HomeMy WebLinkAboutpitkin.eh.264929402027 (1997)ASPEN/PITKIN ENENTAL HEALTH JEPARTIVIENT
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM
130 S. Galena St., Aspen Colorado 31611
Phone 970-920-5070/Fax 970-920-5039
Permit #q10
11 Parcel ID #
Permit For. New Installation
^( ) ,I Repair(
;i/f �'/5)
Name of OWNER ddS �1
Street Address /0-4-7 1r %.
Owner's M.ailinq Addreesu�s f ►/�� /'%4% ice
?-Ctu-
C�
Remodel ) Em rgenc Use
)�
�fL 1�1Di4L�. �S uai,�S
r
�3
Legal Description: Lot Block [�� f .Subdivision (t� C `_�
Size of lot -� acres Type of proposed structures Size of bldq e ryvelope: t� � ,
f i"' -"C -9 -�E:lw�L ME
' otal area/livinq space (sq. ft): of Bedrooms, o ices r siz ro s. iP-
i -1_11-1. , r n va r Tntni nraanivinn snare of caretaker unitfsa ft.1 f 1 # of Bedrooms. offices and similar size rooms
Primary Contact Person
Contact Mailing Address
� ,�/�
Business Phone { T7� Cell Phone Fax :"A �—rv2�
Wwer.XPrivate well ( )Spnnq ( )Stream ( ) Community/Public (Name of
Is Proof of Adequate Water Attached( Required ? (✓) res ( ) No (A water quality test and well pump test or approval letter from community system)
Has this project been approved by Pitkin County ? ( ) Yes ( ) No,�L�¢
Is a copy of the floor plan attached ( Required ) ? (to'Pes ( ) No
Is a copy of the site plan attached
No
Application for an individual sewage disposal system is hereby submitted. I hereby certify that the above information is true and accurate and that I have provided true and
accurate information on locations of all existing and proposed wells, contour intervals, buildings, property lines, ditches. slopes. waterlines, springs, suction or irrigation lines,
drinking water cisterns, drain tiles, irrigation ditches, lakes. water courses, streams, floodplains, dry gulches, and existing septic systems. I acknowledge that any false or
incomplete information will invalidate the application and any subsequent permit. Issuance of the permit does not imply the approval of any other permit required for construction
pursuant to Pitkin County codes. No construction may be undertaken until all approvals and permits have been obtained. The owrer assumes all responsibi'ities in case of failure
or inadequacy of this system.
Signature of applicant Date _
--------------------------------------ForcreUartmern-use' t3elow----------------------------------------------
. (1 PERMIT FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM
.5 V�l
Design Criteria of system to be Installed Any chances must be submitted and approves mwritln (�
Perc Rate C3" min pqr inch ut r Profile Hole Depth feet
Septic tank capacity: 3 ► (� W gallons Absorption area: 0 sq.
of 3e�c d G r G It, GLJ 1 ej c S� v �� �r o v G-rv�-l�e�w a ►� c�Q��o ��1> {
aAA-0- %A:,e __QC9_ `CV �e_ G ,K1 n rr L+ f,2 -y LA -111i t �` 1 j 4'O
t rn fies j a be c� c. e `.mac-� ,^ =,,�•, g,.. s v ;,k�;,�1. CG•� �c-t
l,s k}- o o - ► nA-4 . cu -n t In . res-rr, r ,
►cx rt31�'�^ . -tel t fi '�-�'�x�--4�(� r-,a-iA t�
riot ems► k� q,tL mac a .
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s z.4 32tI;ack--
#, wets L rTWX,_ ( �i "-, Pc. -_,-a1 l:,U 'to
v .%I %,�v
An inspection is required prior to backfill of any component of the distribution system. u
Design by Engineer Required ? ( ) Yes KNo All plans and specifications of the engineer must be followed. Any changes must be approved by the 7
AspeniPitkin Envirommntal Health Department in writing and the engineer must certify the final installation to the Environmental Health Departm nt i:.
writing.
Permit approval by: Date l'L--Z -�'�� 1�
pv�ca' pwt,66v
Plans and specifications of the propose9indwid.11 s age disposal system have been reviewed and are considered satisfactory. Permission is hereby granted to thg owner or�P
the agent to perform the wl'rk indicated in accordance with the Pitkin County ISIDS Regulation in effect at the time of issue. This permit becomes invalid 6 months fh he date
that the permil'.vas issued unless system construction has commenced or an extension has been approved in writing by the Department., i
ox
As -Built drawings must be included with this permit before the final approval will be issued. `
Installer. � � C"5�,-','+'-
�� t7 Receipt # f—Z-'h{�—"��� Site Plan . a Imo- `tS Well Permit and "�` i Soils Test
S I_ Date received x:'11 Floor Plan t�/;L 1' t ' Water Quality Test or , —� 7Date Info Complete
12_1Water System Letter Final Insp Requested
Received by t%ala �i� Comm Dev Approval
Date:
Final Inspection Approval: cs pZ APE"°'°
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10-14-1998 03:52PM FROM CULLIGAN
Post -it' Fax Note
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Phone #
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Fax #
Fax #
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10-14-1998 03:52PM FROM CULLIGAN TO 9205197 P.02
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TOTAL P.02
AC) / Pitkin Environmental Health Departmen,
Contact Log Sheet
Name: �•
Parcel•A'f
• .. -
Date Person Spoken To
Comments Action to be Taken
lr • ♦�i1t _y WOMMIAMIMEMA•
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FAX
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Date 08/18/98
INumber of pages including cover sheet
TO: Bill Dorais FROM: Jannette Whitcomb,
REHS
Aspen/Pitkin Env. Health
130 South Galena Street
Aspen, CO 81611
Phone
Phone 970-920-5069
Fax Phone 970.963.2670
Fax Phone 970-920-5197
CC:
REMARKS: ❑ Urgent ® For your review ❑ Reply ASAP ❑ Please Comment
Bill...
I have included the expired ISDS permit for the Donnelly's property at 105 Ute Trail that you
requested. I understand the owner only gave you the front page of the permit. Please notice
the additional comments on the next page. Please advise the owner that they must come into
the Department's office to fill out a new ISDS application. A fee is not required unless the
owner has changed the original floor plans that were submitted to this Department in 1997.
If you have any questions, please call this Department.
Thank you,
Jannette Whitcomb
HE, WORTH-PAWLAK GEOTECHNICi INC.
TABLE I
PERCOLATION TEST RESULTS JOB NO. 197 674
HOLE NO.
HOLE DEPTH
(INCHES)
LENGTH OF
INTERVAL
(MIN)
WATER
DEPTH AT
START OF
INTERVAL
(INCHES)
WATER DEPTH
AT END OF
INTERVAL
(INCHES)
DROP IN
WATER
LEVEL
(INCHES)
AVERAGE
PERCOLATION
RATE
(MIN./INCH)
P-1
50
15
water added
7
5 1/2
1 1/2
26
5 1/2
41/2
1
6 1/2
5 1/2
1
5 1/2
43/4
3/4
43/4
41/4
1/2
41/4
33/4
1/2
33/4
3
3/4
P-2
55
15
water added
8 1/2
7 1/2
1
26
7 1/2
6 1/2
1
6112
5 1/2
1
101/2
9 1/2
1
9112
83/4
3/4
83/4
81/4
1/2
81/4
73/4
1/2
P-3
60
15
water added
91/4
8 3/4
1/2
26
83/4
81/4
1/2
8114
7 3/4
1/2
10 1/2
101/4
1/4
101/4
93/4
1/2
93/4
9
3/4
9
8 1/2
1 1/2
Note: Percolation tests were performed in 1 foot diameter by 1 foot deep hand dug holes in the bottom of backhoe pits. The
holes were soaked with water on 1112/97. The holes were protected overnight with insulation. The percolation tests
were performed on 11/13/97.
s
0
HEPWORTH-PAWLAK GEOTECHNICAL, INC. 5020 Road 154
Glenwood Springs, CO 81601
Fax 970 945-8454
Phone 970 945-7988
November 20, 1997
Laura Donnelly
P.O. Box 1832
Carbondale, Colorado 81623 Job No. 197 674
Subject: Percolation Testing, Proposed Leach Field, Tract 3, Swiss Village,
0105 Ute Trail, Pitkin County, Colorado
Dear Ms. Donnelly:
As requested by you, Hepworth-Pawlak Geotechnical performed percolation testing at
the subject site on November 13, 1997. The findings of our work are presented in this
report. Our work was performed based on our professional services agreement letter to
you dated November 11, 1997.
A deep profile pit and three shallow percolation pits were excavated by others prior to
our initial site visit. Hand dug holes were excavated in the bottom of shallow backhoe
pits and soaked with water on November 12, 1997. The soils observed in the profile pit
consisted of 1 foot of topsoil overlying slightly silty sand and gravel with cobbles and
boulders up to 18 inches.
The percolation tests were performed on November 13, 1997. The results of
P
percolation tests conducted at the site are presented in Table I. The test locations are
shown on Fig. 1. The percolation rates averaged about 26 minutes per inch. Based on
our findings, the tested site is suitable for a conventional infiltration septic disposal
system.
If we can be of further assistance, please do not hesitate to call our office.
Sincerely,
HEPWORTH - PAWLAK GEOTECHNICAL, INC.
l
Daniel E. Hardin, P.E.
RE
E. h
24443
moo••. •: �
DEH/kmky U NAS
attachments
cc: Aspen/Pitkin Environmental Health- Attn: Mary Wood
APPROXIMATE SCALE
1 " = 20'
1 ,
1 TRACT 3
UTE TRAIL
TRACT 14
EXISTING
SHED
I
I IIj PROPOSED I
GARAGE
1 ADDITION II
L --- -►i
i
I
DRIVE
I
I
/WELL
I
PROPERTY
BOUNDARY
197 6741 HGEOTECHNICALWORTHAWLA I LOCATION OF EXPLORATORY BORINGS Fig. 1
c
HEPWORTH-PAWLAK GEOTECHNICAL, INC.
November 20, 1997
Laura Donnelly
P.O. Box 1832
Carbondale, Colorado
,
7r 9R i
.r
,A NOV 2 n 1997
81623
44
5020 Road 154
Glenwood Springs, CO 81601
Fax 970 945-8454
Phone 970 945-7988
Job No. 197 674
Subject: Percolation Testing, Proposed Leach Field, Tract 3, Swiss Village,
0105 Ute Trail, Pitkin County, Colorado
Dear Ms. Donnelly:
As requested by you, Hepworth-Pawlak Geotechnical performed percolation testing at
the subject site on November 13, 1997. The findings of our work are presented in this
report. Our work was performed based on our professional services agreement letter to
you dated November 11, 1997.
A deep profile pit and three shallow percolation pits were excavated by others prior to
our initial site visit. Hand dug holes were excavated in the bottom of shallow backhoe
pits and soaked with water on November 12, 1997. The soils observed in the profile pit
consisted of 1 foot of topsoil overlying slightly silty sand and gravel with cobbles and
boulders up to 18 inches.
The percolation tests were performed on November 13, 1997. The results of
percolation tests conducted at the site are presented in Table I. The test locations are
shown on Fig. 1. The percolation rates averaged about 26 minutes per inch. Based on
our findings, the tested site is suitable for a conventional infiltration septic disposal
system.
If we can be of further assistance, please do not hesitate to call our office.
Sincerely,
HEPWORTH - PAWLAK GEOTECHNICAL, INC.
R0
j
E.
Daniel E. Hardin, P. I of 24443
,o•• !// q-7
DEH/kmkr° .S/0N�i �'`�a4
attachments
cc: Aspen/Pitkin Environmental Health - Attn: Mary Wood
APPROXIMATE SCALE
1" = 20'
i
TRACT 3
LITE TRAIL
TRACT 14
EXISTING
SHED
i
PROPOSED �I
GARAGE
-� ADDITION II
L --- -�I
I
I
DRIVE
I
/WELL
PROPERTY
BOUNDARY
197 674 HEPWORTH - PAWLAKI LOCATION OF EXPLORATORY BORINGS I Fig. 1
GEOTECHNICAL, INC.
ft
HEPWORTH-PAWLAK GEOTECHNICA*NC.
TABLE I
PERCOLATION TEST RESULTS
JOB NO. 197 674
HOLE NO.
HOLE DEPTH
(INCHES)
LENGTH OF
INTERVAL
(MIN)
WATER
DEPTH AT
START OF
INTERVAL
(INCHES)
WATER DEPTH
AT END OF
INTERVAL
(INCHES)
DROP IN
WATER
LEVEL
(INCHES)
AVERAGE
PERCOLATION
RATE
(MIN./INCH)
P-1
50
15
water added
7
5 1/2
1 1/2
26
5 1/2
41/2
1
6 1/2
5 1/2
1
5 1/2
43/4
3/4
43/4
41/4
1/2
4114
33/4
1/2
33/4
3
3/4
P-2
55
15
water added
8 1/2
7 1/2
1
26
7 1/2
6 1/2
1
61/2
5 1/2
1
101/2
9 1/2
1
91/2
83/4
3/4
83/4
81/4
1/2
81/4
73/4
1/2
P-3
60
15
water added
91/4
8 3/4
1/2
26
83/4
81/4
1/2
81/4
73/4
1/2
10 112
101/4
1/4
101/4
93/4
1/2
93/4
9
3/4
g
8 1/2
1/2
Note: Percolation tests were performed in 1 foot diameter by 1 foot deep hand dug holes in the bottom of backhoe pits. The
holes were soaked with water on 11 /12/97. The holes were protected overnight with insulation. The percolation tests
were performed on 11/13/97.
Contract # 940725JJ(a)
Map ID # 16Z_
Date -ivated
APPLICATION FOR FOR CHANGE OF OWNERSHIP
Water Allotment Contract#:
Date: September 22, 1997
910725JJ
Name of Contract Holder: WALTER PFANENSTIEL
Name of Assignee: THOMAS B. DONNELLY
Address of Assignee: 105 UTE TRAIL, CARBONDALE, CO 81623
Amount of Water Assigned: One Acre
Legal description ofarcel where well is 1oc t d
105 UTE TRAIL (Tract 3) SWISS VILLAGE, PITKIN COUNTY, CARFONbALE, CO 81623
-VE 1/4 of the SE 1/4 Sec. 29 Twp. 9 S Range 88 W 6th
The undersigned Contract Holder and Assignee do hereby give notice
to and make application to West Divide Water Conservancy District
for the assignment of the above described Water Allotment Contract
as set forth above. By signing this instrument, Assignee does
hereby agree to assume and be bound by the terms and conditions of
said Water Allotment Contract and all addenda and exhibits thereto.
It is understood that Contract Bolder is released from performance
under said contract to the extent that such performance has been
hereby assumed by Assignee.
first
on i'act Hb1ftr-YALTER PFAN
ing above.
Contract Holder
hssignee T11 MAS B. DONNELLY Assignee
STATE OF COLORADO )
7
ss.
COUNTY OF
The foregoing instrument was acknowledged before me on
this ZZ day of �2 _p..�,�.(¢U , 1914 by
WALTER PFANENSTIEL PUBLIC
Witness my hand and offiaiall.:s il :; 0406 ARROWHEAD TRAIL
My commission expires: (,c. r' RIFLE, CO 81650 1
1i MISSION EXPIRES 01/051204
p
'-..Nota ; P I) is
STATE OF •• i°;
COUNTY OF Qk— �t i s 1
—._._.
The forego}ng instrument was acknowledged before me on
this �� day of — P j"' L}-" 15? 7, by
THOMAS B. DONNELLY P -'C DENISE L. C
0406 AHHU
WitnesfAio'�111
my hdnd ana"; ficial seal. RIFLE, CO 81650
My com pirLS MY COMMISSION EXPIRES 01105rZ0o1
C� Notary Public
ZQ� Y
APPROVED BY WEST DIVIDE WATER CONSERVANCY DISTRICT
President Da
•ir
SEO-WTR DIV 5 TEL:303-945-5665 Nov 28 97 13:04 No.002 P.01
0 0
REPORT DATk 11/20/97 COLOPADO WELT. APPLICATIONS AND PFRMITA PA08 1
Cx3TARALO nIVISIQN OF WATER kFSOURCBS
RECEIPT APP nnTR STA1 DATE NP DATE WELL-A•REFER TRANS ACPIV STAT
372935 0'1/28/91 D3/2s/96 00/26/94 158287 C17 OC CD NP Cl) OC
Div CO FILE NUMBER HD HAS Mn N)WN
5 49 43451 F 38 00 OD PYANENSi181, WA!ZMR J
ADulmss . ADM—= CITY AT
4740 ALTA VISTA CIR nALLAS TX
ZIP EXT rFiONE ()10 410 0160 SEC TWNSHP RANDS PM
75229 ( 214)361-0634 NF SN 29 9 S 80 W S
CASE U- USER Dkf,R PUMP INST -•--- COORDINATES --- - r,OT kLX FIG
O A 094 7050 NIS 2510 S R/W 1222 E 3
RtMDIVISTON RRP'r -- we" -- coup kkpr -- pump -- COMr
HWISS V1r.LWk 02/02/95 DATE. 12/07/91 02/02/96 DATE 05/21/91
COMMHNTS Fmc US2k
1HFD, 12,000 Y'r R0 Ikk, n0M AmrmALS, WEST D1vID6 CONTRACT, 0.6 AC JD2 Lie)
MWC HEM NRU RkCD SRu RECD RENDV USE AMENDED RECD-ADAND•- COMP
--DATP.-- --DATE.- --DATE-- - -LATE- - DATE -- - -DATE- - -DAlm
/ / / / 08/30/94 00/27/94 / / / / / /
ACRN-M, TOP/PeRv/DO'Y nEPTH YIELD LEVkI. ELkv METER LOO ABAND RFQD
112 122 122 15.00 95 Y H N
EXPIRE DATE STA'rtrrE In AM IR QUAL AQUIFER (S) OMNkR DESIGNER
08/26/95 (1:172) 00000 (1) GW (2) Y1
FORM NZ. STATE OF COLORADO For office Use only
GWS -11 OFFICE OF THE STATE "...3INEER
07/93 818 centennial Bldg., 1313 Sherman SL, Denver, Colorado 80203
(303) 866-3581
PRIOR TO COMPLE f1NG FORM, SEE INSTRUCTIONS ON REVERSE SIDE
CHANGE IN OWNERSHIP/ADDRESS / LOCATION
WELL PERMIT, LIVESTOCK TANK OR EROSION CONTROL DAM
1. NEW OWNER
� ..t ...F...--�-..... �.i..........
NAME(S) .........�..... /
..........
Mailing Address19.5. VX_ f�:..1�.....r-................................................................
City, St. ZipC�'l3C�n1DA1 !�, /...W.......�l�P.�.-
......................................
Phone(_��)�..1..��._..................
2. THIS CHANGE IS FOR ONE OF THE FOLLOWING:
WELL PERMIT NUMBER..O.?!�—!. D7�9F ...............................
❑ LIVESTOCK WATER TANK NUMBER ..............................
U EROSION CONTROL DAM NUMBER ....................................................
OWNER'S WELL DESIGNATION........................................................
3. WELL LOCATION: COUNTY....... f .1.:.T.���........... ....:.............. �, �
'. ........ .....'4.1 ,...r ..........................................
(Address)
(City) (state) (zip)
'❑ N. or ®S., Range ..S�.. ❑ E. or ®W. _�4 P.M.
1/4 of the 1/4, SeC,.. 2._ Twp•__._q.....
Distances from Section Lines .
a2S^v2'... Ft. from ❑ N. or ® S. Line, lfeno-. Ft. from ® E. or 11W. Line.
cr^.9 Block ..........._......._ Filing (Unit) ...................._
Subdivision...Sc:VIS�....... ....L..L...�.� _...............
....................
4. LIVESTOCK TANK OR EROSION CONTROL DAM LOCATION: COUNTY.... ............. _...
...................
1/4, Sec .................. Twp............... ❑ N. or ❑ S., Range .............. ❑ E. or ❑ W. ................. P.M.
5. The above listed owner(s) say(s) that he (they) own the structure described herein.
The existing record is being amended for the following reason(s):
FZ?l K7 a in mailing address. 11Correctionof location.
Change in name of owner. Change g
6. 1 (we) have read the statements made herein, know the contents thereof, and state that they are true
to my (our) knowledge.
[Pursuant) Section 24-4-104 (13)(a) C.R.S., the making of false statements herein constitutes perjury in
the second degree and is punishable as a class 1 misdemeanor.] =DateName%Title (Please type or print)Signature
FOR OFFICE USE ONLY
By Date
State Engineer Mp _ Use
-
Court Case No. Div Co' WD Basin
INSTRUCTIONS C 4GE OWNERSHIP -ADDRESS LOCAL _ J CORRECTION FORM JULY 1993
NO FEE IS REQUIRED
The form must be typewritten or printed in BLACK INK. Initial and date any changes you make on the form.
THIS FORM MAY BE REPRODUCED BY PHOTOCOPYING OR WORD PROCESSING MEANS.
INCOMPLETE FORMS WILL BE RETURNED. ATTACH ADDITIONAL SHEETS IF MORE SPACE IS NEEDED.
1. Print the new owner's name and include the mailing address and phone number.
2. Indicate if the change in ownership/address is for a well permit, livestock water tank or erosion control
dam. Be sure to include the proper permit tank or dam number.
3. Complete the well location information. If the address of the well location is different than the mailing
address of the owner, include the address where the well is located. If the owner has more than one
well, provide well name or number as designated by the owner; i.e. North Well. The actual well location
must include 1/4, 1/4, Section, Township and Range. Check the appropriate boxes for North or South and
East or West directions. Complete the Subdivision, Lot, Block and Filing information, if applicable.
4. Complete the location information for the livestock water tank or erosion control dam. The actual
location must include 1/4, Section, Township, Range and P.M. Check the appropriate boxes foi North or
South and East or West directions.
5. Check the reason (s) for submitting the form, whether it is a change in ownership/address and/or location
correction.
6. The owner of the structure must sign. Print or type your name in the first block if it is different from Item
No. 1. If signing as a representative of a company who owns the structure, then your title must also be
included in the first block. Sign the second block and date the last block.
USE THIS FORM TO CORRECT THE LOCATION OF YOUR WELL IF:
A. Your well was permitted, registered, or first used prior to May 8, 1972 for ordinary household
purposes in up to three single-family dwellings, fire protection, the watering of poultry, domestic animals,
and livestock on farms and ranches and the irrigation of not over one acre of home gardens and lawns.
B. Your well is not of the type described in A above, but was permitted or registered prior to May 17,
1965. Inside the Designated Ground Water Basins, other procedures and publication may be required.
C. Your well was decreed by the Water Court for the correct location.
IN ALL Cii HER CASES USE FCni—A v'r'rC-42
All other types of changes concerning Livestock Water Tanks and Erosion Control Dams should be submitted
on the standard Permit Application form and be accompanied by a $15.00 filing fee.
If you have questions, contact the Denver or the Division Office where your well is located
DIVISION 1
DIVISION 2 Box 5728
DIVISION 3 Box 269
DIVISION 4 Box 456
800 8th Ave Rm 321
219 W 5th Rm 223
422 4th St
1540 E Niagara
Greeley CO 80631
Pueblo CO 81003
Alamosa CO 81101
Montrose CO 81402
(303) 352-8712
(719) 542-3368
(719) 589-6683
(303) 249-6622
DIVISION 5 Box 396 DIVISION 6 Box 773450 DIVISION 7 Box 1880
50633 US Hwy 6 & 24 625 So. Lincoln Ave 1474 Main St
Glnwd Spgs CO 81601 Stmbt Spgs CO 80477 Durango CO 81302
(303) 945-5665 (303) 879-0272 (303) 247-1845
DENVER OFFICE
Rm 821
1313 Sherman St
Denver CO 80203
(303) 866-3581
12-34-1997 06:03PM FROM Cl"'.IGAN TO 9205197 P.02
C[
i
Name TOM DONNELLY Date Tested 11/13/97
Address 0151 UTE DRIVE Location KITCHEN SINK
City/state REDSTONE, CO _ _Sampler BOB DONNELLY
Parameter .,
Suggested Limit Man at ry limit Re5ults__ ____
Turbidity. Visual
CLEAR .5 NTU CLE ANN U
ChlorineCLD
Irng/l
Nitrate
_ _ 10.00 mg/I 10 ing/i_- f
Dissolved Oxgei...--
-mg/.:.1_-- —
Sl to SO4
250
Manganese_MN.. —
0.05
Dissolved&J.ids_T.D.S _ 500 m..g/1 420�_...-m /g 1 I—
Laie.,.Jron 0.3m f 1 -- mg/I !--
�9td Iron 0.3 me
Ferrous Iron....,_. 0.3 mg/lNSilica Si o limit MCI
Car._boDioxide No limit__.. m9/l_,..._'_
Tannin
PH _- 7.2 or Higher 7.6
Mogen Sulfide N§ Iimit
Sodiuiii NA 20 me/1
Coliform Bacteria E/Coli 1 Col/100 ML
lr�n�acteria mIT/ .
VOCs(Total j�.cbpr}s�_(Cujb.gn Recommended U.4me/1 _ 1
Lead Pb ----.._._ 05mg��l mg/l
_4SEE_ATTACHED SHEETS
Iron after filtration w/ Micron Filter _01) mgi]
noticeable Odor-.,__._ Int side Cold Side _-- _—_NONE !_
I
PURTEST BACTERIALOGICAL TEST _--- - -. _.._............ �•--n14n
* Not all of the above tests are necessary for proper equipment selection. Additional. tests'.
are available through local laboratories.
Further testing recommended no
F-86 I'olveltrolyte results N/A.
additi9nal.Co�r�ments water analysis common to location
Equipment recommendationsare made based -.on. telt restll�s._a s 1.t�c
TOTAL P.02
12-04-1997 06:03PM FROM CI"'.IGAN TO 9205197 P.01
O
■'
�1.1.
• ROARING FORK WATER CONDITIONING COMPANY, INC.
1629-E DELORES WAY CARBONDALE, COLORADOI 81623
(970) 963-2273 FAX# (970) 963-0131
i
DEC; D 1997
FAX COVER SHEETENVIRONMENTAL HEALTH
ASPEN 1 P11
From: R(:ARING FORK WATER CONDITIONING CO
I
To: MARY WOOD
Re: TOT! DONNELI,Y WATER 'TESTING RESULTS I
i
Date: 12/4/9; Pages: _ _ I
From: 970-963-0131 To Fax: 920-5197
If this transmission is either incomplete or illegible, contact:
Name: Janice Phone: 970-963-2273
RESIDENTIAL, COMMERCIAL. INDUS,RIAL WATER TREATMENT PRODUCTS AND SERVICES
CULL;GAN DEALERSHIPS ARE WDEPENDENTLY OPERATED
FORM NO.
STATE OF COLORADO
For office Use only
GWS -11
07/93
OFFICE OF THE STATE ENGINEER
818 Centennial Bldg., 1313 Sherman St, Denver, Colorado 80203
(303) 886.3581
PRIOR TO COMPLETING FORM, SEE INSTRUCTIONS ON REVERSE SIDE
CHANGE IN OWNERSHIP/ADDRESS, / LOCATION
WELL PERMIT, LIVESTOCK TANK OR EROSION CONTROL DAM
1.
NEW OWNER u ' n
NAMES) ...�f�i�!"[......... ... Q. -.........................................
Mailing Address..���:..p..>...�•,?........�.......�......��.�—�.......................................:.........................
City, St. Zip.r��1/...eQ.......`P.......................................
Phone(...rfl�).3-.`r�P...........................
2.
CHANGE IS FOR ONE OF THE FOLLOWING:
�TTHHIIS
,! WELL PERMIT NUMBER..Lr)14�15�..<��.F ...............................
❑ LIVESTOCK WATER TANK NUMBER ....................................................
❑ EROSION CONTROL DAM NUMBER ....................................................
3.
WELL LOCATION: COUNTY........��1..T. �..................... :............... OWNER'S WELL DESIGNATION ........................................................
(Address) (City) (State) (zip)
p p
G.. 1/4 of the.-- . 1/4, SeC....p'2 .. Twp... ❑ N. or ® S., Range_, .❑ E. or ® W. ...�7 P.M.
Distances from Section Lines _`v,^v2f�.. Ft. from ❑ N. or ®S. Line, ��4n� _ Ft. from ® E. or ❑ W. Line.
Subdivision -5c1 ��_ . 11.�.� ..... ".'�� Block ..... ......... Filing (Unit) ._ ......
4.
LIVESTOCK TANK OR EROSION CONTROL DAM LOCATION: COUNTY_..........:...............................:................_......
................. 1/4, Sec.................. Twp ............... ❑ N. or ❑ S., Range................ ❑ E. or ❑ W. ................. P.M.
5.
The above listed owner(s) say(s) that he (they) own the structure described herein.
The existing record is being amended for the following reason(s):
ZChange in name of owner. ® Change in mailing address. ❑ Correction of location.
6.
1 (we) have read the statements made herein, know the contents thereof, and state that they are true
to my (our) knowledge.
[Pursuant to Section 24-4-104 (13)(a) C.R.S., the making of false statements herein constitutes perjury in
the second degree and is punishable as a class 1 misdemeanor.]
Name/Title (Please type or print)
Signature
Date
111-30P7
FOR OFFICE USE ONLY
State Engineer By Date
Court Case No. Div. Co. WD Basin MD Use
12-19-1997 12:44PM FROM B 'ND B ELECTRIC INC 970 927 8521
DEC 1 o 1997
SASAbnS QKvi
30VdS NI SBN11
ENVIRONV, E N"i,AL HEALTH
ASPEN / PITKI
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SEP -22-1998 13:49 ORTHO ASSOC OF GLENWOOD
I i
UPPE LEVEL:
26 x!28 = 728
2 x'20 = '40
Tota = 768
I
28
Post -Ir Fax Note 7671
Date p za i
4901es0'
Tom N SCO Ms
From
D AA,,i1
CoMepl.
!% 6
Co ,— S D C
Phone #
Phone #-19
Fax # 9� p 5
Fax e
I
I
MAIN LEVEL:
30-112 x 20�-2 = 625
6 x 10 = 60
331-2x 5 - 15 !
28 x 26 = 728
Total =1428
� I
10-14-1998 03:52PM FROM CULLIGAN TO 9205197 P.01
�■ i
Post -it' Fax Note
7671 Date#
pages
To-�
�.
rom sdgr
Co7Dept.
Co.
Pone #
ona
fes#Qj
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Fax #
Fax #
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OEfELT IM TAI, WAVEY ME ODIMFJI® e011f (IMM 7FJ1 YFAIIS rMOY TIE DTC O TI[
• THIS U.AvEY
IOM SAM I —
I—,- swo MEAEOM.
Tr. !
,.
2p
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{� .
Blockf 9arc`` °p E ISO 00
I 5 WELL
-}j--LJ 5. 3 •. ` -�
If211.
4.4'
...'`b--.....
Tr. 11F'
h / � frame porch .,..- .-.
house
`$o.cheark: Fini.hed floor •I.vatfo, 118.$;_ /
r
,1 7'
/ :II42 Tract 9 /
/ 116.2 22, \�00 asq.ft/
� I14.9" � o
0
P
� J H
Bu i I d i ng En veope 1/
N 72.
20 •OO.w \ e,
Tr. I 5p °° o
/ Tr. .9
LINES IN SPACE
LAND SURVEYS
014
N
W t► E
v
o to zc°40'
SCALE: 1"=20'
BUILDIr�G PERMIT
SURVEY
of Tract 3, Swiss Village
Tracts, Pitkin County, Co
CERTIFICATE
I. SYDNEY LINCICONE. HEREBY CER' 'Y THAT THIS SURVEY WAS PLOTTED :ROM FIELD NOTES OF A
SURVEY PERFORNED UNDER MY SUPER% ;ION AND IS CORRECT TOTHE BEST 7f WY KNOWLEDGE ANO
BELIEF.
DATED S 15th DAY OF EPTEMBE6 1995.
p�Q��.101%T{,rr� rb
i :'5
SY LI COME P.L.S. 141
ap��
NN*
J .
*....A L LA!��c`°
LEGEND AND NOTES
0 FOUND ROUND BOLT
........... EDGE OF GRAVEL
t00 ° IHDICATES RELATIVE GROU.' ELEVATION
BUILDING IERMIT SURVEY
105 l TE TRAIL
CARBOND SLE. COLORQ0
8Y- L/NES IN SPA (","E
SYDNEY LAOCOME ( L.S. M / / / )
Box o CARBoAbA[c. cm mi -RA -T-3852
DA 7F., 09/6197 XxV.E•• r - 20' X..? AY1_• 97064
�AACCCTOO�1RIID1��IMD UPON
GTO �OaRADOTLAW YOU MUST COMMENCE ANY 71LpkQAALL ACTION 1�pA►q�p,LNefft AJY DEFFT IN THIN MAKY
IIAS&LF IN 11118 NNWY IE OOI1EY�D FIRV W150 lEll YfMf fEDYMTI{ DAIL aF MY CE4 fICAT1011EN10M1 MfAEOM.
/ N
W►E
Tr. 4 4
/ S
D. �
\ � `u "Oe D.°.
Bloc ga�roga-_ �� �
5 � -�
SCALE: 1"=20'
WELL
1 14 . ti
Tr. 14 YDs 8..-
o' '^ frame porch /
a' house ?
Nenchmark: Finished floor elevation 118.2_
W / /
O f'
115 7' \ ,
l
/ 1142 Tract 3
I n2l 2.2;` 00 s g . f t
Ap
` Building EnvelcpeJ
°
°0'w ,moi
SU o
°p
Tr. I
y � r t�
LINES IN SPACE
LAND SURVEYS
BUILDIDIIG PERMIT
SURVEY
of
105 1 -TE TRAIL
Tract
r11 -E. COLOR ^, 4
3,
Swiss
BOX O CARBOAQALr COLO. 303-961-3852
Village
Tracts,
PJ.tkin
County,
Co.
CERTIFICATE
I. SYDNEY LINCICOME. HEREBY CER" -Y THAT THIS SURVEY WAS PLOTTED FROM FIELD NOTES OF A
SURVEY PERFORMED UNDER 10Y SUPERV TION AND IS CORRECT TO THE BEST )F MY KNOWLEDGE AND
BELIEF.
DATED UNS 15th DAY OF
LINC,fCOME P.L.S. 141
1995.
14111
LEGEND AND NOTES
• FOUND ROUND BOLT
........ EDGE OF GRAVEL
i 100 0INDICATES RELATIVE GROU,1 ELEVATION
BUILDING �_IERMIT SURVEY
105 1 -TE TRAIL
CARBON
r11 -E. COLOR ^, 4
BY.' LINES IN SPA c"E
SYDNEY LINCIC:)ME ( L.S. /.Ill l
BOX O CARBOAQALr COLO. 303-961-3852
DATE' 0976797 Z,,Lt P • 20' ✓0.4 hi 97064