misleading information.
Owner Signature (Required): Dake:
Applicant Signature: Date:
IRI �QfSS
Please allow 3-5 business days for processing of Use Permits.
FOR OFFICE USE ONLY
Received by EH Staff: Fee & Receipt #: Date:
V I4-10 1-2 /Z,::t
x KIN Pitkin County Environmental Health Department
y Onsite Wastewater Treatment System (OWTS)
)UNT' USE PERMIT CHECKLIST
Permit for Continued Use of an Existing OWTS
76 Service Center Rd - Aspen, CO -81611
Phone: 970.920.5070 Fax: 970.920.5374
Website: www.aspenpitkin.com/ehnr
Some items listed on this checklist may already exist in the Department files. Please contact
this department to collect any necessary documentation, using the parcel ID# to identify the
property, prior to scheduling an OWTS Use Permit inspection and/or submitting the OWTS Use
Permit application packet.
A complete application package must be presented at the time of your pre -application
conference for acceptance. To schedule a pre -application conference, please call (970) 920-
5070.
PLEASE INITIAL EACH ITEM TO INDICATE COMPLETION
Only one copy of each item is necessary. Electronic versions of any or all of the documents
identified below may be emailed to ehnr@a.co.pitkin.co.us before the date of the pre -application
conference.
OWTS Use Permit Application (completed)
JL Site Pian (11x17)
Should include general location of each OWTS, buildings, water
courses, domestic water source(s), and other pertinent
information.
VI _ Building Floor Plans (11x17)
Current floor plans for a property transaction; or
Proposed floor plans for an addition/remodel that does not
increase potential bedroom count or water usage of the structure
served by the existing OWTS.
Inspection report by a Licensed Systems Inspector
A list of Licensed Systems Inspectors can be found at
www.aspenpitkin.com/ehnr
An inspection report is good for one year.
YJ Applicable Fee
OWTS Use Permit: $100
Please make checks payable to Pitkin County Environmental
Health Department.
Owner's Name:
Address:
Parcel Number:
Inspection Date:
Inspector's Name:
Business Name:
Phone Number
Onsite Wastewater Treatment Systems (OWTS) Use
Permit Inspection Form
Pitkin County Environmental Health Department
76 Service Center Rd, Aspen, CO 81611
Phone: 970-920-5070 Fax: 970-920-5374
Website:
Inspection form for continued use of an existing OWTS
Email: c r.t a + os.ol rnty '��Jdr� I I a ("OYA
Pitkin County Systems Inspector License Numb4.
A coloV of this ins action report will be remitted to Pitkin CountyFnvir nmental Health De artment b
the Licensed S stems Inspector within 60 days of the inspection regardless of whether the s stem
passes orLails.
QUESTIONS FOR PROPERTY OWNER PRIOR TO INSPECTION: �"
Is the home currently occupied? YES NO,i� v�tr.0 !K_s.o�-f
If NO, how long has the home been vacant?
How many bedrooms arc: in the home?
If secondary treatment is used, who is the
maintenance provider?
RECORDS:
Were system records available from Pitkin County? YE5 `= NO
If YES: Permit number:
Date of Final Approval: I Q 120.7 p
# 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 PAIL will require correction before an OWTS Use permit is issued. �
SITE CONDITIONS:
Proper grading, no evidence of erosion? PASS FAIL
Improper vegetative cover? t O YES
Evidence of compaction such as heavy machinery or livestock? Q a YES
Improper discharges such as straight pipes?PAS FAIL
Evidence of high ground water?YES
Snow cover present?(n
S
(�Q
Page 1
TANK:
Tank 1
Tank 2
YES
NO
Tank 3
Tank capacity.
0
gallons
PASS
gallons
Is the high water alarm working, both visible and audible?
gallons
Tank material.
SECONDARY TREATMENT:
Is a secondary treatment unit present? YES
NO
UNKNOWN
# of compartments
Does the owner have a current maintenance contract for the unit? YES
NO
UNKNOWN
Maintenance Provider: _ Phone:
Date of last pumping
Cf.cn
Lids/risers in good condition
A
IL
PASS
FAIL
PASS
FAIL
Risers to grade
YES
Na-
YES
NO
YES
NO
Riser height
i
Riser condition/watertightness
C. -Vci
Inlet sanitary T/baffle
PAS
FAIL~,1
PASS
FAIL
PASS
FAIL
Outlet sanitary T/baffle
A55`
FAIL
PASS
FAIL
PASS
FAIL
Effluent filter (if part of design)
PAS FAIL
N/ ti
PASS FAIL
N/A
PASS
FAIL N/A
Condition of tank material
PAS V
FAIL
PASS
FAIL
PASS
FAIL
Tank was pumped for inspection
YES <N
YES
NO
YES
NO
If YES, list the pumping company
If NO, when was the last pumping
Scum level (1st compartment)
inches
inches
inches
Sludge level (1st compartment)
"'
inches
inches
inches
Scum level (2nd compartment)
inches
inches
inches
Sludge level (2nd compartment)
f'
inches
inches
inches
Backflow (if pumped)
PASS
FAIL
PASS
FAIL
PASS
FAIL
Midtank baffle
PASS FAIL
N/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
NO
If YES, is the pump/dosing siphon functioning properly?
PASS
FAIL
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:
Is a secondary treatment unit present? YES
NO
UNKNOWN
If YES, does the unit appear to be in good working condition? YES
Does the owner have a current maintenance contract for the unit? YES
NO
UNKNOWN
Maintenance Provider: _ Phone:
,,f there is no maintenance conma, a contract must be in place prior to occupancy of the home. A
copy of the contract must be submitted to Pitkin County Environmental Health Department.
ABSORBTION AREA:
Effluent surfacing?
Evidence of past surfacing?
Surface dampness?
Excessive odors?
Field location verified by observation ports or probing:
Liquid in observation port?
If YES, record depth:
Distribution Box or ADV part of original design?
If YES, is it accessible from grade?
is it level and in good condition?
(P
—ASS
JNt
NQ
Ports
NO
YES
YES
PASS
Page 2
Hca va �t�-n
as
FAIL
YES
YES
YES
Probing #, (, �i`,i.f;
YES
inches
NO UNKNOWN
NO
FAIL
PERMIT NUMBER 2-60U U
PITKIN COUNTV HEALTH DEPARTMENT
'i�
RECEIPT NUMBER jl�
Owner Phone No.��
Owner's Mailing Address— • 43, �'X !1 a �' L ° q-7
Contractor
Address
System's Contractor's Name
Address
Legal Description
,39 1 5TAelvigo i--)
Lot Size �C�"�-
Number of Bedrooms
Owner's Signature
P LOT P LAN : ATTAC MD AS -REQUIRE D
Type of Individual Sewage Disposal System
Type of Soil or Soil Classification
Proximal Location of Bedrock
Proximal Location of Ground Water Table
Phone No. q-2-- 2,
Type of Building by Use,s✓
�r L • c
Type of Water Supply' `=
Date Z�9�1761.
N
ti
-JF # iF ii # -K- dF # # # dE # -K• R- #- # 3(• # i(# # �: # �E # -X- 4f• dF # dF •� -k # # # •3t• # •7C dF 9F # dF 3/F "#jj #—#(Jae # # iF ?d• -1(• 3F �7F :E •AF #- •X- jF 9E- -lE # -7F iF iF �f- �h(J#/#,,l#� i/FJ�If• y# # •��,j•JF/ 9F # 'k •3E if• •3'.� # # '�E ?f # iE 9E
Percolation Test Date
Minimum Recommended Absorption System Size
Minimum Recommended Tank Size M 1e'1 C`� ��%t� 1. / `" -lei
Special Conditions of Issue: rlorlcE
p When properly signed for issuance, this application
1 1 ��41,,���~ - ` ! Cf � 1 1,- fr G/� becomes your permit. Application valid one year from
Q ) date. if an individual sewage disposel permit is issued
for property on which no building permit has been
` issued, the individual sewage disposal permit shall
1V11l (1 �!� ) L�/ �jE--5�,-`Z-0bL expire 120 days after its issuance if construction has
/ F r, not been commenced. Any change in plans or speci-
1 j ND C�L / ,_�, � ficatians after the permit has been issued invalidates
6 the parmit, unless approval is sscured from the Health
_ ? ��
! ! Z f/Ve Officer for such
%(i changes.
Approved for Issuance By Date
#•��-#�x•����•-�•�a�•��••�#�•�•�a��+••�#a�#a��•n�•a�• a��•a�a�ata�� �•�•��•� "at��•��•�•��•>; 7,1
���•>�#•>��;�;r#�#�c-s•#•���-��r•�#
FINAL INSPECTION APPROVAL // ' �y�-' Date
{Drawing of System on Back)
E-1
Any problems with the system that were not addressed in the inspection checklist?
Please list any recommendations for the continued use of the system:
C.f
Were any repairs done as a result of this inspection? NO YES s
4--_j
If YES, please describe the repairs.
i t
d a
To the best of my knowledge and training, the information collected in this inspection is accurate as of
Licensed Systems Inspector Signature:
Arlrlitinnal Kintac-
Clearly label any pictures and attach them to this form.
Page 3
April 4, 2013
CBO Inc.
33 Four Wheel Drive Road
Carbondale, CO 81623
cell) 970-309-5259 office) 970-704-0484
carla.ostberg6(_)gmail.com
Penney Evans Carruth
Aspen Snowmass Sotheby's International Realty
Penney. Carruth(a-sothebysrealty.com
Onsite Wastewater Treatment System (OWTS) Inspection
496 Johnson Drive
Pitkin County, Colorado
Penney,
As requested, CBO Inc. performed an Onsite Wastewater Treatment System (OWTS) Inspection at
496 Johnson Drive.
The subject OWTS consists of one 1250 -gallon two-compartment septic tank. According to records
provided by Pitkin County Environmental Health Department (Parcel ID # 2643-352-03-002), the
absorption area consists of a 45' x 15' pipe and gravel seepage bed (approximately 675 square
feet).
The septic tank appeared to be in good condition. The inlet tee of the septic tank was missing, but
the outlet tee was present. The inlet side of the tank has approximately 14" of sludge and there was
about 8" of sludge on the outlet side of the tank. No observation ports were present in the
absorption area, but there did not appear to be any signs of saturation or failure.
Recommendations:
• Install an inlet tee on the septic tank.
• Install an effluent filter on the outlet tee of the septic tank.
• Pump both compartments of the septic tank.
• If long term use of the system is contemplated, consider replacement of cast iron pipes.
This evaluation is not a guarantee of future system performance. This inspection is good for one
year.
If a Pitkin County OWTS Use Permit is desired, additional paperwork will need to be completed. In
order to obtain an OWTS Use Permit, the inlet tee must be installed and the septic tank must be
pumped.
Please let me know if you have any questions.
Sincerely,
Carla Ostberg, MPH, REHS
NAWT Certified Inspector
Certification # ITC 11042010 Exp. 2014
•
0
0
Inlet side (tee missing)
Lids uncovered, looking east toward the house.
Outlet side (tee present)
I
Approximate field location. No observation ports. No indication of surfacing or failure.
IMPROVEMENT SURVEY PLAT
TRACT R-39
STARWOOD FOUR
COUNTY OF PITKIN, STATE OF COLORADO
LEGEND AND N07ES
- O INDICATES FOUND MONUMENT AS DESCRIBED
- • INDIC47ES SET N0.5 REBAR 6 CAP MARKED LS 33638
- LEGAL DESMP77CN.,
LEGEND
Ell
® Of
pQ WA
YP WA
® SE
$ SE
O �
E❑ EZEC7R/C PEDESTAL
❑T 7ELEPHCVE PEDESTAL
SUBJECT LOT UNE
— - - ADJO'NING LOT UNE
— — — — — EASEMENT SIDELINE
x FENCE
mm� ROCK WALL
Nohcv'
� � ecrc,J aa,.c � m mhcr i7
� yw shoo � .ymJ my dlc/
Ate syswv H cmnsvxr6 mmv l.SmJ tm ym
,re„J w eoaJ 1 Atr crtriuoh'� +,tbo.
A...on
STARWOOD FOUR
m
( n1 rs1 )
1 hwh - 30 LZ
CURVE TABLE
CURVE LENGIN RADIUS
0
Cl 180.10' 030.00
90.11' 180.04' S 387:30' E 550'
C2 212.86' 497.45'
10&08' 1211.24'1 S 237429' E 24717-
431'1'3'
- 30.00'
101.04' 1 57.52' 1 N 8476'14' W 14655:32'
r
IMPROVEMENT SURVEY PLAT
TRACT R-39
STARWOOD FOUR
COUNTY OF PITKIN, STATE OF COLORADO
LEGEND AND N07ES
- O INDICATES FOUND MONUMENT AS DESCRIBED
- • INDIC47ES SET N0.5 REBAR 6 CAP MARKED LS 33638
- LEGAL DESMP77CN.,
LEGEND
Ell
® Of
pQ WA
YP WA
® SE
$ SE
O �
E❑ EZEC7R/C PEDESTAL
❑T 7ELEPHCVE PEDESTAL
SUBJECT LOT UNE
— - - ADJO'NING LOT UNE
— — — — — EASEMENT SIDELINE
x FENCE
mm� ROCK WALL
Nohcv'
� � ecrc,J aa,.c � m mhcr i7
� yw shoo � .ymJ my dlc/
Ate syswv H cmnsvxr6 mmv l.SmJ tm ym
,re„J w eoaJ 1 Atr crtriuoh'� +,tbo.
A...on
STARWOOD FOUR
7RACT R -J9, STARWOW FOUR ACCORD/NG 70 7H£ PLAT THEREOF RECORDED IN PLAT BOCK
3 AT PAGE 34.
COUNTY OF PI7KIN, STATE OF COLORADO.
- DA IF OF SURVEY.• MARCH 19, 2013
- UNIT OF MEASSIREMENT.• US SURVEY FOOT
- COV70UR 1WERVAL" 1 FOOT
- P/7A7N COUNTY ZONE DISTRICT' AR -10
- fLOOD ZONE DE-76NA DAV.• ZONE '1' AREAS OU751DE OF 500 YFAR FLOOD PLAIN PER FEMA FIRM MAP
06097CO201G PANEL 201 OF 325, WED JUNE 4 1987
- B£ARNGS ARE BASED UPON A 8'IW77VESS CORNER FAR THE EASIERLY CORNER OF SAID R-39., A
FOUND NO..5 REBAR AND PLAS770 CAP MARKED LS 18166 AND A SET N0.5 REBAR AND CAP MARKED LS
33638 ALONG THE SOL17HEASIERLY BOUNDARY OF SAID PARCEL USSNG A BEARING OF S4975100'W BETWDSN
77IE IND DESCRIBED MONUMENTS AS SHOWN HEREON.
- THIS SURVEY DOES NOT REPRESENT A 771LE SEARCH BY THIS SURL£YOR TO DETERMINE ONNERSH/P OR TO
DISCOVER FAS 9WaV7S OR 07HER ENCUMBRANCES OF RECORD. ALL INFORMA7701V PERTAINING 70 OWNERSHIP,
EASEMENTS OR 07HER ENCUMBRANCES OF RECORD HAS BEEN TAKEN FRAM 777LE INSURANCE COMA?/TMEN7S
ISSUED BY LAND 777LE GUARANTEE COMPANY, DATED D9TC77VF MARCH 1, 2013 AS ORDER NO. 062005135
7HIS PROPERTY IS SUBJECT 70 THE FOLLOWING EXCEPTIONS PER SAID 777LE COMM17MENT.
& RIGYT OF PROPRIE70R OF A VEIN OR LODE TO EXTRACT AND REMOVE HIS ARE THERETROA7 SHOULD THE
SAME BE FOUND 70 PENETRA IF OR INTERSECT THE PREM/SES AS RESERVED /N UN17ED STATES PATENT
RECORDED J,tILY 09, 1894, IN BOCK 55 AT PAGE 91 AND RECORDED DECEMBER 14, 1961 BOOK 196 AT PAGE
171.
9. R16HT OF WAY FAR DITCHES OR CANALS COV67RUC7ED BY THE AU7HAR/TY OF 7H£ UN17ED STATES AS
RESERVED IN UIV17ED STATES PA7ENT RECORDED JULY 09, 1894, IN BOOK 55 AT PAGE 91 AND RECORDED
DECEMBER 74, 1961 IN BOOK 196 AT PAGE 171.
10 RIGHTS OF WAY AND RESERVA DONS AS CONTAINED IN DEED RECORDED DECEMBER 14, 1962 /N BOOK 200
AT PAGE 237.
11. TERMS CONO171AN5 AND PRONSSONS OF ARDCLES OF INCORPORA DON RECORDED DECEMBER 20, 1962 IN
BOOK 200 AT PACE 297 AND AMENDMENTS RECORDED APRIL 24, 1964 IN BOOK 206 AT PAGE 544, RECORDED
APRIL 9, 1965 IN BOOK 212 AT PAGE 294 RECORDED AUGUST 16 1970 IN BOCK 250 AT PAGE 21, RECORDED
NOVDWBER 1Z 1982 IN 800K 4J8 AT PACE 126 AND RECORDED DECEMBER 19, 1991 IN BOOK 664 AT PAGE
12. PRO7ECRVF COVENANTS, W 11CHI DO NOT CONTAIN A FWF77URE OR REVERTER CLAUSE; BUT OMITRNG ANY
COVENAN75 OR RESTRIC770NS; IF ANY, BASED UPON RACE COLOR, RELG/ON, SLX SEXUAL CRENTA 770A;
FAMILIAL STATUS; MARITAL STA 7US; DISABILITY, HANDICAP, NA77AVAL ORIGIN, ANCESTRY, CR SOURCE OF
INCOME AS .SET FORTH IN APPLICABLE STATE OR FEDERAL LI n EXCEPT TD THE EXTENT THAT SAID
COVENANT CR RES7RIC770N IS PERM?TED BY APPLICABLE LAW, AS CONTAINED IN INS7RUMENT5 RECORDED
DECEMBER 20, 1962 IN BOOK 200 AT PAGE 314, MAY 20, 1964 IN BOOK 207 AT PAGE 135, AUGUST 6, 1965
IN BOOK 214 AT PAGE 396 EXHIBIT A OF INSTRUMENT RECORDED JANUARY 14, 1965 IN BOOK 211 AT PAGE
229 AND RESOIUDAV OF STARWOOO HOMEOTMIERS ASSOCYA77ON AMENDING PR07EC77V£ COVENANTS RECORDED
DECEMBER 144 1992 IN BOOK 697 AT PAGE 613 AND RECORDED NOVEMBER 1, 2007 UNDER RECD-77CW NO.
543723, AMENDMENT RECORDED NOVEMBER 1, 2007 UNDER RECEPDON NO. 543724, AMENDMENT RECORDED
DECEMBER 1, 2011 UNDER REG91770N NO. 584762, RESCLUBON REGARDING COW WANTS RECORDED OCTOBER 5
2012 UNDER RECEP770V NO. 592904 AND AMENDMENT RECORDED OCTOBER 5 2012 UNDER RECEPDON NO.
592905.
1J TERM$ COIVDIDONS AND PROVISIONS OF ASSIGNMENT OF ASSESSMENT RECORDED NOVEMBER 09, 1970 IN
BOCK 251 AT PAGE 744.
fA TERMS, CONDITIONS AND PROVISIONS OF A6REEMENT REGARDING PRI✓A IF ROADS REGARDED DECEMBER 5,
1974 /N BOCK 294 AT PAGE 124.
15 7ERM4 CON91770NS AND PRONS/ANS OF AGREEMENT RECORDED JANUARY 24 1978 /N BOOK 342 AT PACE
510.
16. TERMS CCND1770VVS AND PRONSICNS OF AMENDMENT 70 AGREEMENT RECORDED SEPTEMBER 29 1975 /N I
BOOK JOJ AT PAGE 284.
17. TERMS, CCV91770NS AND PRONSICAVS OF EASEMENT RECORDED OCTOBER 26 1980 IN 800K J98 AT PAGE
70.
18. EASEMENTS; RIGHTS OF WAY AND ALL MA TIERS AS DISCLOSED ON THE REGARDED PLAT OF THE SUBJECT
PROPERTY RECORDED AUGUST 3, 1965 IN PLAT BOOK J AT PAGE J4,
SURVEYORS LER77RCATE-
I, ETFREY ALLEN 7UTTLE- BONG A PROFESSIONAL LAND SURVEYOR IN THE STATE OF COLORADO, DO HEREBY
CER77FY 70 SIEVDV UN DA OWN, EE UNG LEK LINDY, MI9f7RST BANK, 17S SUCCESSORS ANO/OR ASSIGNS A' LAND
777LE GUARANTEE THAT INS IMPROVEMENT SURVEY WAS PREPARED FROM AN ACTUAL MONUMEN7FD LAND SURVEY
OF THE PROPERTY CORNER MONUMDV IS, BOTH FOUND AND SET, UNDER MY DIRECT SUPERV19CYV AND CHEL2(IAQ
THAT IT IS CORRECT TO THE BEST OF MY BELIEF AND KNOWLEDGE" AND 7HAT ALL D/MENSICN,S: BOTH LINEAR AND
ANGULAR WERE DE7ERAIINED BY AN ACCURATE CONTROL SURVEY IN THE FIELD WHICH BALANCED AND CLOSED
W17H7N A OMIT OF 1 )N 15000 (WHIGS/ COMPLIES IWIH COLORADO PROFESSIONAL STANDARDS FOR A LAND SURVEY
PLAT AND THE CURRENT ACCHIRACY STANDARDS FOR ALTA/AGSM LAND 777LE SURVE)'S).• I FUR77IER CERTIFY THAT
THE IMPROMWEN75 ON THE ABOVE DESCRIBED PARCEL ON THIS DATE MARCH/ 19, 2012 EXCEPT U77UTY
CANN£CBC'JS; ARE ENTIRELY W17HIN THE BOUNDARIES Or 7HE PARCEL, EXCEPT AS SHOWN, THAT THERE ARE NO
ENCROACHMENTS UPCN THE DESCRIBED PREMISES BY IMPROVEMENTS ON ANY ADJAO'NING PREMISES EXCEPT AS
INDICATED, AND 7HAT THERE IS NO APPARENT ENOENCE OR SIGN OF ANY E4 -';DW NT CROSSING OR BURDENING
ANY PART OF SAID PARCEL, EXCEPT AS NOW.
JEFFREY ALLEN ]UTILE LS 33638 DA 7E
m
( n1 rs1 )
1 hwh - 30 LZ
CURVE TABLE
CURVE LENGIN RADIUS
TANGENT CHORD BEARING DELTA
Cl 180.10' 030.00
90.11' 180.04' S 387:30' E 550'
C2 212.86' 497.45'
10&08' 1211.24'1 S 237429' E 24717-
431'1'3'
- 30.00'
101.04' 1 57.52' 1 N 8476'14' W 14655:32'
7RACT R -J9, STARWOW FOUR ACCORD/NG 70 7H£ PLAT THEREOF RECORDED IN PLAT BOCK
3 AT PAGE 34.
COUNTY OF PI7KIN, STATE OF COLORADO.
- DA IF OF SURVEY.• MARCH 19, 2013
- UNIT OF MEASSIREMENT.• US SURVEY FOOT
- COV70UR 1WERVAL" 1 FOOT
- P/7A7N COUNTY ZONE DISTRICT' AR -10
- fLOOD ZONE DE-76NA DAV.• ZONE '1' AREAS OU751DE OF 500 YFAR FLOOD PLAIN PER FEMA FIRM MAP
06097CO201G PANEL 201 OF 325, WED JUNE 4 1987
- B£ARNGS ARE BASED UPON A 8'IW77VESS CORNER FAR THE EASIERLY CORNER OF SAID R-39., A
FOUND NO..5 REBAR AND PLAS770 CAP MARKED LS 18166 AND A SET N0.5 REBAR AND CAP MARKED LS
33638 ALONG THE SOL17HEASIERLY BOUNDARY OF SAID PARCEL USSNG A BEARING OF S4975100'W BETWDSN
77IE IND DESCRIBED MONUMENTS AS SHOWN HEREON.
- THIS SURVEY DOES NOT REPRESENT A 771LE SEARCH BY THIS SURL£YOR TO DETERMINE ONNERSH/P OR TO
DISCOVER FAS 9WaV7S OR 07HER ENCUMBRANCES OF RECORD. ALL INFORMA7701V PERTAINING 70 OWNERSHIP,
EASEMENTS OR 07HER ENCUMBRANCES OF RECORD HAS BEEN TAKEN FRAM 777LE INSURANCE COMA?/TMEN7S
ISSUED BY LAND 777LE GUARANTEE COMPANY, DATED D9TC77VF MARCH 1, 2013 AS ORDER NO. 062005135
7HIS PROPERTY IS SUBJECT 70 THE FOLLOWING EXCEPTIONS PER SAID 777LE COMM17MENT.
& RIGYT OF PROPRIE70R OF A VEIN OR LODE TO EXTRACT AND REMOVE HIS ARE THERETROA7 SHOULD THE
SAME BE FOUND 70 PENETRA IF OR INTERSECT THE PREM/SES AS RESERVED /N UN17ED STATES PATENT
RECORDED J,tILY 09, 1894, IN BOCK 55 AT PAGE 91 AND RECORDED DECEMBER 14, 1961 BOOK 196 AT PAGE
171.
9. R16HT OF WAY FAR DITCHES OR CANALS COV67RUC7ED BY THE AU7HAR/TY OF 7H£ UN17ED STATES AS
RESERVED IN UIV17ED STATES PA7ENT RECORDED JULY 09, 1894, IN BOOK 55 AT PAGE 91 AND RECORDED
DECEMBER 74, 1961 IN BOOK 196 AT PAGE 171.
10 RIGHTS OF WAY AND RESERVA DONS AS CONTAINED IN DEED RECORDED DECEMBER 14, 1962 /N BOOK 200
AT PAGE 237.
11. TERMS CONO171AN5 AND PRONSSONS OF ARDCLES OF INCORPORA DON RECORDED DECEMBER 20, 1962 IN
BOOK 200 AT PACE 297 AND AMENDMENTS RECORDED APRIL 24, 1964 IN BOOK 206 AT PAGE 544, RECORDED
APRIL 9, 1965 IN BOOK 212 AT PAGE 294 RECORDED AUGUST 16 1970 IN BOCK 250 AT PAGE 21, RECORDED
NOVDWBER 1Z 1982 IN 800K 4J8 AT PACE 126 AND RECORDED DECEMBER 19, 1991 IN BOOK 664 AT PAGE
12. PRO7ECRVF COVENANTS, W 11CHI DO NOT CONTAIN A FWF77URE OR REVERTER CLAUSE; BUT OMITRNG ANY
COVENAN75 OR RESTRIC770NS; IF ANY, BASED UPON RACE COLOR, RELG/ON, SLX SEXUAL CRENTA 770A;
FAMILIAL STATUS; MARITAL STA 7US; DISABILITY, HANDICAP, NA77AVAL ORIGIN, ANCESTRY, CR SOURCE OF
INCOME AS .SET FORTH IN APPLICABLE STATE OR FEDERAL LI n EXCEPT TD THE EXTENT THAT SAID
COVENANT CR RES7RIC770N IS PERM?TED BY APPLICABLE LAW, AS CONTAINED IN INS7RUMENT5 RECORDED
DECEMBER 20, 1962 IN BOOK 200 AT PAGE 314, MAY 20, 1964 IN BOOK 207 AT PAGE 135, AUGUST 6, 1965
IN BOOK 214 AT PAGE 396 EXHIBIT A OF INSTRUMENT RECORDED JANUARY 14, 1965 IN BOOK 211 AT PAGE
229 AND RESOIUDAV OF STARWOOO HOMEOTMIERS ASSOCYA77ON AMENDING PR07EC77V£ COVENANTS RECORDED
DECEMBER 144 1992 IN BOOK 697 AT PAGE 613 AND RECORDED NOVEMBER 1, 2007 UNDER RECD-77CW NO.
543723, AMENDMENT RECORDED NOVEMBER 1, 2007 UNDER RECEPDON NO. 543724, AMENDMENT RECORDED
DECEMBER 1, 2011 UNDER REG91770N NO. 584762, RESCLUBON REGARDING COW WANTS RECORDED OCTOBER 5
2012 UNDER RECEP770V NO. 592904 AND AMENDMENT RECORDED OCTOBER 5 2012 UNDER RECEPDON NO.
592905.
1J TERM$ COIVDIDONS AND PROVISIONS OF ASSIGNMENT OF ASSESSMENT RECORDED NOVEMBER 09, 1970 IN
BOCK 251 AT PAGE 744.
fA TERMS, CONDITIONS AND PROVISIONS OF A6REEMENT REGARDING PRI✓A IF ROADS REGARDED DECEMBER 5,
1974 /N BOCK 294 AT PAGE 124.
15 7ERM4 CON91770NS AND PRONS/ANS OF AGREEMENT RECORDED JANUARY 24 1978 /N BOOK 342 AT PACE
510.
16. TERMS CCND1770VVS AND PRONSICNS OF AMENDMENT 70 AGREEMENT RECORDED SEPTEMBER 29 1975 /N I
BOOK JOJ AT PAGE 284.
17. TERMS, CCV91770NS AND PRONSICAVS OF EASEMENT RECORDED OCTOBER 26 1980 IN 800K J98 AT PAGE
70.
18. EASEMENTS; RIGHTS OF WAY AND ALL MA TIERS AS DISCLOSED ON THE REGARDED PLAT OF THE SUBJECT
PROPERTY RECORDED AUGUST 3, 1965 IN PLAT BOOK J AT PAGE J4,
SURVEYORS LER77RCATE-
I, ETFREY ALLEN 7UTTLE- BONG A PROFESSIONAL LAND SURVEYOR IN THE STATE OF COLORADO, DO HEREBY
CER77FY 70 SIEVDV UN DA OWN, EE UNG LEK LINDY, MI9f7RST BANK, 17S SUCCESSORS ANO/OR ASSIGNS A' LAND
777LE GUARANTEE THAT INS IMPROVEMENT SURVEY WAS PREPARED FROM AN ACTUAL MONUMEN7FD LAND SURVEY
OF THE PROPERTY CORNER MONUMDV IS, BOTH FOUND AND SET, UNDER MY DIRECT SUPERV19CYV AND CHEL2(IAQ
THAT IT IS CORRECT TO THE BEST OF MY BELIEF AND KNOWLEDGE" AND 7HAT ALL D/MENSICN,S: BOTH LINEAR AND
ANGULAR WERE DE7ERAIINED BY AN ACCURATE CONTROL SURVEY IN THE FIELD WHICH BALANCED AND CLOSED
W17H7N A OMIT OF 1 )N 15000 (WHIGS/ COMPLIES IWIH COLORADO PROFESSIONAL STANDARDS FOR A LAND SURVEY
PLAT AND THE CURRENT ACCHIRACY STANDARDS FOR ALTA/AGSM LAND 777LE SURVE)'S).• I FUR77IER CERTIFY THAT
THE IMPROMWEN75 ON THE ABOVE DESCRIBED PARCEL ON THIS DATE MARCH/ 19, 2012 EXCEPT U77UTY
CANN£CBC'JS; ARE ENTIRELY W17HIN THE BOUNDARIES Or 7HE PARCEL, EXCEPT AS SHOWN, THAT THERE ARE NO
ENCROACHMENTS UPCN THE DESCRIBED PREMISES BY IMPROVEMENTS ON ANY ADJAO'NING PREMISES EXCEPT AS
INDICATED, AND 7HAT THERE IS NO APPARENT ENOENCE OR SIGN OF ANY E4 -';DW NT CROSSING OR BURDENING
ANY PART OF SAID PARCEL, EXCEPT AS NOW.
JEFFREY ALLEN ]UTILE LS 33638 DA 7E
Oft 12ft 24ft
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