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pitkin.eh.272909200015 (2003)
Permit # 03034 Type of permit Pitkin County Environmental Health Department Permit for an Individual Sewage Disposal System 0405 Castle Creek Road, Suite 10, Aspen, Colorado 81611 Phone 970-920-5070 / FAX 970-920-5077 Parcel ID # 2729-092-00-015 New( ) Repair(x ) TANK ONLY Addition/Remodel to House( ) Name of Owner Ann Jeffrey Street Address 15569 Hwy. 133 Carbondale CO 81623 Property legal description Size of lot ± 2 acres Water source Private well # of bedrooms in house Caretaker unit # of bedrooms in caretaker unit Designed for what # rooms (list) A trart of land in Section 9-10-88 Total square footage of the house # of offices, lofts & similar sized rooms in house Total square footage of the caretaker unit # of offices, lofts & similar sized rooms in caretaker unit 2 bedrooms Permit information Designed by Tank only —Aspen Digger Mailing Address 0075 Sopris Avenue Perc rate N/a Profile hole depth Depth to groundwater or bedrock Minimum Septic tank capacity 656 gallons Minimum Absorption area Comments The existing tank will be properly abandoned. A new 1000 gallon, two compartment tank with an effluent filter on the outlet will replace the existing tank in approximately the same location. Any changes must be approved by this department and the design engineer prior to them being made. Minimum horizontal distances between components of the system and physical features shall conform to the Pitkin County ISDS regulations. This department does not endorse any brand of products. This permit must be kept on-site during installation. The engineer must do a final inspection of the installation and submit an as -built letter to this department. This department must also be called for an inspection with a minimum of 48 hours advanced notice. Permit approved by: �1 /� >t �� �r,�= Date: ,� a Plans and specifications of the proposed individual sewage disposal system have been reviewed and are considered satisfactory. Permission is hereby granted to the owner or the agent to perform the work indicated in accordance with the Pitkin County ISDS Regulation in effect at the time of issue. This permit becomes invalid 6 months from the date that the permit was issued unless system construction has commenced or an extension has been approved in writing by the Department. As -built 1 Installer: Final approval: must be inr,,luded with this permit before the final approval will be issued. Date: p 3 r PITKIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM 0405 Castle Creek Road, Suite 10, Aspen Colorado 81611 Phone (970) 920-'5070 Fax (970) 920-5077 Name of OWNER r� /) /'-/,/I, Q-1" 4-e Owner's Mailing Address /J `� & �' +�/G� t3 j Itkn Gt- r- GAY) 5 1"h City, State, Zip eC'_r ,6 0I)d pjjf, e C F f 3 Business Phone: `F 3 L/ 5 4 g Home Phone: Ipw. vrai-V V 3 � S9 /_" 3 LIOP E-mail Address: `2 h'► e 0 ea.., A e f Primary Contact Person (all communication regarding this permit will go through this person) Name J, Y))c L Company /15,0u? Di Lr -7pic . Contact Mailing Address p �t Jo r S /7 ✓ %? Ci , State, Zi &rb,9 h d Ah C0 lb ), 3 Business Phone : Cell Phone: 37 16b L Fax: 70q- 3 E-mail Address: 611 ,l �d 1 Parcel ID # (available from assessor's office at 920-5160 or at www.pitkinassessor.org) I/ — — — — — — — — — — — — Street address of property 0 rly/,r)&� 51Tl eT ajdre 55 - 15-5-6 -7 � � ly ")G'e`l 133 Legal Description: Lot Block Filing Subdivision Size of lot: 4, '7 7 acres. Type of proposed structure: Total square feet of house 4,OV 8 � S��t # of bedrooms (Poterstiat)in house L Caretaker Unit: Attached( ) Detached ( ) Total area(sq. ft.) of caretaker unit # of bedrooms (potential) in caretaker unit Permit is for: New Home ( ) Repair due to failure ( ) Remodel/Addition ( ) Emergency use ( ) Water: Private well ( ) Spring ( ) Stream ( ) Community/Public Water System ( ) If community system: Name of system -0 %n The fee for a ISDS application is $600 for a permit that takes 6 hours or less for the department to approve. If approval takes longer than 6 hours, a rate of $100 per hour will be charged. The maximum fee is $1000. The basic fee of $600 is due at the time of application. The remainder, if any, will be due in two stages: first, at the time of issuance of the ISDS permit; second, before final approval of the ISDS permit. Application for an individual sewage disposal system is hereby submitted. I hereby certify that the above information is true and accurate and that I have provided true and accurate information on locations of all existing and proposed wells, contour intervals, buildings, property lines, ditches, slopes, waterlines, springs, suction or irrigation lines, drinking water cisterns, drain tiles, irrigation ditches, lakes, water courses, streams, floodplains, dry gulches, and existing septic systems. I hereby certify that any such features not shown on attached site map are not present. Issuance of the permit does not imply the approval of any other permit required for construction pursuant to Pitkin County codes. No construction may be undertaken until all approvals and permits have been obtained. The Pitkin County Environmental Health Department, Pitkin County and employees of these agencies will be held harmless should the individual sewage disposal system fail or malfunction. The permit to construct is issued on information submitted by the applicant or his/her representatives. The owner assumes full responsibility in case of failure of the system. Signature of applicant Date61 U Received by p Receipt # r� �, Cat r�iv _ �l n - • ��l G:\isds\isds applic\isdsapp Rev050103.doc CHURCH ENGINEERS & GEOLOGISTS December 2, 2003 Ann Jeffrey P.O. Box 56 Arvonia, VA 23004 Subject: OWS Repair Installation Observation, Existing Jeffrey Residence 15569 Highway 133 Pitkin County, Colorado Job No. 14645W Ms. Jeffrey, RECEIVED DEC 4 2003 PITKIN COUNTY ENVIRONMENTAL HEALTH As requested, we observed the installation of the onsite wastewater system (OWS) for the subject site on November 10, 2003. The system was designed under our Job No. 14645W, dated September 23, 2003. The system includes an existing 1000 -gallon, two-compartment, plastic septic tank with an effluent filter added to the outlet and a drywell drain field. The dimensions of the drywell measure 12 feet wide by 20 feet long by 8 feet deep for a total infiltrative area of 752 square feet. An as -built drawing is included as Figure 1. The components of the OWS were installed in conformance with our plans and specifications. If there are questions or if we may be of further service, please call. Sincerely, CHURCH & Associates, Inc. Eric R. Burns Field Technician EOC/trp/erb 2 copies sent Copy to PCEHD, Attn: Nancy MacKenzie Reviewed by Edward O. Church, v 3 2 �, o ui 73y DENVER 4501 Wadsworth Boulevard Wheat Ridge, CO 80033 www.geo-church.com 303.463.9317 Fax: 303.463.9321 Toll Free -1.877.248.3123 I M n ±4.77 ACRES 15557 STATE HIGHWAY 133 PITKIN COUNTY, COLORADO JOB NO. 14545W EXISTING WELL ------>-* EXISTING 2 -BEDROOM RESIDENCE 1000 -GALLON PLASTIC SEPTIC TANK WITH AN EFFLUENT FILTER ON THE OUTLET AS -BUILT DIAGRAM SCALE V 20' OBSERVATION/VENT PIPES (TYP.) 752 Std. FT. OF INFILTRATIVE AREA IN A DRYWELL DRAIN FIELD. THE DRYWELL IS E` DEEP X 20' LONG X 12' WIDE DRIVEWAY ! r 4" PVC EFFLUENT LINE CLEANOUT ! :---PARKING AREA ! I 12/02/2003 Gir'±I ins- , Permit # 03063 Pitkin County Environmental Health Department Permit for an Individual Sewage Disposal System 0405 Castle Creek Road, Suite 10, Aspen, Colorado 81611 Phone 970-920-5070 / FAX 970-920-5077 Parcel ID # 2729-092-00-015 Type of permit New() Repair(X ) Addition/Remodel to House( ) DUE TO FAILURE of Absorption area Name of Owner Ann Jeffrey Street Address 15569 Hwy. 133, Carbondale, CO 81623 Property legal description Size of lot 4.77 acres _ Water source Private well # of bedrooms in house Caretaker unit A tract of land in Section 9-10-88 Total square footage of the house <2000 # of offices, lofts & similar sized rooms in house Total square footage of the caretaker unit # of bedrooms in caretaker unit # of offices, lofts & similar sized rooms in caretaker unit Designed for what # rooms (list) 2 Bedrooms Permit information Designed by Church & Associates, Inc, Mailing Address 4501 Wadsworth Blvd, Wheat Ridge CO 80033 Perc rate LTAR Profile hole depth 14 Depth to groundwater or bedrock +14 Minimum Septic tank capacity 1000 gal existing Minimum Absorption area 729 sq ft Comments Septic permit approved per compliance with the engineer design and specifications dated September 23, 2003. Any changes must be approved by this department and the design engineer rior to them being made. This permit is for the drywell only. (A new septic tank was permitted under permit #03034 due to a failed tank and installed 7/15/03.) Minimum horizontal distances between components of the system and physical features shall conform to the Pitkin County ISDS regulations. Profile hole depth of 14 ft must be reconfirmed at time of installation. This permit is for a drywell 12'X 20'X 8 feet deep. The depth is measured below the inlet pipe. This department does not endorse any brand of products. This permit must be kept on-site during installation. The engineer must do a final inspection of the installation and submit an as -built letter to this department. This department must also be called for an inspection with a minimum of 48 hours advanced notice. i Permit approved by:__)tdote' c E,li.v Date: Plans and specifications of the pro sed individual sewage disposal system have been reviewed and are considered satisfactory. Permission is hereby granted to the owner or the agent to perform the work indicated in accordance with the Pitkin County ISDS Regulation in effect at the time of issue. This permit becomes invalid 6 months from the date that the permit was issued unless system construction has commenced or an extension has been approved in writing by the Department. As -built drawings must be included with this permit before the final approval will be issued. Installer: Lfi 42 - Final Final approval: /V- Date: e '14 t.Le- A- _t�r �; Jun 13 03 11e26a Jun 13 03 09:31a AL in Ca Env. Health (97C 2C,-507-7 PITKIN COUNTY ENVIRONMENTAL 14EALTH DEPARTMENT AppUC/ATiON FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM 0405 Castle Creek Road. Suite 10, Aspen Colorado 61611 Phone (970) 920-5070 Fax 1970) 920-5077 Nam, of OV01Eet 'V ii , 7�/ L. ! t3.vraev's Mailing pleidsess �— primary Contact Person (all com munic"on regarding this pemait will Parcel ID A (available nom assessor s w— at92"1ed Or at www Dlttlinassessoa•crst } Street address of property 1-5 4 � through this person} Legal Description: Lot Bkava Filing — ,SubdiVisicn S112e of lot- — acres. Type of proposed SwUcture: Total square feet of house it of bedrw"S (POWM81 in crenae Caretaker unit: Attached ( ) petachad ( pvnnit is for f" Home ( } Repair due to failure ('}t } RernodeUAddihon ( } ErrrergenCY use water. Privets Vat; (�G} Spring ; ) Stream ( } CamtrurtityiPt:bl+C Water System ( } if corrimnity system: Name of p.4 p.4 i Tete fee tot P. sgpS Wlic bon is $600 for a permit that takes 6 ?,aunt or less for the deWment to approve- if approvai takes iongw than a ttaus, a rate of $100 per hoer will be ,;fsargod. The maximum fee is $i 000. The basic fes of $600 is due at the Uwe of appli�Uon. The remaincW, If airy. will be due ir. two stages: first, at the ti of issuamm of the iSDS perrnit, seccna, before finai approval of tt* ISM permit. �r��',� ; a�%JvG e� ! f/ Application for an individual Sewage disposal syStern is hereby submitted. t hs ntby certify that the above wed ^' � touis t gid accurate and that I have provided true and accurate infarrrration on locations of all existing ante p &i tivaier rdatems. drain intervals, buiidirigs, property linos. ditches, s+opex. wetenines, springs, suction or irrigatxxz kiss. dttinidr+g utcttts, and existing septic systems_ ; hereby cerWY tiles. irrigation ditc?tes, lakes, water courses, streams, Roodpiains, dry g rt does got imply the approvai of that any such features not xhawr on ahached sits mats are not pre, tssa;ence of the perm any ottrer permit reWred for construction pursuant to Pitkin County Codes. No caratnuction may be V ertaken unci all approvals end permits have been obtained. Tlie Pillun County Environmentai Health Department, Pitkin County and employees of these agencies wia tie herd harmtess should the tndividuai sewage disposal system fall or malfunction. The permlt to Construct is issued cn irimurtior, submitted by the applicant or h{slher representatives, The owner assumes fui responsibility in came of failure Of trig system: &9 lature of applicant Received by�.- -- - . Receipts f; JsCstsos aaP� tisasspP reev060M-000 CHURCH & Associates, Inc. ENGINEERS & GEOLOGISTS September 23, 2003 Ann Jeffrey P.O. Box 56 Arvonia, VA 23004 Subject: Subsurface Investigation and Repair OWS Design, Existing Jeffrey Residence 15569 Highway 133 Pitkin County, Colorado Job No. 14645W Ms. Jeffrey, As requested, we have investigated subsurface conditions and designed a repair onsite wastewater system (OWS) for the existing residence. The subsurface investigation was performed on September 10, 2003. SITE CONDITIONS The property is in a rural residential area in Pitkin County, where OWS are required. The proposed drain field area has a 10% slope to the east and a thick cover of native grasses with a moderate cover of evergreen and aspen trees. The site is supplied water by an onsite well, located 100 feet to the northwest of the proposed drain field. A well exists on the neighboring lot, 100+ feet to the northeast of the drain field. PROPOSED CONSTRUCTION A two-bedroom residence with an area less than 2000 square feet (SF) and a 1000 -gallon plastic septic tank exist at the locations presented on Figure 1. The OWS was sized based on 2 bedrooms and 300 gallons per day (CPD) using Pitkin County Environmental Health Department (PCEHD) loading of 75 gallons per day per person. The sewage loading with a peaking factor of 1.75 is 525 GPD. This loading includes washing machines and garbage grinders. SUBSURFACE CONDITIONS A subsurface investigation was performed by digging a yofile pit at the location indicated on Figure 2. Subsurface materials in the profile pit consisted of of topsoil, underlain by clayey sand with gravel and cobbles to the maximum depth explored of 14 feet o ground water was encountered. A gradation analysis was performed on a sample taken from' a est pit. Results of the gradation analysis classify soil in the test pit as a sandy loam, which has an application rate of 0.72 gallons per square foot per day (gal/SF/day), according to PCEHD ISDS regulations. Gradation analysis results are included as Figure 4. RECONMENDATIONS The repair OWS design includes a septic tank and drywell drain field for the site. The OWS design is based on a peak sewage load of 525 GPD and an application rate of 0.72 gal/SF/day. We understand the existing septic tank is plastic and has a capacity of 1000 gallons. The tank should maintain a liquid capacity of 70% or should be backfilled with structural material to minimize the risk of collapse. The existing septic tank may 03d�3 DENVER 4501 Wadsworth Boulevard Wheat Ridge, CO 80033 www.geo-church.com 303.463.9317 Fax: 303.463.9321 Toll Free -1.877.248.3123 Repair OWS Design Job No. 14645W, 9/23/03 Page 2 be used in the OWS installation with the addition of an effluent filter. The installation must include a 12 -foot wide by 20 -foot long by 8-f6ot deep dry well. The OWS must be constructed similar to Figures 1 - 3. The surface of the field should be seeded after installation of the field. A native seed mix should be sown of the drain field to revegetate the surface. These mixes do not require irrigation and develop a growth 10 to 15 inches high. No automatic sprinkler system should be installed over the drywell. OPERATION AND MAINTENANCE The owner must realize an OWS is different from public sewer service. The owner must be aware of and assume responsibility for maintenance of the system. In the absence of a monitoring program, the septic tank should be pumped every two years. Effluent filter and screened vaults, as applicable, are to be cleaned during pumping. There are daily considerations such as not putting plastic or other nonbi- odegradable materials into the septic system. Garbage disposal use should be minimized. The backwash of a water softener may be harmful to the OWS. A separate drywefl should'be constructed for the backwash waste, if a softener is installed. Chemically treated water from a swimming pool or spas should not be introduced to the OWS. LIMITATIONS The OWS should be installed by a contractor who is experienced in OWS installations. Our investigation, layout, design and. recommendations are based on data submitted. if subsurface conditions different from those described in this report are encountered, we should be notified to evaluate the effect on the OWS. if the health department makes modifications to this design, we should be contacted to evaluate the impact on the performance of the OWS. The county and our firm must be contacted upon completion of the OWS All construction is to be in accordance with the 1SDS regulations. Pipe type and size, burial requirements, septic tank construction, and other specifications, which are not depicted in our report, are to conform to the requirements of the 1SDS regulations. The installer of the system is to have demonstrated knowledge of the PCEHD 1SDS regulations and requirements. If there are questions, or we can be of further service, please call. Sincerely, ft PPOs. EG/ST o, 0. e,5; ,F9 CHURCH & Associates Inc. NJ G9. Reviewed b a Timothy R Petz E Ward O. Church, P. �ONA1.E Project Manger EOC/trp/erb 3 copies sent, via Priority Mail Fax copy to 434-581-2148, Attn: Ann Jeffrey Copy to Jinx Stone, 0075 Sopris Avenue, Carbondale, CO 81623 o = Warn m r- = O mmn ;;D -o i -n x0 mz UMo -,, o�m x0- om m m c� X D <mo D U) -o 000 0 ujC/) mm 0 -< 3 -i 0 O 0 O C7 G mm mrn mz mC/) �m o= mo M::E �z Wrn 0 cm oz DD z7 Z FT, D = Z o:�E m � r- c D 'u z m D r O O 0 z� Cf) D _, z m -I m m r- 0 0F- < 3 D m -� zo --i FD D m U) rn D r� 0 no D D A rn o� _ rn zm D S �u mm mz rr 0 D M= C7 U)m ::�m rnU) c o� O -Tl CD O x m O Z 0 D m� m � C D < �m m.< m- 3 o �m z D r0 �n rnD Di O D D O Z rn o D cf) -U D M Z0 n � 3 D D mrn D CJ1 I+ 0 J ZvJ ODa] Zm� O r- D T D -1 O� O W J A,��-�rr� II om F J R r 0 O _ CW O -A �� J) 0 n D z -D{ Oo-p O �; �o rC)X O �mD D X n F- m o rn m z z z m r o�.�o c� Q DmMD mn)rn m ;or- ;u i-+ mix r C m3n0 DC z U) Lf) rncn 00-1 r y o m �� T, m �0 z 0 Xm�X m3 z zmzz N� O " off " aj M o O r- OD r m cl C m �u m m mD-I D n z O z X -n O o Z O m r0 r ♦ ` X >< m r — cn ♦♦ m �m> 0 oo\° mr-> m **4b / DR/VE _ m / St U) CID G'qY ♦ D � /3`3 - o m z `y O O _ CW 10 N �� J) 0 N W C- O D n D CD n n z D D D --I r- A ��-000mC C O m m -o -i D in r- DD r DD pD r D 0 D n r z m _I AODzK: —4 D -0 z (n C P �:zjo 0 mcn U) P oVODI m I > � cP cn cn Cil NZ D m oz px D m I m o I cn 0 (n D M � D nr- XZD -•o -<0no� m m � gr x v�I O- N -9NN7m. mw- mym O C-) rD- m D a.. o \ O I n Z m O OZ'^ 0 V/ Z "0 cn —r D \ V/ D TI 0 x O� DD M �o ;um z < D D � C) Tl m II x II 0 y N N O ON N m II Ncn� o m z 000 n = U1 cn rn n I ONx x _ D _Y Tl Oo on N O Din x x x cn _ I _ CA Z Z N p 0 n m NJoo m � --I D r` (n j -P- o rq 00En(n Z= < OD A >m z D� z N -u --i 0 V T Y u M rnIv- N —I 141 m rn m Xmcno e o e`o •e a o e o e e o e mmnrn--i m M < 0> G)D -zi " C D mr_� C 0 D mnz0z Z AODzK: —4 D -0 z (n C 0 O Mr .Z7 mz n m nu m I > � C>Jz Cr < mz b _ xD m oz -0 z m o I cn 0 (n O � D nr- XZD -•o /�/ �t UJ V. m m � gr x � mUl O o mw- mym z x r. ..t A-.. Y Ww, ,�4•,Y Z CA a.. M o 0 I n . m0 oC Z "0 cn —r D \ F� o r� m = C �1 Z O C N O CA O XJ C z In :L1 N mo II CA CA j -P- o rq 00En(n Z= < OD A >m z D� z N -u --i 0 V T Y u M rnIv- N a Oi z hz D =:Dm D r m i m n -0 4, 0 M a— m �b mnm To = :;0N /^ 0 r- 1 r 0m o U�m m T U l J F 0 141 rn m - e o e`o •e a o e o e e o e D M < " 29 0 D (n�m D O;u -0 0 Mr oD nu C>Jz Cr < f < _ xD m0D -TI X -0 z m r 0 (n ' — � nr- XZD -•o m m � � mUl mw- mym a Oi z hz D =:Dm D r m i m n -0 4, 0 M a— m �b mnm To = :;0N /^ 0 r- 1 r 0m o U�m m T U l J F 141 b 1.. Y e o e`o •e a o e o e e o e eF " Y , ,16 Y r ..m ;. r. ..t A-.. Y Ww, ,�4•,Y w. a.. . o a Oi z hz D =:Dm D r m i m n -0 4, 0 M a— m �b mnm To = :;0N /^ 0 r- 1 r 0m o U�m m T U l J F `rrrs CHURCH & Associates, Inc. Engineers & Geologists Denver Metro Colorado 303-463-9317 Pine Junction/ Evergreen Colorado 303-816-1455 Castle Rock, Colorado 303-660-4358 Loveland, Colorado 970-663-2124 Gradation Test Results #200 #100 #50 #30 #16 #8 #4 3/8" 3/4" 1-1/2" 3 100.0 F 90.0 "04 80.0 70.0 60.0 .y 50.0 y V L a. 40.0 I 30.0 dO 20.0 I 10.0 I 0.0 0.01 0.1 1 10 Diameter of Particle in Millimeters DESCRIPTION: Sandy clay GRAVEL 22% SAND 58% FINES 20% MOISTURE 13.7% DATE: 9/23/03 JOB NAME: Jeffreys JOB NUMBER: 14645W HOLE / SAMPLE Bag DEPTH 8.5' LIQUID LIMIT N/A PLASTICITY INDEX NIA DRY DENSITY (pcf) N/A 0 10 20 30 40 m v a 50 o: 60 70 80 90 100 100 FIGURE 4 Tim Petz, 09:19 AM 11/06/20CY''Ann Jeffrey Page 1 of 1 10MV *Wool Subject: Ann Jeffrey Date: Thu, 6 Nov 2003 09:19:27 -0700 X-MS-TNEF-Correlator: <BD926064CEE8 OA4150465ACE1DDEBIIBOCF@caserver.cadomain.lan> Thread-Topi.Ann Jeffrey x: # . Thread-IndezxAOEdiOGgCgyeb7cQ== From: "Tim Petz" <tpetz@geo-church.com> To: "Nancy MacKenzie (E-mail)" <nancym@ci.aspen.co.us> X-MailScanner-Information: Please contact the ISP for more information X-MailScanner: Found to be clean We are doing additional exploratory work to confirm ground water and/or bedrock conditions. There wont be any, but it would be a good idea. I will have pictures for the record. Timothy R. Petz, CHURCH & Associates, Inc. Onsite Wastewater Systems 303-463-9317, www.geo-church.com awinmaill1dat Printed for Nancy MacKenzie <nancym(q_),co.pitkin.co.us> 11/07/2003 10/08/2003 00:00 804-581-2148 October 7, 2003 1V:1 ANN JEFFREY PAGE 01 TO: Nancy McKenzie Pitkin County Environmental Health Department 970 920-5077 fax FROM: Arm Jeffrey 434 581-2148 fax 434 581-3400 phone SUBJECT: Following are two pages from Tim Petz of Church and Associates, which should have been inchided with the plans for the Jeffrey Residence (15569 Highway 133) dry well which you should have received Monday, September 29. Sorry these are late getting to yOu "7' 10/08/2003 00:00 804-581-2148 ANN JEFFREY PAGE 02 Engineer's Submittal for Septic Permit in Pitkin County Owner's Last Name: IEFFREY Location: 15569 HIGHWAY 133 Summary of information regarding new septic system: Type of system being proposed: DRYWELL Other treatment processes being used: EFFLUENT FILTER Does the system use any mechanical parts? (Prohibited unless there is no alternative) NO If yes explain why there are no alternatives Does the system require any maintenance other than routine pumping? YES If yes, who -will do the maintenance? CLEAN FILTER WHEN SEPTIC TANK IS PUMPED Are any reductions being proposed? NO If yes, what makes the lot and soil conditions optimal? Which of the following are on the site or within setbacks? Closest distance of septic system to each feature [) 100 year floodplain NLA 1XJ well(s) 100 FEET [) irrigation ditches N/A [],streams N/A 1] ponds NL 1) other NA What was the profile hole depth? 14 What is the depth to groundwater? NIA What is the depth to bedrock? NLA What assumptions, if any, were made in system sizing and design? (Include any local, site- specific data, such as months without snow cover, ratio of evaporation to absorption, etc. that are relevant.) If there are any variations from normal design, please explain how they can be demonstrated to improve treatment and protect water quality. NONE .6 Vn3/2003 15: 57 July 12, 2003 FAX TO: FAX NO: Cari—M-- 804-581-2148 0 TS JEFFREY F Umm Block, Pnkin -C-mountly Envim--m Health Department Ann Jeffrey (temp amass l PO Box 56, Arvonia, VA 23064 A-4 531-2148 is a 01 my h"mumse plan at 15569 Highway 133, CarbotmWe. The bu acirdm If th—rcridition is not adequate, please call and 1"I"pre Z sided, but amv na 1 1 IFU out sonwhing else: 434 581-3400 (no ans machine), or 434 591-2148 (ans mach and PAGE 01 07f23/2003 15:57 804-581-21148 TS JEFFREY PAGE 02 0 0 I Jeftey ltesidem* ISM Highway 133 Carbondale, CO 6162127 pnq Ok v p n- pace- :T saw Parcel Detail Pitkin County Assessor/Treasurer Parcel Detail Information Assessor/Treasurer_Property_Search I Assessor -Subset Query I Assessor Sales Search Clerk & Recorder Reception Search Basic Building Characteristics I TaxI_nformation Sales_Detail I Value Detail I Residenta__l/Commercial Improvement Detail I Land Detail Tax AreaI Account Number 11 Parcel Number Mill Levy 019 1 R007839 1 272909200015 52.431 Owner Name and Address JEFFREY ANN M 15569 HWY 133 CAR�BONDALE, CO 81623 Legal Description SECT,TWN,RNG:9-10-88 DESC: TRACT IN NW4NW4 OF SEC 9-10-88 LYING WLY OF WLY R -O -W LINE OF ST HWY NO 133 & ELY OF WLY LINE OF SAID SEC 9 BK 250 FIG 86 BK 652 PG 960 Location C Physical Address: 15569 HWY 133 REDSTONE CSubdivision: CLand Acres: 4.8 C Land Sq Ft: 0 CSection Township Range C 9 —� 10 88 Property Tax Valuation Information Page 1 of 3 http://www.pitkinassessor.org/assessor/Parcel.asp?AccountNumber=R007839 10/14/2003 ,.� `j'_I�. 1 �. ,IJ F�.1.,1 ^ ,i .11 1 i 1 I' 1..J4'i 1 lx i IM1 .,.+L.. n , .+� Y � .._�.• � ' OY I-C4TT Lm'' TI CTK riow n y %/ To, �� ohm Ur lVeff .014 rar. PITHY COUNTY,'r ORdDO 4.77 Ac. I 15567 rnaHwAv 133 amsraN& caW" HORSE DETAIL scALE. i iNcH _ 40 FEET A tCWt of Is d-Vk0 +ee8' IWIM 141/4 MA Of Statim 9, TOOE&P 70 aeu1h, NOV d M■ft of us "Aft "Wmi n lylm �stl+eYly e! the 6bstesly right-Ge++sy lies of stats ttldary As. 113 and loterly of the wowly m1w of ..14 sec an S. stid , cm% Deirg described a9 ivllaoe � �Cfir�ir� at. a point m die umaeerly rJahz-ef- my Jim of ea►id hloMY NO= N IM PWI with a bis ev toxd in plain ad prcwly Mario & for the Siotaw' Ge tw to the Came, of aria Comien 9 Mara 11.05.881694v. 918.87 feeti therom iii= 480.78 fat to a Inimt m tha weeoetly liras of dila eW%1m •„'.thefts s.00609,009W. sasl.t lbat Fame said 8ecoian lirm; therve 5.68.81'004. 446.81 teed to a point an tie surly rightrot-wy of eal4 hjg6mWj s2'+wnoa 9,67"0746W. 10.95 mlWV tis bomtem]y right-ermw line of said hl*amy; twin :119.67 finet almm Ve dee of a oorw h1vird a radius of 1492•6o feet, the do= at "Od1 bawls S.S9•SItG. . us." 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