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Home My WebLink Aboutpitkin.eh.272909201063 (2008)MEH/NR JNSITE WASTEWATER TREA' FENT SYSTEM (OWTS) CONSTRUCTION PERMIT 0405 Castle Creek Road, Suite 10 - Aspen, CO - 81611 Phone: 970.920.5070 Fax: 970.920.5077 Permit #: 08060 Parcel ID #: 2729-092-01-063 Permit Issued: ®NEW ❑REPAIR ❑REMODEL/ADDITION ®TANK ONLY ❑FIELD ONLY Owner(s) ❑AMENDMENT William & Debra Russell Property Address: Legal Description: Size of Lot: 2.5 Size of Building: TBD Highway 133 1'5q Zo Sub: EI Rancho Deluxe Lot: 3 1500 Acres Sq. Ft. Detached Accessory Unit: Size of Accessory Unit: _ The system is designed for: 3 bedrooms ❑YES ®NO Sq. Ft. Designed By: All Service Septic Project #: 1537 Dated: October 6, 2008 Phone #: 973-618-5033 Mailing Address: P.O. Box 2844 Glenwood Springs, CO 81602 Fax #: 303-216-2796 Email Address: Tpetzl gcomcast.net Perc Rate: 15 m Minimum Tank Capacity: Profile Hole Depth: 9 ft 844 gallons Depth to Groundwater or Bedrock: ➢ 9 f Minimum Absorption Area: 512 sq ft w/ 30% reduction Permit Conditions: 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 system will consist of one 1250 gallon, two-compartment tank with an effluent filter on the outlet. The field will be 4 trenches, each with 14 Quick 4 gravelless chambers for a total of 56. There must be at least 6 feet of undisturbed soil between each trench. This system will be configured with serial distribution. There must be at least 100 feet from the field to any well (neighboring well and well on this property). 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. 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/NR before final approval of the system will be issued. Issued By: Date: 10/24/08 Expires: 10/24/09 Installer: ji/ License #:�G Reactivation Authorized by: ( Lµ' l� Final Approval Issued By: !i' Date: r New Expiration Date: Fee Paid �F )SITE WASTEWATER TREATME SYSTEM (OWTS) ®re's CONSTRUCTION PERMIT APPLICATION F.H/NIZ da 0405 Castle Creek Road, Suite 10 •Aspen, CO • 81611 1 Phone: 970.920.5070 Fax: 970.920.5077 Parcel ID# (available from the! Pitkin County Assessor's Office(�, 970-920-5160 or at www.pitkinassessor.org): X1 D—C) _ C I. �--- 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 be on an OWTS until an OWTS Construction Permit is Purpose of Permit: NEW ❑ REPAIR DUE TO FAILURE ❑ REMODEL/ADDITION ❑ TANK ONLY ❑ FIELD ONLY Cost of System Repair or Remodel/Addition (approximate): Number of Potential Bedrooms: Property Address:'e) � � � � tv rn 53— E5 Lot: Block:„Filing: Subdivision: �% Cd.ncllc ' u �— Property O wner(s)': h S �� Email Address: CL w,.o ' �y.. Owner's Mailing Address: City, State, Zip: i Home Phone: Business Phone: 9�0 --96 3 - 099 n- uto 04 `Contact information must be provided for the owner signing this application. /U ' i Q S n, Ibl , Primary Contact Person/Applicant (if not owner . Company: Contact/Applicant Mailing Address: City, State, Zip: G� Cell Phone: Business Phone: Fax Number: )' L�SSe Email Address: Building Permit # (if applicable): 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 be on an OWTS until an OWTS Construction Permit is Lot Size (in acres): ,, I l�q- acre undertaken Size of Building (square feet): Number of Potential Bedrooms: Detached Accessory Unit? YES �j�r ,N'b / ❑ Size of Accessory Unit (square feet): Number of Potential Bedrooms In or Fixture List for the Accessory Unit: Date: Water Source: 54 PRIVATE WELL [:1 SURFACE WATER ❑SPRING ❑COMMUNITY/PUBLIC WATER SYSTEM Name of Community/Public Water System (if applicable): Engirieenng7 '” - Job Number: Phone Number: Fax Number: Mailing Address ) City, State, Zi 0 l) 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 be on an OWTS until an OWTS Construction Permit is inaccurate, false, or misleading information. I understand that no construction may undertaken issued. Oi Ilia re: Date: Appy i Patur Date: FOR OFFIC USE ONLY Received by EN/HR Staff_F e & Receipt #: Date: - ) to U3 ;. 1 o ate2/1/08 h:xuvv i o\runjj XX .V1--WN.A- Ll #+2& (n"X Bill and Debi Russell 51 Fawn Lane Redstone, CO 81623 Installation Observations for Russell Residence Lot 3, El Rancho Deluxe, Permit 408060 Pitkin County, Colorado Bill, Project No. 1537 ALL SERVICE septic, LLC performed installation observations for the onsite wastewater treatment system (OWTS) on May 21St 2009 for the subject property. The installation included a 1250 -gallon, two-compartment concrete septic tank with the addition of an effluent filter, followed by four gravelless chamber trenches. Each trench has 14 `Quick -4' chambers, for a total of 56 chambers, equaling 553 SF of infiltrative area. Effluent will be distributed with serial distribution. The OWTS was generally installed according to specifications. This observation is not a guarantee of workmanship and/or parts and materials. ALL SERVICE septic, LLC should be notified if changes are made to the OWTS. LIMITS: The observation was based on information submitted and our site visit. If conditions are different from conditions described in this letter, ALL SERVICE septic, LLC should be notified. All additional OWTS construction must be according to the county regulations. The installer should have documented and demonstrated knowledge of the requirements and regulations of the county in which they are working. Sincerely, ALL SERVICE septic, LLC Timothy R. Petz 2 copies sent Copy sent to Pitkin County Health Dept. Reviewed By: Richard H. Petz, PO Box 2844 S t I C Glenwood Springs, C0 81602 P Ph 970-618.5033 ` L Fax 303-216-2796 June 5, 2009 Bill and Debi Russell 51 Fawn Lane Redstone, CO 81623 Installation Observations for Russell Residence Lot 3, El Rancho Deluxe, Permit 408060 Pitkin County, Colorado Bill, Project No. 1537 ALL SERVICE septic, LLC performed installation observations for the onsite wastewater treatment system (OWTS) on May 21St 2009 for the subject property. The installation included a 1250 -gallon, two-compartment concrete septic tank with the addition of an effluent filter, followed by four gravelless chamber trenches. Each trench has 14 `Quick -4' chambers, for a total of 56 chambers, equaling 553 SF of infiltrative area. Effluent will be distributed with serial distribution. The OWTS was generally installed according to specifications. This observation is not a guarantee of workmanship and/or parts and materials. ALL SERVICE septic, LLC should be notified if changes are made to the OWTS. LIMITS: The observation was based on information submitted and our site visit. If conditions are different from conditions described in this letter, ALL SERVICE septic, LLC should be notified. All additional OWTS construction must be according to the county regulations. The installer should have documented and demonstrated knowledge of the requirements and regulations of the county in which they are working. Sincerely, ALL SERVICE septic, LLC Timothy R. Petz 2 copies sent Copy sent to Pitkin County Health Dept. Reviewed By: Richard H. Petz, L = +=40P ' ° •+m(g) =-a! L,>, vS, lei AS-BUILT DRAWING NCHMAR SSUME ELEV. M ' 10 00' o T BARBEQUE I a SCALE I" = 20' NORTH I 447 NE\GN80R a 56 GRAVE LLESS'QUICK-4' SERIAL CHAMBERS IN FOUR GRAVELLESS OVERFLOW TRENCHES. EACH TRENCH HAS 14 IPE CHAMBERS. 1 TOTAL AREA PROPOSED = 553 SF OBSERVATIO PIPES (TYP.) 1250-GALLON, TWO-COMPARTMENT N ' W ' 13 9 1 T 13 CONCRETE SEPTIC TANK WITH / EFFLUENT FILTER ON THE OUTLET m 12. . '13. 0 W.C. L.S. 5447 s I�p o O PROPOND RAGE I //0 I r O I N f 39' 12.61 V11 107' 13. w j"� i I O 12.618 % v 07' 13.812 f I SOM� 39' 1614 / , TO R/ FR / PROPOSED 10y 13.810,"�" 3-BEDROOM / / RESIDENCE j I �c p /" WELL �rn 6" RON E ALL SERVICE Septic, LLC LOT 3, EL RANCHO DELUXE PRO NO. 1537 PO Box 2844, Glenwood Springs, CO 81602 RUSSELL RESIDENCE FIGURE 1 970-618-5033 PITKIN COUNTY, COLORADO ISDS DESIGN CALCULATIONS - for Pitkin Owner's Name A, ' r.. ria" S Parcel ID # ff 4.'' �1 House Size (sq. ft.) " °r ° �)a (75 gpd or 100 gpd) 75 Malm- Number of Bedrooms in Main House Number of Offices, Libraries, Studies, Similar -sized Rooms in Main House Number of Bedrooms in Detached Caretaker unit Number of Offices, Studies, Similar -sized Rooms in Caretaker Unit (If the caretaker unit is ATTACHED, treat as if part of main house.) Average Daily Waste Flow 450 State Review Required? no Perc Rate Rr%-- (r) Design Flow (Q) = # potential bedrooms X 2 people/bedroom X gpd X 1.5 Q= 675 Minimum tank capacity 844 gallons Absorption Area (=Q/5 X SQRT perc rate)(1.4 loading factor) A = 732 sq. ft. of absorption area required Absorption Area (=Q/5 X SQRT perc rate) WITH SECONDARY TREATMENT (no loading factor) A= 523 sq. ft. of absorption area required Abs. Area w/ loading'factor (B25) Trench Bed Quick4 Trench Quick4 Bed Pipe and Gravel (-10%) 659 no red. 732 67 74 59 Dosing (-20%) 586 (-20%) 586 59 52 67 Chambers (-30%) 537 (-10%) 659 37 52 Max Allowable -50% 366 (-30%) 512 Secondary Treatment Abs Area w/ out loading factor (B28) Trench Bed Pipe and Gravel (-10%) 471 no red. 523 48 53 42 Dosing( -20%) 418 (-20%) 418 42 48 Chambers (-30%) 366 (-10%) 471 37 26 37 Max Allowable (-50%) 261 (-30%) 366 100 SETBACK FROM WELL # of feet = 50 SETBACK FROM POND, STREAM OR IRRIGATION DITCH # of feet = 25 SETBACK FROM DRY GULCH # of feet = Carla Ostberg From: Carla Ostberg Sent: Monday, June 29, 2009 12:02 PM To: 'Tim Petz' Subject: RE: as -built and letter for Russell #08060 Well, my notes say that the inspections ports in the field needed covers, the inlet T was missing completely because they hadn't run the line from the house yet (because there was no house), and Matt P. said he would send me pictures (although I seem to remember he was having issues getting them from his phone to a version he could send via email. If all those things were taken care of and could be verified, I wouldn't mind signing off on this. If there is still no inlet T, I guess we need to hold off. Carla Ostberg, MPH, REHS Environmental Health Program Supervisor Pitkin County Environmental Health and Natural Resources 970-920-5438 From: Tim Petz [mailto:tpetzl@comcast.net] Sent: Monday, June 29, 2009 11:52 AM To: Carla Ostberg Subject: as -built and letter for Russell #08060 Carla, they are all done, BUT do not have it hooked to house. There is no house yet ..... shall I wait to submit these to you? I am asuming yes. All Service septic, LLC PO Box 2844, Glenwood Springs, CO 81602 970-618-5033 6147 Braun Court, Arvada, CO 80004 303-908-7823 FAX 303-216-2796 do L PO Box 2844 Glenwood Springs, CO 81602 SEflY�C� a Ph 970618-5033 ` Fax303-216-2796 June 5, 2009 Bill and Debi Russell 51 Fawn Lane Redstone, CO 81623 Installation Observations for Russell Residence Lot 3, El Rancho Deluxe, Permit #08060 Pitkin County, Colorado Project No. 1537 Bill, ALL SERVICE septic, LLC performed installation observations for the onsite wastewater treatment system (OWTS) on May 21s` 2009 for the subject property. The installation included a 1250 -gallon, two-compartment concrete septic tank with the addition of an effluent filter, followed by four gravelless chamber trenches. Each trench has 14 `Quick -4z chambers, for a total of 56 chambers, equaling 553 SF of infiltrative area. Effluent will be distributed with serial distribution. The OWTS was generally installed according to specifications. This observation is not a guarantee of workmanship and/or parts and materials. ALL SERVICE septic, LLC should be notified if changes are made to the OWTS. LIMITS: The observation was based on information submitted and our site visit. If conditions are different from conditions described in this letter, ALL SERVICE septic, LLC should be notified. All additional OWTS construction must be according to the county regulations. The installer should have documented and demonstrated knowledge of the requirements and regulations of the county in which they are working. Sincerely, ALL SERVICE septic, LLC Timothy R. Petz 2 copies sent Copy sent to Pitkin County Health Dept. Reviewed y Richard H AS -BUILT DRAWING NCHMAR SSUME ELEV. 10 00' g IT BARBEQUE I SCALE I" = 20' NORTH 447 NE GHeOR a 56 GRAVELLESS'QUICK-4' SERIAL CHAMBERS IN FOUR GRAVELLESS OVERFLOW TRENCHES. EACH TRENCH HAS 14 PIPE CHAMBERS. TOTAL AREA PROPOSED = 553 SF OBSERVATIO \ PIPES (TYP.) N ' 12.6 1250 -GALLON, TWO-COMPARTMENT W 1 7'13 CONCRETE SEPTIC TANK WITH 3k 12 EFFLUENT FILTER ON THE OUTLET 13 W.C. / L.S. 5447 s 7p.O. 11 "Zi Q- PROPOSED ARAGE i � !O i >>O % O N 39' 12.61 107'13. 20 I j v O 3 ' 12.618 07'13.812 1 39' 1.614 i O Pi PROPOSED 1013.810. 3 -BEDROOM RESIDENCE WELL p0 p6 6" RON E ALL SERVICE Septic, LLC LOT 3; EL RANCHO DELUXE PRO NO. 1537 PO Box 2844, GIen'NOod Springs, CO 81602 RUSSELL RESIDENCE FIGURE 1 970-618-5033 PITKIN COUNTY, COLORADO f Pitkin County Environmental Health Department Contact Log Sheet D. 'as - /4 �' • f • • Opitimehts Adonto be Taken III M October 6th 2008 PO Box 2844 Glenwood Springs, CO 81602 Ph 970.618.5033 Fax 303.216-2796 Bill and Debbie Russell 51 Fawn Lane Redstone, CO 81623 Project No. 1537 Subsurface Investigation and Onsite Wastewater Treatment System Design, Proposed 3 -Bedroom Residence Lot 3, El Rancho Deluxe Pitkin County, Colorado Bill, ALL SERVICE septic, LLC performed a subsurface investigation and an onsite wastewater treatment system (OWTS) design for the subject residence. The property is located outside of Redstone, Colorado, in an area where OWTS and wells are necessary. SITE CONDITIONS A 3 -bedroom single-family residence and garage is proposed as indicated on Figure 1. The residence will have approximately 1500 SF of living area. The site is presently vacant with the exception of a well. The Crystal River flows to the east of the proposed drain field area. The proposed drain field area slopes 10% to the east, and vegetation consists of aspen and evergreen trees. Water will be provided by the onsite well, as indicated. SUBSURFACE The subsurface was investigated by digging one profile pit and four percolation holes, as indicated. The materials encountered in the profile pit consisted of 1.5 -feet of a sandy root zone, underlain by clayey sand with sparse gravel and rocks, up to 1.5 -feet in diameter, to the maximum depth explored of 9 feet. Groundwater or bedrock was not encountered. Four percolation holes were dug, in the area of the proposed drain field, as indicated. Percolation rates ranged from 8 to 20 minutes per inch (MPI). A 15 MPI rate will be used to design the OWTS. DESIGN SPECIFICATIONS The OWTS design is based on 3 -bedrooms and an average sewage load of 450 GPD. The installation must include a 1250 -gallon, two-compartment, precast concrete septic tank with an effluent filter, followed by four gravelless chamber trenches. Each trench must have one row of 14 `Quick -4' Q �7 p S Onsite Wastewater Systems Page 2 s1Z 6� chambers for a total of 56 chambers, equaling 553 SF of infiltrative area. Serial distribution must be used to distribute effluent. Construction must be according to the Pitkin County Environmental Health and Natural Resources Department OWTS regulations, the OWTS Construction Permit provided by Pitkin County Environmental Health and Natural Resources Department, and this design. OPERATION INFORMATION AND MAINTENANCE The surface of the drain field should be seeded upon completion. Vegetation is an important factor in drain field performance. Erosion control should be practiced prior to and during re -vegetation. Geo - fabrics or plastics should not be used over the drain field. No heavy equipment, machinery, or materials should be placed on backfilled drain field. Livestock should not graze on the drain field. Plumbing fixtures should be checked to ensure that no additional water is being discharged to OWTS. For Example, a running toilet or leaky faucet can discharge hundreds of gallons of water a day and harm a drain field. The homeowner should pump the septic tank every two years and clean the effluent filter as needed. Garbage disposal use should be minimized, and non -biodegradable materials should not be placed into the OWTS. Grease should not be placed in household drains. Loading from a water softener should not be discharged into the OWTS. No hazardous wastes should be directed into the OWTS. Mechanical room drains should not discharge into the OWTS. The OWS is engineered for domestic waste only. ADDITIONAL CONSTRUCTION NOTES If design includes a pump, air release valves and weep holes should be installed to allow pump lines to drain to minimize risk of freezing. Excavation equipment must not drive in excavation of drain field due to the potential to compact soil. Extensions should be placed on all septic tank components to allow access to them from existing grade. Precast concrete tanks and distribution boxes should be used, unless plastic or fiberglass is required. Access to all tank compartments and distribution devices is optimal. INSTALLATION OBSERVATIONS ALL SERVICE septic, LLC, and the county must view the OWTS during construction. The OWTS observation should be performed before backfill, after placement of chambers and distribution pipes. Septic tanks, distribution devices, pumps, dosing siphons, and other plumbing, as applicable, must also be observed. ALL SERVICE septic, LLC should be notified 48 hours in advance to observe the installation. Onsite Wastewater Systems Page 3 LIMITS: The design is based on information submitted. If soil conditions encountered are different from conditions described in report, ALL SERVICE septic, LLC should be notified. All OWS construction must be according to the county regulations. Requirements not specified in this report must follow county regulations. The installer should have documented and demonstrated knowledge of the requirements and regulations of the county in which they are working. Please call with questions. Sincerely, �o�PpO LlCF,ysF vp. �NERBF,9�p ALL SERVICE septic, LLC Reviewed Cr 38662 N; Timothy R. Petz Richard .'P 1V A�� 3 copies sent � Lot 2 SITE PLAN AND LOCATION OF �scA�E PERCOLATION AND � i�� = 40' PROFILE HOLES z 45 NORTH L.S. 3317 8 / I5.p• / s" ( CENTERLINE 30' WIDE PRIVATE ACCESS EASEMENT 10 WIDE WATER ' PIPELINE EASEMENT o 0 1 / LINE BEARING DISTANCE / L 1 S 27'15'00"W 26.53' / CATE WELL HO 3 EDGE a ,3 NCHMAR SSUME .ELEV ti T BARBEQUE d NEIGHBOR BUILDING WELL ENVELOPE �447 100 g L i 6 i 8 G - W.G. L S. 5447 f-OFILE s p 1 4 1 LIMIT OF 100 YEAR F OOD PR PO >>a G RAG UI I G EN ELO E 5� g RbPOS 3-,,SEDR00 RESID,,,EKC W L a 31 �/ 1� / 1,441 E 3 6205 0.0• / , 5 / BUILDING % ENVELOPE ALL SERVICE Septic, LLC LOT 3, EL RANCHO DELUXE PRO NO. 1537 PO Box 2844, Glenwood Springs, CO 81602 RUSSELL RESIDENCE 10/06/08 FIGURE 970-618-5033 PITKIN COUNTY, COLORADO PARTIAL SITE PLAN AND LOCATION OF PROPOSED OWS SCALE I" = 20' NORTH 56 GRAVELLESS 'QUICK -4' CHAMBERS IN FOUR GRAVELLESS TRENCHES. EACH TRENCH MUST HAVE 14 CHAMBERS. TOTAL AREA PROPOSED = 553 S1 1250 -GALLON, TWO-COMPARTMENT- CONCRETE WO-COMPARTMENTCONCRETE SEPTIC TANK WITH EFFLUENT FILTER ON THE OUTLET U.01 ct .n S PROPOSED NCHMAR , —' SSUME ELEV. 10 .00' O O SERIAL OVERFLOW PIPES a OBSERVATIO I PIPES (TYP-) 4" PVC SEWER / PIPE (2% FALL TO / TANK) o j 4" PVC EFFLUENT / PIPE (1% FALL T / PROPOSED 3 -BEDROOM DRAIN FIELD) / / RESIDENCE CLEANOUT WELL ❑ / / a - &I o� T BARBEQUE I/ 6" IRON E 1 ALL SERVICE Septic, LLC LOT 3, EL RANCHO DELUXE PRO NO. 1537 PO Box 2844, Glenwood Springs, CC) 81602 RUSSELL RESIDENCE 10/06/08 ......-^1 mrry ml rnl INITV rni 11RAf1(1 X 01�1 v4ee �11 r W. C, L.S. m• FIGURE Pio m N Nn W' e� N n CD m°' N r 0 DCn z mvm ?o0 m v Cu �- w II 63 N) v 0 mnDm0m r -i C 0 O D u) r N cn w z� ZWmi;d 0 n O X 0o C X� wwx�mto mO� X Cf) z -n o = II r❑ >p. . ^ m _t'n O mm Z Onp zF 4= M m C)0 C It 000 X m p O m �> If Sm c M -13 � nz -I1mv In ;o� D Z z 0a0 z m 11 M = V z M v M n r C M z M x z S M ch M 0 O O (n —I m m m X —I m U) G) z � O C� X7 M 00 W 1u. N cn 0 O JN W 3 CD cn CD --I f�1 W Cr CDc a C CD 1 va C N m IC m mnDm0m r ., m > �Cn>N 200 ��DODz mz mc0-n m Z N zmdmo ZWmi;d 0 n o00X> z w wwx�mto zOn X �a DZ -n o = II r❑ -n a II D c r• bid, Oma 2 hi3ill m+ II S �<d rm-y C� p� Z r -I � O cmn? tmn0 If Sm mmmnmTjZm' Dc r. ;a z m 90TM�j�$ znzZ O <mOO�m�my �3z m mmcznorr--m5X- m�mT N cn0�zr-zj-izz 0a;0cn mc-,O0C, �--M 0zmo �Z(n cn O-_v0o3` F=m ��D-1 r-ZZ��0-W (n cmrm n=OZ0Z-j>M vmma ��07v Z i�O�oz'nOXcn m -Io <mmc=cncn2� 0— m"<O�mv�� (n z00 �a"n -amrnrx -I owoomcnc„ Do;o- r- w7vm�C n-40 Mm0o_Ivmv o-10 z�mcznOmmpn M -0 -4ZMZm0 xm S m��-+�0—C- _0�D o c,c �z Zzm-4r-< np On -i m�0 4OOOoxmo zez mom DVC amm'= Fomm z z m m Z 2 rn N 3 C: m m r rn n r D C cn g O� rc T m o A O0003 T �w Xc(A zvm M -010z /m Z Coao m z m m X c n 'rl r F -n �zOHO< m0Ovmn p o3mzr O Xmz �� n O N cn m n -_i O z O n -o D c'1 S 3 a) m m m Z n S M U) IV ;UUOm- O mnDm0m r 0D '(�0 > �Cn>N 200 ��DODz mz mc0-n m a M zmdmo ZWmi;d 0 n o00X> �xMz w wwx�mto zOn X ° m m0r -n o = II 8 -n a II D m Oma 2 II S rm-y C� ;o -� N�s2 DO1nD Z r -I � O cmn? tmn0 If Sm n -13 � 03 -I1mv In ;o� Z z 0a0 N m 11 M = V M v c "n A 9 N �-n 0 9 O A r r O 8 O .o n .1 0 O 0 z cn .g m v r ODmm 0 prr..mE5 v 00v v �ZZZ Z u �o 0 Wmmm Q;oXw CD'0m® X Dov o 0O0 N II K g � n y N x Cn co CL 0 O m to m O Z _v m cn r D z rn 3 D z m N v M z n m z PITKIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT Percolation Test and Soils Data Form - TABLE 1 - PROJECT 1537 PROFILE PIT Date of Test: 9/12/2008 0 - 1.5' Root Zone, Sandy Clay, Brown 1.5'-9.0' Sand, Clayey with Sparse Gravel and Rocks (1.5 ft in diam) Clayey, Dense, Moist, Red/Brown AVERAGE = 15 MPI No Bedrock or Ground Water was Encountered Hole Hole Interval Measurement at Measurement at Change (in.) Percolation Rate No. Depth (in.) (min.) Start of Interval End of Interval (min./in.) MPI (in.) (in.) 1 42 10 1.75 3.00 1.25 10 3.00 4.25 1.25 10 4.25 6.00 1.75 fill 10 2.00 3.00 1.00 10 3.00 4.00 1.00 10 4.00 5.00 1.00 10 2 36 10 2.25 3.75 1.50 10 3.75 5.00 1.25 10 5.00 8.00 3.00 fill 10 3.50 4.75 1.25 10 4.75 6.25 1.50 10 6.25 7.50 1.25 8 3 38 10 4.25 6.00 1.75 10 6.00 8.00 2.00 fill 10 3.25 5.00 1.75 10 5.00 5.75 0.75 10 5.75 6.50 0.75 10 6.50 7.00 0.50 20 3 31 10 4.25 6.00 1.75 10 6.00 8.00 2.00 fill 10 3.25 5.00 1.75 10 5.00 6.50 1.50 10 6.50 7.75 1.25 10 7.75 8.25 0.50 20 Shelton Drilling Corp P.O. Box 1059 Basalt, Co. 81621 (970) 927-4182 Lic. # 1095 Name : William & Debra Russell c/o Address : 51 Fawn Dr City, St, Zip : Redstone, CO 81623 Phone-# Hole Size Depth Type Casing ID Casing OD From -To 9.0 40 Steel 6.5 7.0 0-40 6.5 75 Steel 5.0 5.5 38-75 Invoice # : C-2599 Date 8/3/2006 Permit #: 61605-F XX Location : Redstone Perforated Ft : 30 ft Estimated : 15 gpm Static Level : 31 ft Total Drilled: 75 ft Recommended Pump Set Depth 65 Ft. Pumping 15 GPM For Pump Installation We Recommend : Samuelson Pump 945-6309 (Rauh Samuelson) J & M Pump Co 945-6159 (Rick Holub) Aqua Tec Pump 984-0311 (Tom Platzer) Instructions : Price Per Foot Feet @ $ Per Foot = $ 0.00 Feet @ $ Per Foot = $ 0.00 Total Footage Charge $ 0.00 Minimum Well Charge (if applicable) .............................$ 3500.00 Conditions Of Payment pay $ 3,500.00 PLEASE READ THE FOLLOWING RECOMMENDATIONS 1. *WE STRONGLY RECOMMEND A VALID PUMP TEST BE CONDUCTED BY A LICENSED PUMP INSTALLER TO DETERMINE THE ACTUAL WELL PRODUCTION AND WATER QUALITY. THIS SHOULD ESTABLISH THE ACTUAL WELL PRODUCTION PARAMETERS WHICH CANNOT BE DETERMINED WHILE DRILLING 2. OUR GUARANTEE IS VALID ONLY IF A LICENSED PUMP INSTALLER INSTALLS THE PUMPING SYSTEM!! 3. The landowner is ultimately responsible for the plugging and abandonment of dry holes or replaced wells. according to State Rules and Regulations. Please contact us for details and/or prices. 4. ALL INVOICES TIDE AND PAYABLE WITHIN 10 DAYS OF INVOICE DATE UNLESS PRIOR ARRANGE- MENTS ARE MADE. A 1.5° o HANDLING CHARGE PER MONTH MAY BE ADDED 15 DAYS FROM FIRST Please call us if you have any questions. J & M Pump Inc. 8611 Co Rd. 117 Glenwood Springs Co. 81601 Bill To Bill Russell 51 Fawn Dr. Redstone, CO. 81623 Invoice Date Invoice # 8/14/2006 715 Terms Qty Item Description Rate Amount 1 1 1 60 70 1 4 15SQEIOC-250 Status Box JR -6 11/4' Sd► 80 PVC 12-2 FJ WG 3/4 X 5/8 Flow M... Hourly Rate Grundfos 1 HP 15 GPM Grundfos ECU301 Well Rite Tank JR -6 Drop Pipe 1 1/4" Sch 80 PVC Submersible Cable 12-2 FJ Flow Meter 3/4 X 5/8 Install new pump system on CR 14 near Redstone 1,050.00 600.00 125.00 2.70 1.04 128.00 125.00 1,050.00 600.00 125.00 162.00 72.80 128.00 500.00 S. C) L -25 Subtotal $2,637.80 Sales Tax (2.9%) $6200 TOW $2,699.80 Balance Due $2,699.80 West Divide Water Conservancy District -General Stored Water 109 West Fourth Street P. O. Boa 1478 (970) 625-5461 Rifle, CO 81650 water�wdwcd.org BILL TO William D. and Debra F. Russell 51 Fawn Lane Redstone, CO 81623-9421 40 0 ANNUAL INVOICE FOR 2008 DATE INVOICE 11/21/2007 3148 Payment due Jan. 1, 2008, of not paid by Feb. 1, 20081 a $50 late fee will be assessed. On any shared well non-payment of any portion of the fees due deems the whole contract cancelled. Total $105.00 CONTRACT # ACRE FEET RATE IDENTIFICATION 990114PS(b) 1 In/Domestic --- DESCRIPTION QTY RATE AMOUNT Augmentation Water Contract 1 105.00 105.00 1 Payment due Jan. 1, 2008, of not paid by Feb. 1, 20081 a $50 late fee will be assessed. On any shared well non-payment of any portion of the fees due deems the whole contract cancelled. Total $105.00 OFFICE OF THE STATE ENGINEER Division of Water Resources Department of Natural Resources 1313 Sherman Street, Room 818 Denver, Colorado 80203 Phone (303) 866-3581 FAX (303) 866-3589 www.water.state.co. us Well Permit Number: 6160`- F STATE OF COLORADO NOTICE Your request for an extension of time to construct the well and/or install pumping equipment has been received and reviewed. You are hereby given notice that the State Engineer has approved an extension of one year to _Scozf ni 6 /- 2 j Z 6)06 A copy of the amended well permit is enclosed. Please be advised that pursuant to Colorado Revised Statute 37-90-137(3)(a)(I)(B), additional extensions cannot be approved. Proof of -well construction and pump installation must be submitted to this office prior to the expiration date of the permit. Contractors are required to submit their respective reports affirming construction of the well and the installation of pumping equipment. Bill Owens Governor Russell George Executive Director Hal D. Simpson, P.E. State Engineer Well owners who wish to construct their own well and/or install pumping equipment must first successfully complete an examination prescribed by the Board of Examiners of Water Well Construction and Pump Installation Contractors as well as submit these reports upon completion of the construction and/or. installation. Forms for reporting construction and pump installation are available from the Division of Water Resources offices or online at www.water.state.co.us/pubs/wellfonns.asp These forms are: GWS -31 - Well Construction and Test Report GUNS -32 — Pump Installation and Test Report If you have any questions, please contact the Ground Water Information Desk at (303) 866-3587 between the hours of 9:00 AM and 4:00 PM Monday through Friday. Sent to owner on By: / Form No. GWS -25 APPLICANT OFFICE OF THE STATE ENGINEER COLORADO DIVISION OF WATER RESOURCES 818 Centennial Bldg., 1313 Sherman St., Denver, Colorado 80203 (303) 866-3581 LIC WELL PERMIT NUMBER 61.605 -F DIV. 5 WD 38 DES. BASIN MD Lot: 3 Block: Filing: Subdiv: EL RAN(;HU utLuAt U ISSUANCE OF THIS PERMIT DOES NOT CONFER A WATER RIGHT CONDITIONS OF APPROVAL 1) This well shall be used in such a way as to cause no material injury to existing water rights. The i ,suanoe of this permit does not assure the applicant that no injury' will occur to another vested water right or preclude another owner of a vested water right from seeking relief in a Civil court action. 2) The construction of this well shall be in compliance with the Water Well Construction Rules 2 CCR 402-2, unless approval of a variance has been granted by the State Board of Examiners of Water Well Construction and Pump Installation Contractors in accordance with Rule 18. 3) Approved pursuant to CRS 37-90-137(2) on the condition that this well is operated in accordance with the West Divide Water Conservancy District Augmentation Plan approved by the Division 5 Water Court in case no. 99CW320, appropriating ground water tributary to the Colorado River, as an alternate point of diversion to the Avalanche Canal and Siphon, on the condition that the well shall be operated only when a water allotment contract between the well owner and the West Divide Water Conservancy District for the release of replacement water from Ruedi Reservoir and/or Green Mountain Reservoir is in effect. WDWCD contract ##990114-PS(a). 4) Approved as a well on a residential site of 2.46 acre(s) described as lot 3, EI Rancho Deluxe Subdivision, Pitkin County. 5) The use of ground water from this well is limited to ordinary household purposes inside one (1) single family dwelling, the irrigation of not more than 6,000 square feet (0.14 of an acre) of home gardens and lawns, and the watering of domestic animals. All use of this well will be curtailed unless the water allotment contract or a plan for augmentation is in effect. This well is known as Sahula Well. 6) The maximum pumping rate of this well shall not exceed 15 GPM. 7) The average annual amount of ground water to be appropriated shall not exceed one (1) acre-foot (325,850 gallons). 8) This well shall be constructed not more than 200 feet from the location specified on this permit. 9) The owner shall mark the well in a conspicuous place with well permit number(s), name of the aquifer, and court case number(s) as appropriate. The owner shall take necessary means and precautions to preserve these markings. 10) A totalizing flow meter must be installed on this well and maintained in good working order. Permanent records of all diversions must be maintained by the well owner (recorded at least annually) and submitted to the Division Engineer upon request. 11) This well is subject to administration by the Division Engineer in accordance with applicable decrees, statutes, rules, and regulations. NOTE: This permit has been identified as an area "B" WDWCD contract, refer to water court case no. 99CW320, stipulation and agreement dated June 14, 2004, paragraph 3 and Table 1Aa. NOTE: Canceled permit no. 57506-F and expired permit nos. 54872-F and 51258-F, were previously issued for this lot. NOTE: Parcel Identification Number (PIN): 49-2729-092-01-063 "9- --Is'L 'A, NOTE: Assessor Tax Schedule Number: 9659 e7 Permit Expiration Date Extended to Sepetember 2, 2006 AOT 7-25-05 APPROVED DMW No. 9501 State Engineer BY DATE ISSUED 09-02-2004 EXPIRATION DATE 09-02-2005 APPROVED WELL LOCATION PITKIN COUNTY NW 1/4 NW 1/4 Section 9 Township 10 S Range 88 W Sixth P.M. PETER SAHULA 0099 KNIGHT RD DISTANCES FROM SECTION LINES BASALT, CO 81621- 1125 Ft. from North Section Line 650 Ft. from West Section Line UTM COORDINATES 970 927-3475 { ) *Id: Thin. Easti� �a: U ISSUANCE OF THIS PERMIT DOES NOT CONFER A WATER RIGHT CONDITIONS OF APPROVAL 1) This well shall be used in such a way as to cause no material injury to existing water rights. The i ,suanoe of this permit does not assure the applicant that no injury' will occur to another vested water right or preclude another owner of a vested water right from seeking relief in a Civil court action. 2) The construction of this well shall be in compliance with the Water Well Construction Rules 2 CCR 402-2, unless approval of a variance has been granted by the State Board of Examiners of Water Well Construction and Pump Installation Contractors in accordance with Rule 18. 3) Approved pursuant to CRS 37-90-137(2) on the condition that this well is operated in accordance with the West Divide Water Conservancy District Augmentation Plan approved by the Division 5 Water Court in case no. 99CW320, appropriating ground water tributary to the Colorado River, as an alternate point of diversion to the Avalanche Canal and Siphon, on the condition that the well shall be operated only when a water allotment contract between the well owner and the West Divide Water Conservancy District for the release of replacement water from Ruedi Reservoir and/or Green Mountain Reservoir is in effect. WDWCD contract ##990114-PS(a). 4) Approved as a well on a residential site of 2.46 acre(s) described as lot 3, EI Rancho Deluxe Subdivision, Pitkin County. 5) The use of ground water from this well is limited to ordinary household purposes inside one (1) single family dwelling, the irrigation of not more than 6,000 square feet (0.14 of an acre) of home gardens and lawns, and the watering of domestic animals. All use of this well will be curtailed unless the water allotment contract or a plan for augmentation is in effect. This well is known as Sahula Well. 6) The maximum pumping rate of this well shall not exceed 15 GPM. 7) The average annual amount of ground water to be appropriated shall not exceed one (1) acre-foot (325,850 gallons). 8) This well shall be constructed not more than 200 feet from the location specified on this permit. 9) The owner shall mark the well in a conspicuous place with well permit number(s), name of the aquifer, and court case number(s) as appropriate. The owner shall take necessary means and precautions to preserve these markings. 10) A totalizing flow meter must be installed on this well and maintained in good working order. Permanent records of all diversions must be maintained by the well owner (recorded at least annually) and submitted to the Division Engineer upon request. 11) This well is subject to administration by the Division Engineer in accordance with applicable decrees, statutes, rules, and regulations. NOTE: This permit has been identified as an area "B" WDWCD contract, refer to water court case no. 99CW320, stipulation and agreement dated June 14, 2004, paragraph 3 and Table 1Aa. NOTE: Canceled permit no. 57506-F and expired permit nos. 54872-F and 51258-F, were previously issued for this lot. NOTE: Parcel Identification Number (PIN): 49-2729-092-01-063 "9- --Is'L 'A, NOTE: Assessor Tax Schedule Number: 9659 e7 Permit Expiration Date Extended to Sepetember 2, 2006 AOT 7-25-05 APPROVED DMW No. 9501 State Engineer BY DATE ISSUED 09-02-2004 EXPIRATION DATE 09-02-2005 Form STATE OF COLORADO No. OFFICE OF THE STATE ENGINEER GWS -42 1313 Sherman St. Rm. 818 Denver CO 80203 6/2006 Phone - info: (303) 866-3587 Main: (303) 866-3581 Fax: (303) 866-2223 hftp://Www.water.state.co.us APPLICATION FOR WELL LOCATION AMENDMENT PRIOR TO COMPLETING THIS FORM, SEE INSTRUCTIONS ON REVERSE SIDE WELL OWNER: Name(s) William D & Debra Russell Mailing Address 51 Fawn Lane City: State: Zip Code: Redstone Co 81623 Phone: 970-963-0992 WELL LOCATION: Well Permit Number: 61605-F For Office Us3arf �P NfNGR. WD Basin Receipt Number:9501958 County Pitkin Owner's Well Designation (optional) (Address at well location) (City) NW1/4 of the NW 1/4, Sec. 9 , Township 10 ❑ N. or ® S., Range 88 J11 i 9 1106 MD Co 81623 (State) (Zip) ❑ E. or ® W., 6th P.M. Distance from Section Lines 1320 Ft. ® N. or ❑ S. Line, 600 Ft. ❑ E. or ® W. Line. Subdivision Name EI Rancho Deluxe , Lot 3, Optional: GPS well location information in UTM format. The following GPS settings are required: Format must be UTM. Units must be in meters. Datum must be NAD83. Unit must be set to true north. ❑ Zone 12 or ❑ Zone 13. Was GPS unit checked for above items? ❑ YES NO Block , Filing/Unit Easting The location of the existing well needs to be amended for the following reason(s): Attach appropriate documentation as necessary. Well must be within an amended building envelope The making of false statements herein constitutes perjury in the second degree, which Is punlsnaDle as a uia55 I Il Daum 1lual iv; pursuant to C.R.S. 24-4-104(13)(a). I (we) claim and say that I (we) (are) the owner(s) of the well described above, have read the statements herein, know the contents thereof, and state that they are true tom our knowled e. Signature(s) of the well owner or agent Please print the Signer's Name & Title Date William or Debra Russell Owners CLAM —T� — CLIC \ n-@ i WID RUSSELL DERUSSELL 19 ANTELOPE DR REDSTONE,CO 81623 PAYTOTHE%'\, .. 1067 92-340/1021 `'�XAJATP \) jo $ -y� Form No. GWS -25 APPLICANT OFFICE OF THE STATE ENGINEER COLORADO DIVISION OF WATER RESOURCES 818 Centennial Bldg., 1313 Sherman St., Denver, Colorado 80203 (303)866-3581 LIC WELL PERMIT NUMBER 61605 -F DIV. 5 WD38 DES. BASIN MD 'ERMIT TO CONSTRUCT A WELL ISSUANCE OF THIS PERMIT DOES NOT CONFER A WATER RIGHT CONDITIONS OF APPROVAL 1) This well shall be used in such a way as to cause no material Injury to existing water rights. The issuance of this permit does not assure the applicant that no Injury will occur to another vested water right or preclude another owner of a vested water right from seeking relief in a civil court action. 2) The construction of this well shall be in compliance with the Water Well Construction Rules 2 CCR 402-2, unless approval of a variance has been granted by the State Board of Examiners of Water Well Construction and Pump Installation Contractors in accordance with Rule 18. 3) Approved pursuant to CRS 37-90-137(2) on the condition that this well is operated in accordance with the West Divide Water Conservancy District Augmentation Plan approved by the Division 5 Water Court in case no. 99CW320, appropriating ground water tributary to the Colorado River, as an alternate point of diversion to the Avalanche Canal and Siphon, on the condition that the well shall be operated only when a water allotment contract between the well owner and the West Divide Water Conservancy District for the release of replacement water from Ruedl Reservoir and/or Green Mountain Reservoir is In effect. WDWCD contract #990114-PS(a). 4) Approved as a well on a residential site of 2.46 acre(s) described as lot 3, EI Rancho Deluxe Subdivision, Pitkin County. 5) The use of ground water from this well Is limited to ordinary household purposes inside one (1) single family dwelling, the irrigation of not more than 6,000 square feet (0.14 of an acre) of tome gardens and lawns, and the watering of domestic animals. All use of this well will be curtailed unless the water allotment contract or a plan for augmentation is in effect. This well is known as Sahula Well. 6) The maximum pumping rate of this well shall not exceed 15 GPM. 7) The average annual amount of ground water to be appropriated shall not exceed one (1) acre-foot (325,850 gallons). 8) This well shall be constructed not more than 200 feet from the location specified on this permit. 9) The owner shall mark tie well in a conspicuous place with well permit number(s), name of the aquifer, and court case number(s) as appropriate. The owner shall take necessary means and precautions to preserve these markings. 10) A totaliang flow meter must be installed on this well and maintained in good working order. Permanent records of all diversions must be maintained by the well owner (recorded at least annually) and submitted to the Division Engineer upon request. 11) This well is subject to administration by the Division Engineer In accordance with applicable decrees, statutes, rules, and regulations. NOTE: This permit has been Identified as an area 'B' WDWCD contract, refer to water court case no. 99CW320, stipulation and agreement dated June 14, 2004, paragraph 3 and Table 1Aa. NOTE: Canceled permit no. 57506-F and expired permit nos. 54872-F and 51258-F, were previously issued for this tot. NOTE: Parcel Identification Number (PIN): 49-2729-092-01-063 NOTE: Assessor Tax Schedule Number: 9659 Permit Expiration Date Extended to Sepetember 2, 2006 AOT 7-25-05 APPROVED ew a DMW State Engineer Receipt No. 9501958 DATE ISSU By 09-02-2004 EXPIRATION DATE 09-02-2005 Lot: 3 Block: Filing: Subdiv: Eu tArv-nv urwAM APPROVED WELL LOCATION PITKIN COUNTY NW 114 NW 1/4 Section 9 Township 10 S Range 88 W Sixth P.M. PETER SAHULA 0099 KNIGHT RD DISTANCES FROM SECTION LINES BASALT, CO 81621- 1125 Ft. from North Section Line 650 Ft. from West Section Line UTM COORDINATES (970) 927-3475 Nnrthinn- Eastinq: 'ERMIT TO CONSTRUCT A WELL ISSUANCE OF THIS PERMIT DOES NOT CONFER A WATER RIGHT CONDITIONS OF APPROVAL 1) This well shall be used in such a way as to cause no material Injury to existing water rights. The issuance of this permit does not assure the applicant that no Injury will occur to another vested water right or preclude another owner of a vested water right from seeking relief in a civil court action. 2) The construction of this well shall be in compliance with the Water Well Construction Rules 2 CCR 402-2, unless approval of a variance has been granted by the State Board of Examiners of Water Well Construction and Pump Installation Contractors in accordance with Rule 18. 3) Approved pursuant to CRS 37-90-137(2) on the condition that this well is operated in accordance with the West Divide Water Conservancy District Augmentation Plan approved by the Division 5 Water Court in case no. 99CW320, appropriating ground water tributary to the Colorado River, as an alternate point of diversion to the Avalanche Canal and Siphon, on the condition that the well shall be operated only when a water allotment contract between the well owner and the West Divide Water Conservancy District for the release of replacement water from Ruedl Reservoir and/or Green Mountain Reservoir is In effect. WDWCD contract #990114-PS(a). 4) Approved as a well on a residential site of 2.46 acre(s) described as lot 3, EI Rancho Deluxe Subdivision, Pitkin County. 5) The use of ground water from this well Is limited to ordinary household purposes inside one (1) single family dwelling, the irrigation of not more than 6,000 square feet (0.14 of an acre) of tome gardens and lawns, and the watering of domestic animals. All use of this well will be curtailed unless the water allotment contract or a plan for augmentation is in effect. This well is known as Sahula Well. 6) The maximum pumping rate of this well shall not exceed 15 GPM. 7) The average annual amount of ground water to be appropriated shall not exceed one (1) acre-foot (325,850 gallons). 8) This well shall be constructed not more than 200 feet from the location specified on this permit. 9) The owner shall mark tie well in a conspicuous place with well permit number(s), name of the aquifer, and court case number(s) as appropriate. The owner shall take necessary means and precautions to preserve these markings. 10) A totaliang flow meter must be installed on this well and maintained in good working order. Permanent records of all diversions must be maintained by the well owner (recorded at least annually) and submitted to the Division Engineer upon request. 11) This well is subject to administration by the Division Engineer In accordance with applicable decrees, statutes, rules, and regulations. NOTE: This permit has been Identified as an area 'B' WDWCD contract, refer to water court case no. 99CW320, stipulation and agreement dated June 14, 2004, paragraph 3 and Table 1Aa. NOTE: Canceled permit no. 57506-F and expired permit nos. 54872-F and 51258-F, were previously issued for this tot. NOTE: Parcel Identification Number (PIN): 49-2729-092-01-063 NOTE: Assessor Tax Schedule Number: 9659 Permit Expiration Date Extended to Sepetember 2, 2006 AOT 7-25-05 APPROVED ew a DMW State Engineer Receipt No. 9501958 DATE ISSU By 09-02-2004 EXPIRATION DATE 09-02-2005 MSN Hotmail - Message 0 Page 1 of 2 -r r) 01-11T Go 0 Reply 1 0 Reply All I z.� Forward I ;F Delete I Junk I `y Put in Folder • I Print View I Save Address From : Wayne Shelton <wsdi@rof.net> r I ✓ I % I Sent : Tuesday, July 18, 2006 11:28 AM To : <russelldebra@hotmail.com> Subject : Well Location Amendment @ Attachment : (0.08 MB) Debra, Here is the amended well location. The State fee is $100 take application to Dwight Whitehead in the Glenwood Office and see if here can approve it as soon as possible. His number is 945-5665 ext 5011. Wayne rI V ). Notice: Attachments are automatically scanned for viruses using Trend Micro products !REND Verizon Online High-speed Internet The best value in broadband Modem Included http:Hbyl 16fd.ba3,116.hottnail.msn.com/egi-bin/getmsg?r45g=3AA74357-ED50-4E47-AD... 7/18/2006 -Form No. GWS -42 6/2006 INSTRUCTIONS FOR APPLICATION FOR WELL LOCATION AMENDMENT FORM The report must be typed or printed in BLACK OR BLUE INK. All changes on the form must be initialed and dated. Attach additional sheets if more space is required. Each additional sheet must be identified at the top by the well owner's name, the permit number, form name/number and a sequential page number. Incomplete forms will be returned for completion. This form may be reproduced by photocopy methods, or by computer. DO NOT USE THIS FORM TO AMEND THE PERMITTED WELL LOCATION IF: A. Your well was permitted, registered, or first used for any of the following purposes 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. (USE FORM GWS -11) B. Your well is not of the type described in A above, but was permitted or registered prior to May 17, 1965. USE FORM GWS -11. 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, DO NOT USE THIS FORM TO AMEND THE PERMITTED WELL LOCATION. YOU MAY USE FORM GWS -11. USE THIS FORM IF: D. Your well was permitted or first used on or after May 8, 1972, and was approved under the provisions of C.R.S. 37-92-602. (This number will appear in the permit conditions of approval and permit numbers generally are not followed by a suffix. If the well has been replaced, the number is followed by the suffix "A" such as '75550, 75600-A, or 165000.) A $60 filing fee is required to accompany a request to amend the location of this type of well. E. Your well is not one of the types described in A, B, C, or D above. A filing fee of $100 is required to accompany a request to amend the well location. Inside Designated Ground Water Basins, publication may be required. GENERAL INSI"RUCTIONS ♦ Print the Owner's Name and indicate the mailing address and phone number. ♦ Print the well permit number in the space provided under the section titled "Well Information". ♦ Complete the CORRECT well location information of where the well was drilled. If the owner has more than one well serving this property, provide the identification (Owner's Well Designation) for this well. The well location must include the %, %, Section, Township, Range, Principal Meridian, and distances from section lines. For wells located in subdivisions the lot, block, and subdivision information must also be provided. An option to providing distances from section lines is to provide an accurate GPS location in UTM format. The required GPS unit settings must be as indicated on this form. Colorado contains two (2) UTM zones. Zone 13 covers most of Colorado. The boundary between Zone 12 and Zone 13 is the 108"' Meridian (longitude). West of the 108th Meridian is UTM Zone 12 and east of the 108th Meridian is UTM Zone 13. The 108"' Meridian is approximately 57 miles east of the Colorado -Utah state line. On most GPS units, the UTM zone is given as part of the Easting measurement, e.g. 12T0123456. Check the appropriate box. ♦ Indicate the reason(s) the location must be corrected. If this well was approved on as the only well on the tract of land of 35 acres or more (see well permit conditions of approval) and approved prior to July 1, 1984, please verify that this is correct and include the metes and bounds description or survey plat of the tract. ♦ The owner of the well must sign this application. Sign your name in the first block. Print or type your name and title in the second block. Print or type the date in the third block. If you are signing as a representative of a company who owns the well, then your name must also be included in the second block. Approval of this request will also update the well owner and mailing address. In some cases, this request to correct the location may not be accepted. If you have questions, contact the Denver or the Division Office where your well is located. Contact idormation is also available from our website at http:/lwww.water.state.co.us. Form STATE OF COLORADO No. OFFICE OF THE STATS .NGINEE;�R!'' GWS -11 a18 centennial Bldg., 1313 Sherman -SAF: penver, CO 80203 4/99 (303) 855-3581 Fax (303) 866-3589 CHANGE IN OWNERSHIP/ADDRESS CORRECTION OF THE WELL LOCATION Insert the Well Permit Number (01(0 0 Namer address and phone of the person claimingpwnership of the well NAMES) n . c< ( QrDe(�rA Mailing Address "—._C cLA,;d1 F- 1-1-C�� City, St, Zip Li -- ► 2 �} = I"a 17J, Phone ( �1?_ 1 (4�?- -?—?o I This form is fiied by the named individual/entity claiming that they are the owner of the well permitted as referenced above. This filing is made pursuant to C.R.S. 37-90-143. For Office Use Only if your well is has an absolute water right, &creed by the court and the well is nor registered with the Statr! Engineer, Enter the Water Court Case Number /"Civil Action Number and well number as decreed - WELL LOCATION-, County t h Owner's Well Designation (Address) (City ) (State) (Zip) N1/4 of theAW 1/4, Sec. 9, Twp- 001 -0 N. or �5., Range �0 ❑ E. or ®W., tXw}ki P.M. Distance from Sectin» Lines Ft. From N. a S t__ _� Ft. From ❑ E. or 0 W. Line. Subdivision Name f_ -L=! iia 60e(uK Lot _, Block !riling/Unit The above listed owner(s) say(s) that he, shethey) own the well described herein. The existing record is being amended for the following reasons' Change in name of owner ® Change in mailing address ❑ Correction of location for exempt wells permitted prior to May 8, 1972 and non-exempt wells permitted after 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) (are) the owner(s) of the well described above and that the commencement of extraction of ground water from this well, lawfully made under the well permit, occurred on the date indicated, and that the statements made herein are true to my (our) knowledge. Please print the Signature's Name & Title Signature(s) of the new owner. Date It is the responsibility of the new owner of this well to complete and sign the form. Signatures of agents are acceptable i fan original letter of agency signed by the owner is attached to the form upon its receipt. 1 e Energy Efficient Clothes Washer--,, 22 x 30 Attic Access i i� 3'-3 1/2" �g' 3'-4" 1. S-4"_ t_ 27'-11" Owner Provided Special Window Unit Shall be Tempered or Safety Glass protected 16'-8" Flush Toilet 2'6 x 6'8 R NDRY 2'6 x 68 T F_ 0 `\ 3' x 5' Double -><- \ —Hung Egress OFFICE Sho er Closet System to be designed MASTER by Owner BATH � 2 0 x 6 8 3' x 5' Double I —Hung Egress I CLOSET I L — _ J -. oo I cn � ca x l n :- JI` fi .d N N I p N 1 3'-4" 3'-6"1'-6" R 7K N I 11'-6" 3' x 5' Double 3' x 5' Double —Hung Egress —Hung Egress 3' x 5' Double —Hung Egress " 2'-9- All Interior finishes MASTER BEDROOM to be selected by owner 3' x 5' Double —Hung Egress 101-0" 2'-9"" conforming to the energy efficient requirements as noted on sheet A-201 J er Floor Plan > >/4•-, '-o' x 0 N LO oftif Floor Plan1/4'-0 X m L I a o non fl 0 CD o —0 cn CD CD S CL 7 CD Cp O CCn CD S_ AICOP.D'NG IU COLORADO LAW YOU MUSTCOM1R_NCE ANY IEGAI ACTION BASED UPON ANY DLFECI IN THIS SURVEY WITHIN IHREF YEARS AFTER YOU FIRST DISCOVER SUCH DEFECT IN NO EVFNI. MAY ANY ACIION BASED UPON ANY DEFFCT IN 11115 SURVEY OF COMMENCED MORE TITAN TEN YEARS FROM THE DATI' a THE CERTIFICATION SHOWN HERI'ON F LEGEND AND NOTES • FOUND REBAR 6 CAP MARKED AS SHOWN HEREON TRAVERSE POINT: SEI' SPIKE ❑ T POST ❑T TELEPHONE PEDESTAL 0 POWER POLE T-- OVERHEAD UTILITY LINE x `. FENCE LINE /0 0 EDGE OF ROAD — •• — TOP OF RIVER BANK -- —BUILDING ENVELOPE LINE RUSSELL 1041 10 WIDI: WAfER- P I PEI. INF I-A'.EME I W1.11 110la /% EL V. 04 C�70\\ UI L. IN L.S. 3317- / x � PI r 0 —EDGES B_ RU"Ili $ - 1 CHMAR SUMEp'.E/LPV. 1 0.00 I- B/ARBEOUE a 5447 � •1 1 ` 1 NVELIOPE IR HAZARD TK I N COUNTY , _ _L o t 1 �: L . S. 24303 "-- Lot Z CENTERLINE 30' WIDE PRIVATE ACCESS EASEMENT LINE BEARING DISTANCE L I S 27*15'00'M 26.5 3' GATT /J F L IMI T OF 100 YE Afj' FLOOD REVIEW SITE 611 p qq COLORADO PLAN N w E S 0 15' 30' 45 60' SCALE: 1"=30' CONTOUR INTERVAL: 2'-0" LEGAL DESCRIPTION VICINITY M A P LOT 3. SECOND AMENDED AND CORECTION PLAT OF LOT 3. El_ RANCHO DELUXE SUBDIVI;;IOIJ ACCORDING TO THE PLAT THEREOF RECORDED JUNE 14. 2002 IN PLAT BOOK 60 AT PAGE 98 SCALE: 7 1 2000 OOO � AS RECEPTION 110. 468774, PITKIN COUNTY. COLORADO. PAROL. ID # 27290920 1063 MW . R.88 / W. C. L.S. 54r T.10 6th S. , P.M. HEARING OFFICER APPROVAL THIS 1041 HAZARD REVIEW SITE PLAN FOR.RUSSELL HAS BEEN REVIEWED AND A'P'-PROVED BY OU HE PITKIN COUNTY COMMUNITY DEVELOPMENT- HEARING OFFICER THIS 16� DAY OF 200_. APPROVAL OF THIS 1041 IS SUBJECT TO THE TERMS AND CONDITIONS OF DETERMINATION 110. It -,24% RECORDED AS$•5,13835' v DEBRA F. RUSSELL BOOK __ AT PAGE IN THE PITKIN COUNTY CLERK AND RECORDER'S OFFICE. S E C SURVEYOR'S CERTIFICATE DISCLAIMER 1041 ENVIRONMENTAL HAZARD AREAS EXIST THAT MIGHT AFFECT THE PROPERTY. ANY IMPROVEMENTS. AND THE USE AND OCCUPANCY THEREOF, WAIVER THF PROVISIONS OF THESE REGULATIONS DO 1101 IN ANY WAY ASSURE OR IMPLY THAT AREAS OUTSIDE OF DESIGNATED HAZARD AREAS WILL BE FREE FROM HAZARDS. OR THAT APPROVED MITIGATION MEASURES WILL GUARANTEE THE SAFETY OF ANY OWNER PROPERTY. �® WILLIAM -D. RUSSELL OWNER ::./Id4� F IN WITNESS,WHEREOF I HAVE SET MY HAND AND SEAL THIS 2 3 DAY OF � aT 0 ACCEPTANCE FOR RECORDING THIS 1041 HAZARD REVIEW SITE PLAN HAS BEEN ACCEPTED FOR FILING IN THE OFFICE OF THE CLERK AND RECORDER OF PITKIN COUNTY. COLORADO,ON,THIS allO DAY OF 1,1W115 _ A.D. 200_(p_ IN PLAT BOOK :79_ AT PAGE AS RECEPTION NO._ SaSLe c� Y 6g 66 00z.aslT JR RUSSELL 1041 HAZARD REVIEW SITE PLAN LOT 3. EL. RANCHO DELUXE PITKIN COUNTY, CO. BY' LINES IN SP,4 CE SYDNEY LINCICOME (L.S. 14 / l l ) 67 GLENWOOD A'l7E-. CARBONDALE CO. 970-963-3B5 9A TE: 11/30/05 SCALE: RT�7 EL l" - 20' ,,Y)B NO.: 05-108 1. SYDNEY LINCICOME, DO HEREBY CERTIFY THAT I AM A REGISTERED LAND SURVEYOR LICENSED UNDER THE LAWS OF THE STATE OF COLORADO, THAT THIS SITE PLAN IS A TRUE. CORRECT AND COMPLETE SITE PLAN OF A 1041 HAZARD REVIEW AS SHOWN HEREON. THAT SAID SITE PLAN WAS MADE FROM AN ACCURATE SURVEY OF THE REAL PROPERTY DESCRIBED HEREON BY ME AND UNDER MY DIRECT SUPERVISION AND CORRECTLY SHOWS THE LOCATION AND DIMENSIONS OF THE PROPERTY AND OF THE BUILDING ENVELOPE. THIS SURVEY IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF. t4