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1. Application Form Garfield County Community Development Department 108 8'^ Street, Suite 401 Glenwood Springs, CC 81601 0701945-8211 www. Zartnle-county.egnri TYPE OF APPLICATION AdminrsnratI•.e Review ❑ Limitedw inipactRevie _ ❑ Mur Impart HQ ylew� ❑ Amcndnie nt s to an Approved LUCP ❑ _IR ['MIR ❑ SUP _❑ MirorTempo rarfHoutingFacility ❑ Vacltion ot a County Road/Public 1901/kr ❑ Lar:arinn acid Extent Review ❑ Coniprcher.sive Plan Amend mertl ❑ Pipeline Develrsprnvrit ❑ lime E;e1e slon (alsorher.k tvp•, ororigii,al LAND USE CHANGE PERMIT APPLICATION FORM O Cleve 'opine nt in 10O -Year rlcludpla n ❑ hevriuFment ifl 10CFYrar Floac-plain Wriance O Code Text Agiendrent ❑ ,Rezoning ZoreDistrisl❑ Pl..'r7❑ RUDArno ndment ❑ Adrainlstratrve Interpfet tiun ❑ _"PPea ot Administrative Interpretation ❑ Area: and ACtivities of State Interest ❑ ".tomrncdation Pursuant to Fall' 111..4sing Act ❑ Vdrianee applitatian:' INVOLVED PARTIES Owner/ApplIcant Mame: Stephen and Susanne Self Mailing Address: 1098 County Road 214 city, Silt E•rrcal I : Stephe n nwi II owvrtsp. net Representative [Authariration Required) Phone: {] _I676-0163 State: CO Tip Cade: 81652 Name:Stephen SelfRhvne: { 1876-0163 Ma11IngAddress: 1098 County Road 214 qty; Silt E mall: Stephen willowwisp.net State: CO Zip Code; 131652 PROJECT NAME AND LOCATION Project Name: Serf ADU Assessor's Parcel Number; 2179 _ 031_ 00 0006 Physieal(StreetMdress: 1099 County Road 214 Legal Description: Parcel 1 of Antlers Orchard SU:division as shown cn the Amended Plat recorded as Reception No. 842062 zone District: Rural Property Size [acres}: 8,96 Acres PROJECT DESCRIPTION Existing Use: —� Residential and Agricultural Proposed Use (From Use Table 3-403): Residential and Apncultural General -Household Living Description of Project: Construct and apartment (ADU) on the second story of a garage REQUEST FOR WAIVERS Submission Requirements 8 The Applicant requesting a Waiver of Submission Requirements per Section 4-202. List: Section: 4-203F Section: 4-203K Section: 4-203J Section: Waiver of Standards 0 The Applicant is requesting a Waiver of Standards per Section 4-118. List: Section: Section: Section: Section: I have read the statements above and have provided the required attached information which is correct and accurate to the best of my knowledge. } f( y ?` , ,fGifC IL 4r U{7i .,1; Signature of Property Owner OFFICIAL USE ONLY File Number: •4j� 4./ 2/7 Date Fee Paid: $ STEPHEN SELF 1098 County Road 214 Silt, CO 81652 October 4, 2017 David Pesnickak, Community Development Department Garfield County 108 8th Street Glenwood Springs, CO 81601 Reference: Administrative Review Land Use Change Permit -1098 County Road 214 -Accessory Dwelling Unit Garfield County File Number GAPA-09-17-8580 Dear David Pesnickak,: Revisions to the above is a land use change permit application to allow an ADU on our property at 1098 County Road 214 are attached. Three paper copies of the revised pages are attached along with a digital copy with the complete application with the revisions inserted. Please return the thumb drive submitted with the original application as it does not have the revisions. The revisions include: Adjacent Property Owners: A copy of the updated list is enclosed. Please place the list in Appendix A. Encumbrances: The Ownership and Encumbrance Report prepared by Commonwealth Title is enclosed. Please place it in Appendix H Property Owners: Replace the signature pages of the Application and the Payment Agreement Form. Site Plan and Grading and Drainage: Replace the page with D -Site Plan and E -Grading and Drainage Plan with the revised page. Sincerely, Steph Self STEPHEN SELF 1098 County Road 214 Silt, CO 81652 Kathy Eastley Community Development Department Garfield County 108 8th Street Glenwood Springs, CO 81601 Dear Kathy Eastley: Enclosed is a land use change permit application to allow an ADU on our property at 1098 County Road 214. Two paper copies are provided with a digital copy provided on a thumbdrive. Sincerely, B. General Application Materials. 1. Pre -Application Conference Summary Garfield Coil Community Development Department 108 ti h 5rreci, Suite 401 Glenwood Springs. CO 81681 (970) 945-8212 www,earfjSkl—sou ty.vuin 1111PRE-APPLICATION CONFERENCE SUMMARY TAX PARCEL NUMBER: 2179-310-00-006 DATE; April 20, 201E OWNER: Stephan and Susanne Self stophonwill❑wurls_p.net 876-01631274-0084 REPRESENTATIVE: TBD PRACTICAL LOCATION: 1098 CR 214 TYPE OF APPLICATION: Administrative Review - ADU Applicants own an approximately 9 acre parcel just north of the Town of Silt and they seek a land use permit to allow for an Accessory Dwelling Unit (ADU) on the site, The ADU is proposed to be located above a detached garage. The site is zoned Rural and the 9 acre parcel satisfies the minimum lot size requirement of 2 acres in the zone district for an ADU. The parcel currently has a single family residence and several accessary structures. The existing residence is served by a well and a septic system, both of which are proposed to be shared by the ADU. Access to the site is from CR 214 across an adjacent property. Requirements include the provision of a site plan of the proposed location of the ADU, demonstration of the ability to provide legal and physical water to the ADU, demonstration of the ability 10 provide adequate waste disposer, provision of legal documents regarding safe end legal access to the site, These requirements and criteria for approval are contained in the 2013 Land Use and Development Code, as amended (LDDC), see below Section V. regarding submittal requirements The Applicant will clearly need to demonstrate compliance with LUDC including completion of the Impact Analysis and response to the minimum standards in the LDDC Garfield County Land Use and Development Code, as amended (LUDO); Section 4-101 Common Review Procedures Section 4-103 Administrative Review Section 4-201 Application Materials Section 4-203 Description of Submittal Requirements Section 7-701 Accessory Dwelling Unit Standards The process to accommodate this request requires a Land Use Change Permit Administrative Review process pursuant to the LUDC. A. Pre -application Conference. B. Application Submittal (three paper copies and on electronic copy — cd or th umbd rive}. C. Determination of Technical Completeness. D. Schedule Director decision date and provide documentation regarding notice requirements, E. Request sent to referral agencies for review and comment. F. Evaluation by Director/Staff resulting in a Staff Report to the Director. G. Director decision - resulting in a recommendation for approval, approval with conditions or denial. H. 10 -day Call-up period. I. Satisfaction of conditions, if any J. Issuance of Land Use Change Permit. Public Hearing notices shall be posted. mailed and published pursuant to Section 4-101.E. X None — Subject to Call up to Public Hearing Planning Commission Board of County Commissioners Board of Adjustment Referral will be sent to the following agenci,as. Garfield County Engineer r County Road & Bridge Fire District Town of Silt Others as may be determined upon review of the application Table 4-201 lists submittal requirements including: • General application materials o Application form and fee o Agreement to pay form General Project Description — Narrative of the request. can Include information such as vegetation, slope and other issues listed in the Impact Analysis o Copy of Deed Mineral owners of the property 0 Names and mailing addresses of all owners of property within 200' of the subject parcel Assessor reap indicating location of the above properties Copies of existing building and septic permits Copy of thls pre -application conference form • Vicinity Mep • Site Plan (4-203D) • Grading and Drainage Plan (4-203E) • Landscape Plan (4-203F) • Impact Analysis (4-203G) • Water Supply and Distribution Plan (4-203M) Copy of information related to Central Water System including well permit(s). water augmentation contract, adequacy of physical and adequacy of the distribution system • Wastewater Management Plan (4-203 N) 0 Copy of existing permits — proposal to build naw or use existing • Traffic study (4-203L) — a Basic Traffic Analysis — An ADU creates approximately 10 vehicle trips per day on average, will this Impact the traffic flow on CR 117? • Development agreement • Improvements Agreement Request for Waivers — it would appear to be appropriate for Applicant to request waiver of the following submittal items: Landscape Plan - 4-203 F Development Agreement — 4-203 J. Improvements Agreement — 4-203 K. This application will be subject to the following fees and deposit requirements: Planning Review Fees: $ 250.00 Plus additional Staff time al staff hourly rate of $40,50 Referral Agency Fees: $ engineering review County Surveyor: $ NIA Recordation: $ N1A Total Deposit: $ 250.00 GgrLer?l Application Processing Planner revicAms Case for •AmcIcteness and $arida io referal agenzies for a]rrment. GnFe planner comic is applicant and sets up a ,site gist Stair reaiews ap{,:1 determine if n-eets standards a` review. Case p armor makes a recommendation of approval, aap•cual with conditions, or deriie' tc the appropriate iearinp holly Disclaimer The foregoing summary/ Is Pdvirrry i'1 nature only 3rd s not tindirg on the Gourty. The summary is as sec on curren- xon:7g, whir IZ• Sdbjf c: tG change in the futu a and upon factual repiesentations that may or -ray -Pot be accurate. Th:s summary dues not create a legal n- vested right. 3 Pre -application Summary Prepared by. April 22, 2018 Kathy Eastley, AICP Date .1 2. Ownership 365298 740€1,-4 11.7/1,7/1r, R11.Pc444. I II -4 f JE 41 • SEP 7 WARRANTY DEED THIS OVED. Stacc, ihR dLy oP ers-DP-r 1 '1411inn -.:11,CY_Rb- . &TIP:ER and JIM MA.7.1.iCal dIle rruf aid cr. . Ex,dor;$:.. 101 LN SELF Rika S1!4ANi41 W. 185C:rata: Auder.ut IL52.orrtlr. 1985 and S11112 al SELY RECOSOIR' 5 STAMP Bo.y. 6r,29g C7A1010.1) SO 2 / 19145 Slaty /3X. r" ni-nc codark4114I14 !aivio, wieiNI1/4511. Ina Pr: pui,ni, kr • 111 ramidieuthkaolik. " n°1-fr". • ": C't:FT !I" :tarairagi r,r4 4.411 n.p.onn ,kEr% • 4,4 d.. tocrlfr,f111f.5101..,1rAd). kn.-410N.:=.gx1 vee 4r11.1 4AL .C4n4141411 J1o) 1424.11 man, • do ;mit. 441,4.1y rairruivat;-;t.: pow,. 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I'J1I1I,I. 51-5 'a fel 11.4 - 411112114111 1.14 21* k.as4irl1,110: righcs of way for 4.1ij..1s 4a4.d 214 In. so fur as it may affe.u: 21111 e.blect property. 3. Adjacent Property Owners Adjacent property owners are shown on the maps from the Garfield County Land Explorer website. The owners for the 200 foot buffer and 1500 foot buffer are shown with the addresses of record listed for each owner. The maps and lists are included in Appendix A Garfield County PAYMENT AGREEMENT FORM GARFIELD COUNTY ("COUNTY") and Property Owner ("APPLICANT") Stephen and Susanne Self agree as follows: 1. The Applicant has submitted to the County an application for the following Project: BUM an ADU on the 2nd story of a detached garage 2. The Applicant understands and agrees that Garfield County Resolution No. 2014-60, as amended, establishes a fee schedule for each type application, and the guidelines for the administration of the fee structure. 3. The Applicant and the County agree that because of the size, nature or scope of the proposed project, it is not possible at this time to ascertain the full extent of the costs involved in processing the application. The Applicant agrees to make payment of the Base Fee, established for the Project, and to thereafter permit additional costs to be billed to the Applicant. The Applicant agrees to make additional payments upon notification by the County, when they are necessary, as costs are incurred. 4. The Base Fee shall be in addition to and exclusive of any cost for publication or cost of consulting service determined necessary by the Board of County Commissioners for the consideration of an application or additional County staff time or expense not covered by the Base Fee. If actual recorded costs exceed the initial Base Fee, the Applicant shall pay additional billings to the County to reimburse the County for the processing of the Project. The Applicant acknowledges that all billing shall be paid prior to the final consideration by the County of any Land Use Change or Division of Land. I hereby agree to pay all fees related to this application: Billing Contact Person: Stephen Self Phone: ( 970) 876-0163 Billing Contact Address: 1098 County Road 214 City: Silt State: CO zip Code: 81652 Billing Contact Email: stephen@willowwisp.net Printed Name of Person Authorized to Sign: Stephen Self gnature) (Date) Project Description Construction of an ADU located on the second story of a detached garage. C. Vicinity Map. A vicinity map is included in Appendix A D. Site Plan. A site plan is included in Appendix H. A copy of the Ownership and Encumbrance Report from Commonwealth Title dated 13 March 2013 is enclosed in Appendix H. E. Grading and Drainage Plan. The area was graded to fit the existing drainage when the garage was constructed. A topo map showing the drainage of the property is enclosed in Appendix A. F. Landscape Plan. The area affected is less than .1 acre and will fit into the existing landscaping of the existing house. G. Impact Analysis. Where the proposed development will impact specific features of the site, the Applicant shall describe both the existing conditions and the potential changes created by the project. The Impact Analysis shall include a complete description of how the Applicant will ensure that impacts will be mitigated and standards will be satisfied. The following information shall be included in the Impact Analysis: 1. Adjacent Land Use. Existing use of adjacent property and neighboring properties within 1,500 -foot radius. The proposed development will occur in Parcel #1 of the Antlers Orchard Subdivision, Amended Plat. Parcel #1 is zoned Rural with the uses of residential and Agriculture. A plat generated from Garfield County Land Explorer showing the 1,500 -foot buffer around the property with ownership is in Appendix A. A plat showing the 200 -foot buffer, with property ownership, around the property is in Appendix A along with the Zoning Map showing the Zoning for the area. Project Description Construction of an ADU located on the second story of a detached garage. C. Vicinity Map. A vicinity map is included in Appendix A D. Site Plan. A site plan is included in Appendix H. E. Grading and Drainage Plan. The area was graded to fit the existing drainage when the garage was constructed. F. Landscape Plan. The area affected is less than .1 acre and will fit into the existing landscaping of the existing house. G. Impact Analysis. Where the proposed development will impact specific features of the site, the Applicant shall describe both the existing conditions and the potential changes created by the project. The Impact Analysis shall include a complete description of how the Applicant will ensure that impacts will be mitigated and standards will be satisfied. The following information shall be included in the Impact Analysis: 1. Adjacent Land Use. Existing use of adjacent property and neighboring properties within 1,500 -foot radius. The proposed development will occur in Parcel #1 of the Antlers Orchard Subdivision, Amended Plat. Parcel #1 is zoned Rural with the uses of residential and Agriculture. A plat generated from Garfield County Land Explorer showing the 1,500 -foot buffer around the property with ownership is in Appendix A. A plat showing the 200 -foot buffer, with property ownership, around the property is in Appendix A along with the Zoning Map showing the Zoning for the area. To the east, the land uses are agriculture and residential. To the north, the uses are residential and agriculture. The Antlers Orchard Subdivision extends to the Sunrise Subdivision. To the west, the land uses are agriculture, residential and public road (CR 214). To the South past the Antlers Orchard Subdivision the land is included in the Town of Silt and the uses are residential, agriculture. The addition of an ADU will not affect the existing uses in the area. 2. Site Features. A description of site features such as streams, areas subject to flooding, lakes, high ground water areas, topography, vegetative cover, climatology, and other features that may aid in the evaluation of the proposed development. The site is sloping to the south with a grade of approximately 5%. The western portion of the property has a drainage which generally follows the Western boundary. The lower portion of the drainage has a small amount of water flowing. The vegetation is mostly cattails in the bottom of the drainage with sagebrush and rabbit brush on the slopes down into the drainage. Photos of the area are enclosed in Appendix B The rest of the property is irrigated pasture land and irrigated hay fields. 3. Soil Characteristics. A description of soil characteristics of the site that have a significant influence on the proposed use of the land: There are no soil characteristics which have a significant influence on the proposed use. The soils consist of approximately/ foot of topsoil overlying slightly sandy to sandy silty clay. The foundation for the garage were designed using recommendations of Hepworth-Pawlak Geotechnical, Inc, now doing business as Kumar & Associates, INC.. A copy of the report from HP Geotech. Inc is enclosed in Appendix C. 4. Geology and Hazard. A description of the geologic characteristics of the area including any potential natural or manmade hazards, and a determination of what effect such factors would have on the proposed use of the land. There are no known geologic, potential or manmade hazards located on the site. 5. Groundwater and Aquifer Recharge Areas. Evaluation of the relationship of the subject parcel to Floodplains, the nature of soils and subsoils and their ability to adequately support waste disposal, the Slope of the land, the effect of sewage effluents, and the pollution of surface Runoff, stream flow, and groundwater. The nature of the soils consists of generally stiff, sandy clay that extends down to at least 6.5 feet. That is the depth of a test pit dug for soil sampling The ground water recharge area is generally to the north. Perc tests for the existing septic system indicated a percolation rate of one inch/17 minutes. A copy of the test is enclosed in Appendix D The addition of the ADU will add two bedrooms to the existing 3 bedrooms in the existing house. Table 6.1 of the Garfield County Regulations lists the number of persons for design purposes as 8. This results in a design flow of 600 gpd using water usage of 75 gpd/person. A detention time of 48 hours is required for the design flow. That results in a 1200 gallon tank is required. The existing tank is 1250 gallons. The Soil Treatment Area (sq ft) is calculated by dividing the Design Flow by the LTAR (Long Term Acceptance Rate) obtained from Table 10-1. The LTAR for a perc rate of 17 minutes/inche is .6 gallons/day/sq ft. The calculation results is an area of 1000 sq ft. The existing absorption field is 1500 sq ft A copy of the ISD permit is enclosed in Appendix D. No ground water was encountered in the test pit dug to a depth of 6.5' 6. Environmental Impacts. Determination of the existing environmental conditions on the parcel to be developed and the effects of development on those conditions, including: a. Determination of the long-term and short-term effect on flora and fauna; There will be no short or long term effect on flora and fauna. The garage will remove approximately 1,000 square feet from the available grazing for the deer which inhabit the area. The grass removed from the area effected will be irrigated pasture grass (lawn). b. Determination of the effect on designated environmental resources, including critical wildlife habitat; There is no critical wildlife habitat in the area. There are no designated environmental resources in the area. Therefore, there will not be any effect on these resources. c. Impacts on wildlife and domestic animals through creation of hazardous attractions, alteration of existing native vegetation, blockade of migration routes, use patterns, or other disruptions; and The garage will not create any additional impacts on wildlife and domestic animals through creating hazardous attractions, or alteration of existing native vegetation. No migration routes will be effected by the garage. d. Evaluation of any potential radiation hazard that may have been identified by the State or County Health Departments. There has not been any potential radiation hazard identified by the State or Colorado Health Departments. 7. Nuisance. Impacts on adjacent land from generation of vapor, dust, smoke, noise, glare or vibration, or other emanations. The ADU above the garage will contribute about 9.37 trips per day additional traffic on the driveway if the unit was rented out. There will be no generation of vapor, dust, smoke, noise, glare or vibration, or other emanations. 8. Hours of Operation. The Applicant shall submit information on the hours operation of the proposed use. The ADU will be used, if rented, 24 hours per day 7 days per week. If not rented, then the use will be strictly for family use and will be on an intermittent basis. ARTICLE 7: STANDARDS DIVISION 1. GENERAL APPROVAL STANDARDS. The following standards apply to all proposed Land Use Changes, including divisions of land, unless elsewhere in this Code a use is explicitly exempt from one or more standards. 7-101. ZONE DISTRICT USE REGULATIONS. The Land Use Change shall comply with Article 3, Zoning, including any applicable zone district use restrictions and regulations. 7-102. COMPREHENSIVE PLAN AND INTERGOVERNMENTAL AGREEMENTS. The Land Use Change is in general conformance with the Garfield County Comprehensive Plan and complies with any applicable intergovernmental agreement. 7-103. COMPATIBILITY. The nature, scale, and intensity of the proposed use are compatible with adjacent land uses. 7-104. SOURCE OF WATER. All applications for Land Use Change Permits shall have an adequate, reliable, physical, long-term, and legal water supply to serve the use, except for land uses that do not require water, or that contain Temporary Facilities served by a licensed water hauler. A. BOCC Determination. The BOCC, pursuant to C.R.S. § 29-20-301, et seq., shall not approve an application for a Land Use Change Permit, including divisions of land, unless it determines in its sole discretion, after considering the application and all of the information provided, that the Applicant has satisfactorily demonstrated that the proposed water supply will be adequate. Nothing in this section shall be construed to require that the Applicant own or have acquired the proposed water supply or constructed the related infrastructure at the time of the application. B. Determination of Adequate Water. The BOCC's sole determination as to whether an Applicant has an Adequate Water Supply to meet the water supply requirements of a proposed development shall be based on consideration of the following information: 1. The documentation required by the Water Supply Plan per section 4-203. M.: The water for the ADU will be obtained from an existing well located adjacent to the building site. A copy of the original Well Permit, Statement of Beneficial Use and Well Completion and Pump Installation Report are attached. The applicant applied for an Application to Lease Water from the West Divide Water Conservation District for augmentation water to allow the well to be used for more than one dwelling. The application was approved 4/21/2016. At the same time a Water Well Permit was submitted to the Colorado Division of Water Resources for a new well permit to replace the original well permit. The new well permit allows two dwellings with irrigation of 16,000 square feet. The amount of water authorized to be pumped from this well is 1.75 Acre Feet. A copy of the new well permit and conditions of approval are enclosed in Appendix E A copy of a Four Hour Well Test is also enclosed in Appendix F. It shows a pumping rate of 7 gallons per minute with a drawdown of 47.8 feet. Samples were obtained while the well test was performed for analysis at an independent lab. SGS Accutest performed the analysis of the water. A copy of the report is attached. All the results were below the MCL of the indicated analyte. A copy of the analysis is enclosed in Appendix G 2. A letter from the State engineer commenting on the documentation provided in the Water Supply Plan per section 4-203. M.; See above language pertaining to the new well permit approved by the Colorado Division of Water Resources. 3. Whether the Applicant has paid to a Water Supply Entity a fee or charge for the purpose of acquiring water for or expanding or constructing the infrastructure to serve the proposed development; All fees and administrative costs have been paid to the West Divide Water Conservation District prior to approval of the water contract. and 4. Any other information deemed relevant by the BOCC to determine, in its sole discretion, whether the water supply for the proposed development is adequate, including without limitation, any information required to be submitted by the Applicant pursuant to this Code or State statutes. 7-105. CENTRAL WATER DISTRIBUTION AND WASTEWATER SYSTEMS. A. Water Distribution Systems. The land use shall be served by a water distribution system that is adequate to serve the proposed use and density. 1. Where water service through a Water Supply Entity is not physically or economically feasible, a central well and distribution system is preferred over individual wells. 2. 3. A Central Water Distribution System is required if: a. The property is located within 400 feet of a Central Water System, the system is available and adequate to serve the proposed development, and connection is practicable and feasible; or The property is not located within 400 feet of a Central Water System. b. The residential development consists of 15 or more dwelling units. The addition of the ADU does not consist of 15 or more dwelling units. B. Wastewater Systems. The land use shall be served by a wastewater system that is adequate to serve the proposed use and density. 1. Every effort shall be made to secure a public sewer extension. Where connections to an existing public sewer are not physically or economically feasible, a central collection system and treatment plant is preferred. 2. A central wastewater system is required if a. The property is located within 400 feet of a Sewage Treatment Facility, the system is available and adequate to serve the proposed development, and connection is practicable and feasible. The ADU is not located within 400 feet of a Sewage Treatment Facility. b. The property is not suitable for an OWTS. Septic systems are not permitted on parcels less than 1 acre in size. The property size is 8.9 Acres. The Septic System located on the property is adequate to support the additional ADU. 7-106. PUBLIC UTILITIES. A. Adequate Public Utilities. Adequate Public Utilities shall be available to serve the land use. Electrical power will be provided by Xcell Energy. 7-107. ACCESS AND ROADWAYS. All roads shall be designed to provide for adequate and safe access and shall be reviewed by the County Engineer. A. Access to Public Right -of -Way. All Tots and parcels shall have legal and physical access to a public right-of-way. The Site Plan shows the fifty -foot easement which will be used to access the property from County Road 214 (Peach Valley Road) on which the ADU will be constructed. The Site Plan is included in Appendix H B. Safe Access. Access to and from the use shall be safe and in conformance with applicable County, State, and Federal access regulations. Where the Land Use Change causes warrant(s) for improvements to State or Federal highways or County Roads, the developer shall be responsible for paying for those improvements. No improvements to the access from County Road 214 (Peach Valley Road) are contemplated now. An email from Wyatt Keesbery, Assistant Director of the Garfield County Road and Bridge stated that the driveway meets current County Standards. A copy of the email is in Appendix I. C. Adequate Capacity. Access serving the proposed use shall have the capacity to efficiently and safely service the additional traffic generated by the use. The use shall not cause traffic congestion or unsafe traffic conditions, impacts to the County, State, and Federal roadway system shall be mitigated through roadway improvements or impact fees, or both. The existing access meets the Garfield County road requirements for a rural access road. The ADU may increase the traffic by about 10 vehicle trips per day. D. Road Dedications. All rights-of-way shall be dedicated to the public and so designated on the Final Plat. They will not, however, be accepted as County roads unless the BOCC specifically designates and accepts them as such. No dedication of rights-of-way are contemplated now. E. Impacts Mitigated. Impacts to County roads associated with hauling, truck traffic, and equipment use shall be mitigated through roadway improvements or impact fees, or both. No impacts to County Road 214 will occur because of the construction of the ADU. F. Design Standards. Roadways, surfaces, curbs and gutters, and sidewalks shall be provided as follows: Table 7-107: Roadway Standards Design Standards Design Capacity (ADT) Major Collector 2501+ Minor Collector 401 - 2500 Minimum ROW Width (Feet) Lane Width (Feet) 80 60 12 Shoulder Width (Feet) 8 12 Secondary Access 201— 400 50 Rural Access 101-200 Semi Primitive 21-100 Primitive/ Driveway 0-20 Public Land Access No Access to DU 50 40 15 to 301 30 11 6 Min. Paved Ditch Width (Feet) Cross Slope 10 6 4 Min. Paved 6 4 Min. Paved 10 6 2% Shoulder Slope 3% 2% 2% Design Speed 35 mph Minimum Radius (Feet) Maximum % Grade Surface 425 8% 3% 5% 11 8 4 2 2 Min. Paved 6 4 Single Lane 12 Single Lane 12 0 0 32 2% Chip/Seal 2% Chip/Seal 3% Gravel 3% Gravel 5% 5% 35 mph 185 8% Asphalt or Chip/Seal n/a 80 n/a n/a 10% 80 50 2% n/a 0 n/a n/a n/a n/a 12% 12% Chip/Seal Chip/Seal or Gravel Gravel 40 n/a Gravel 12% Native 12% Material n/a 1 As determined adequate in an engineering review. Primitive road shall be dedicated ROW, driveway can be dedicated as either an easement or ROW. 2 If determined necessary for adequate drainage. 7-108. USE OF LAND SUBJECT TO NATURAL HAZARDS. Land subject to identified Natural and Geologic Hazards, such as falling rock, landslides, snow slides, mud flows, radiation, flooding, or high water tables, shall not be developed unless it has been designed to eliminate or mitigate the potential effects of hazardous site conditions as designed by a qualified professional engineer and as approved by the County. No natural and Geologic Hazards have been identified for the subject land. 7-109. FIRE PROTECTION. A. Adequate Fire Protection. Adequate fire protection will be provided for each land use change as required by the appropriate fire protection district. Fire protection will be provided by the Colorado River Fire Protection District. DIVISION 2. GENERAL RESOURCE PROTECTION STANDARDS. The following resource protection standards apply to all proposed Land Use Changes, including divisions of land unless elsewhere in this Code a use is explicitly exempt from 1 or more standards. 7-201. AGRICULTURAL LANDS. A. No Adverse Affect to Agricultural Operations. Land Use Changes on lands adjacent to or directly affecting agricultural operations shall not adversely affect or otherwise limit the viability of existing agricultural operations. Proposed division and development of the land shall minimize the impacts of development on Agricultural Lands and agricultural operations, and maintain the opportunity for agricultural production. No agricultural operations will be affected by the addition of the ADU. B. Domestic Animal Controls. Dogs and other domestic animals that are not being used to assist with the herding or the care of livestock shall not be permitted to interfere with livestock or the care of livestock on Agricultural Lands. The County shall require protective covenants or deed restrictions as necessary to control domestic animals. No dogs or animals that are not being used to assist with herding of animals will be permitted to interfere with livestock or the care of livestock on Agricultural Lands. C. Fences. The County is a Right to Farm County consistent with section 1-301. Fences shall be constructed to separate the development from adjoining Agricultural Lands or stock drives as required to protect Agricultural Lands by any new development and to separate new development from adjoining agricultural operations. All parts of the fencing including such items as gates, cattle guards, boards, posts, and wiring shall be maintained by the owner, HOA, or other responsible entity. The property has fencing to separate it from the adjacent uses. D. Roads. Roads shall be located a sufficient distance back from the property boundaries so that normal maintenance of roads, including snow removal, will not damage boundary fences. Dust control shall be required, both during and after construction, to minimize adverse impacts to livestock and crops. No new roads are required for the ADU. E. Ditches. 1. Colorado State Statutes, C.R.S. 37-86-102, provides that "any person owning a water right or conditional water right shall be entitled to a right-of- way through the lands which lie between the point of diversion and point of use or proposed use for the purpose of transporting water for beneficial use in accordance with said water right or conditional water right." A standard County note (staff note: see section V.F. of this report for proposed note language) shall be placed on all final plats and site plans for land use change permits. A 10 -foot irrigation pipeline easement is shown on the Site Plan. This easement is granted to: Perry Gene Connolly P.O. Box 298 Silt, CO 80652 2. The Colorado Constitution Article XVI, Section 7 provides that all persons and corporations shall have the right-of-way across public, private and corporate lands for the construction of ditches for the purposes of conveying water for domestic, agricultural, mining, manufacturing and drainage purposes upon just compensation. No additional construction of ditches for conveying water is contemplated now 3. Rights -of -Way. The land use change shall not interfere with the ditch rights-of-way. The addition of the ADU will not interfere with the existing ditch easement. 4. Maintenance. Where irrigation ditches cross or adjoin the land proposed to be developed, the developer shall insure that the use of those ditches, including maintenance, can continue uninterrupted. Easements and right of ways allow maintenance or uninterrupted use of the irrigation ditches or pipelines. 5. Maintenance Easement. A maintenance easement shall indicated on any Final Plat for the division of land or for the final development plan for any other land use. The Applicant shall provide a letter from the ditch owner accepting that the development proposal will have no impact on their ability to maintain the ditch and that an adequate maintenance easement is possible. No structure or fence shall be placed within the right-of-way or easement without written permission from the appropriate ditch owner. No additional fencing will be required for the addition of the ADU. 6. Ditch Crossings. Ditch crossings shall respect the rights of ditch owner(s) to operate and maintain their ditch without increased burden of maintenance or liability. Development shall minimize ditch crossings. At a minimum all irrigation ditch crossings shall: No additional ditch crossing will be constructed. a. Require the crossing be sized to not interfere with ditch operations or change existing hydraulic flow characteristics; b. Provide vehicle and maintenance equipment access to the ditch from both sides of the ditch crossing from all roads for use by the ditch owner(s); c. Prior to permit application, or construction within the ditch right-of- way the Applicant shall provide a letter from the ditch company regarding agreement with standards contained in the proposed crossing; d. The BOCC may require specific improvements to ditch crossings if determined to be necessary in the review process, particularly if these improvements are required to address safety concerns; 7. Referral to Ditch Owner. Application for Division of Land or Land Use Change Permit that may affect or impact any ditch right-of-way shall include the name and mailing address of the ditch owner. (This information may be obtained by contacting the Water Commissioner at the Colorado Division of Water Resources to determine the ditch owner for purposes of requesting review and comment on the development proposal). No additional ditch crossings will be constructed. No installed ditches or pipelines will be affected. 8. Drainage. Application for Division of Land or Land Use Change Permit that includes any improvements located adjacent to or below grade of an irrigation ditch shall address and mitigate potential impacts to the irrigation ditch in a drainage plan. The drainage plan shall demonstrate that the drainage will not impair operation of the ditch. 9. Any drainage from the site of the ADU will not affect any ditches in the area. All irrigation uses are in pipelines. 10. Water Quality and Stormwater Management. No development or changes in land use shall channel surface waters into any irrigation ditch without the written consent of the ditch owner. No surface waters will be channeled into an irrigation ditch. 7-202. WILDLIFE HABITAT AREAS. The Applicant shall consult with the Colorado Parks and Wildlife or a qualified wildlife biologist in determining how best to avoid or mitigate impacts to wildlife habitat areas. Methods may include, but are not limited to, 1 or more of the following: A. Buffers. Visual and sound buffers shall be created through effective use of topography, vegetation, and similar measures to screen structures and activity areas from habitat areas. There are no habitat areas that will be affected by the ADU. B. Locational Controls of Land Disturbance. Land disturbance shall be located so that wildlife is not forced to use new migration corridors, and is not exposed to significantly increased predation, interaction with vehicles, intense human activity, or more severe topography or climate. No wildlife migration routes will be affected by the ADU. C. Preservation of Native Vegetation. 1. Proposed Land Use Changes are designed to preserve large areas of vegetation utilized by wildlife for food and cover, based upon recommendations by the Colorado Parks and Wildlife. 2. When native vegetation must be removed within habitat areas, it shall be replaced with native and/or desirable nonnative vegetation capable of supporting post -disturbance land use. 3. Vegetation removed to control noxious weeds is not required to be replaced unless the site requires revegetation to prevent other noxious weeds from becoming established. The vegetation consists of irrigated pasture (crop land and lawn). The disturbed areas will be reseeded with the same grasses. D. Habitat Compensation. Where disturbance of critical wildlife habitat cannot be avoided, the developer may be required to acquire and permanently protect existing habitat to compensate for habitat that is lost to development. No critical wildlife habitat will be lost due to the additional ADU. E. Domestic Animal Controls. The County may require protective covenants or deed restrictions as necessary to control domestic animals by fencing or kenneling. This section is not applicable 7-203. PROTECTION OF WATERBODIES. A. Minimum Setback. 1. A setback of 35 feet measured horizontally from the Typical and Ordinary High Water Mark (TOHWM) on each side of a Waterbody is required. 2. In the case of entrenched or incised streams, where the vertical distance from the bank exceeds 25 feet, all activities, except for those referenced in section 7-203.A.3, will adhere to a setback of 2.5 times the distance between the TOHWMs or 35 feet, whichever is less. 3. A minimum setback of 100 feet measured horizontally from the TOHWM shall be required for any storage of hazardous materials and sand and salt for use on roads. There are no TOHWM within 35 feet or any streams located within the property boundaries. No hazardous materials will be stored on the property. 7-204 DRAINAGE AND EROSION. The applicant is requesting an exemption from drainage and erosion standards and stormwater runoff standards. A. Erosion and Sedimentation. Excluding Grading activities for agricultural purposes, development disturbing 1 acre or more is subject to the CDPHE National Pollutant Discharge Elimination System Permit, unless otherwise exempted by CDPHE. B. Drainage 1. Site Design to Facilitate Positive Drainage. Lots shall be laid out to provide positive drainage away from all buildings. C. Stormwater Run -Off. These standards shall apply to any new development within 100 feet of a Waterbody and to any other development with 10,000 square feet or more of impervious surface area. The ADU will not be located within 100 feet of a waterbody and does not have 10,000 square feet of impervious surface area. 7-205. ENVIRONMENTAL QUALITY. A. Air Quality. Any Land Use Change shall not cause air quality to be reduced below acceptable levels established by the Colorado Air Pollution Control Division. The ADU will not cause air quality to be reduced below acceptable levels established by the Colorado Air Pollution Control Division. The driveway is graveled and slow speeds keep the dust generation to a minimum. Areas disturbed will be reclaimed in lawn or pasture grass to reduce blowing dust. Once reclaimed there will be no reduction to the air quality due to the ADU. B. Water Quality. At a minimum, all hazardous materials shall be stored and used in compliance with applicable State and Federal hazardous materials regulations. Hazardous materials i.e. paint, oils and fuel will be stored indoors or outdoors in appropriate containers to prevent any spills in the environment or discharge to any waters. 7-206. WILDFIRE HAZARDS. The following standards apply to areas subject to wildfire hazards as identified on the County Wildfire Susceptibility Index Map as indicated in the County's Community Wildfire Protection Plan. A. Location Restrictions. Development associated with the land use change shall not be located in any area designated as a severe wildfire Hazard Area with Slopes greater than 30% or within a fire chimney as identified by the Colorado State Forest Service. The property is not located in an area designated as a severe wildfire hazard area with slopes grater then 30%. B. Development Does Not Increase Potential Hazard. The proposed Land Use Change shall be developed in a manner that does not increase the potential intensity or duration of a wildfire, or adversely affect wildfire behavior or fuel composition. The addition of the ADU will not increase the potential intensity or duration of a wildfire, or affect wildfire behavior. C. Roof Materials and Design. Roof materials shall be made of noncombustible materials or other materials as recommended by the local fire agency. Roof materials will be metal, like existing roof materials or a solar roof using the best available technology. Roof material will be installed at the time the garage is built. 7-207. NATURAL AND GEOLOGIC HAZARDS. A. Utilities. No utilities will be affected by the ADU B. Development in Avalanche Hazard Areas. The ADU will not be constructed in an avalanche hazard area. C. Development in Landslide Hazard Areas. The ADU will not be constructed in a Iandside hazard area. D. Development in Rockfall Hazard Areas. The ADU will not be constructed in a rockfall hazard area. E. Development in Alluvial Fan Hazard Area. The ADU will not be constructed in an alluvial fan hazard area. F. Slope Development The ADU will not be constructed on a slope which will be unstable. G. Development on Corrosive or Expansive Soils and Rock. The ADU will not be constructed on corrosive or expansive soils. See HP Geotech report in Appendix C H. Development in Mudflow Areas. There are no mudflow areas in the vicinity of the ADU. I. Development Over Faults. There is no known fault in the vicinity of the ADU. 7-208. RECLAMATION. A. Applicability. These standards shall apply to any development that requires a Land Use Change Permit, including divisions of land, as well as to the following activities: 1. Installation of ISDS. Installation of a new or replacement ISDS. The existing ISDS will be used to provide wastewater treatment for the ADU. A calculation of the perc rate and amount of wastewater shows the existing perc field is adequate to treat the wastewater generated by the addition of the additional two bedrooms in the ADU. 2. Driveway Construction. Any driveway construction that requires a Garfield County Access Permit or a CDOT Access Permit. No new driveways will be constructed for the ADU 3. Preparation Area. All areas disturbed during development that do not comprise the longer-term functional areas of the site but are those areas used for the short-term preparation of the site. The existing parking area will be used to store materials during the construction of the ADU. Parking during this period will be on the existing lawn. DIVISION 3. SITE PLANNING AND DEVELOPMENT STANDARDS. Unless a use is explicitly identified elsewhere in this Code as being exempt from 1 or more standards, the following standards shall apply to all uses, divisions of land and PUDs. Single- family dwelling units, are specifically exempt from these Division 3 standards. As this is a single-family dwelling unit, the applicant is requesting exemption from the Site Planning and Development Standards. 7-301. COMPATIBLE DESIGN. The design of development associated with the land use change shall be compatible with the existing character of adjacent uses. The ADU is compatible with the existing character of adjacent uses as residential. A. Site Organization. The ADU is going to be built in close proximity to the existing buildings. See the Site Plan in Appendix H B. Operational Characteristics. The ADU is for residential use C. Buffering. No buffering is provided. D. Materials. Materials used in the ADU will be standard building materials The design will be compatible with the existing land uses. 7-302. OFF-STREET PARKING AND LOADING STANDARDS. A. Off -Street Parking Required. All land uses shall be required to provide the number of off-street parking spaces set forth in Table 7-302.A. Any use not specifically listed in Table 7-302.A. shall be determined by the Director. 7-302-A requires two parking spaces per unit. The ADU adds a second unit therefore four parking spaces are required. The construction of the ADU will add two additions parking spaces. This results in five parking spaces with the additional two parking spaces provided by the ADU. 7-303. LANDSCAPING STANDARDS. Single -Family Dwelling Units, Accessory Dwelling Units, Industrial Uses and all uses located fully within a parcel of land in an Industrial Zone District are exempt from this section. This section is not applicable. 7-304. LIGHTING STANDARDS. Any exterior lighting shall meet the following conditions: A. Downcast Lighting. Exterior lighting shall be designed so that light is directed inward, towards the interior of the Subdivision or site. Exterior lights will be designed to be directed down to provide lighting along walkways from the garage to the house. No lights will shine directly off the ADU site. B. Shielded Lighting. Exterior lighting shall be fully shielded or arranged in a manner so that concentrated rays of light will not shine directly onto other properties. Exterior lights will be designed to be directed down to provide lighting along walkways from the garage to the house. No lights will shine directly off the ADU site. C. Hazardous Lighting. The direct or reflected light from any light source shall not create a traffic hazard. Colored lights shall not be used in such a way as to be confused or construed as traffic control devices. The yard lights will be far enough from any public road that they will not be confused with control devices. D. Flashing Lights. Blinking, flashing, or fluttering lights, or other illuminated device that has a changing light intensity, brightness, or color, shall be prohibited in all zone districts. No flashing lights mentioned above will be used on the site of the ADU. E. Height Limitations. Light sources which exceed 40 feet in height shall not be permitted except for temporary holiday displays or as required by local, State or Federal regulations. Lights will not exceed 40 feet in height. 7-305. SNOW STORAGE STANDARDS. All residential uses except for multi -family are exempt from this section, unless the residential use includes a common outdoor parking area. Snow storage will be to the west and South of the parking area. 7-306. TRAIL AND WALKWAY STANDARDS. No trail or walkways are proposed under this application. DIVISION 7. ADDITIONAL STANDARDS FOR RESIDENTIAL USES. 7-701. ACCESSORY DWELLING UNIT. A. Maximum Floor Area. The Floor Area of an ADU shall not exceed 1,500 square feet for a lot less than 4 acres. The Floor Area of an ADU shall not exceed 3,000 square feet for any lot 4 acres or greater. The maximum floor area shall not exceed 3,000 square feet. B. Ownership Restriction. An ADU is restricted to leasehold interest in the dwelling unit and is for residential or Home Office/Business use only. The uses of the ADU will be for a dwelling unit and is for residential or home office/business only. C. Compliance with Building Code. Construction shall comply with the standards set forth in this Code and with Building Code requirements. A building permit will be acquired prior to any construction occurring. D. Minimum Lot Area. The minimum Lot Size for an ADU is either: 1. 2 acres, or The lot size is 8.9 acres. 2. For Tots in zone districts with a minimum Lot Size of less than 2 acres, the minimum Lot Size is twice the minimum required Lot Size. This section is not applicable. E. Entrance to Dwelling Unit. A separate entrance to the Accessory Dwelling Unit is required. The ADU will have a separate entrance. F. One per Lot. One Accessory Dwelling unit which is subordinate to a Single -Unit (primary) dwelling unit is allowed per legal lot. Only one ADU is planned for this site. OIL AND GAS OWNERSHIP A. The methods used to determine the mineral, oil and gas ownership includes researching personal records of current owner, review of county records and discussions with the owner of the severed mineral, oil and gas interests. B. On October 8. 1973, Richard Fazzi sold the subject property to Lowell S. and Virginia B. Bair. Richard Fazzi reserved and undivided one-half interest in the minerals, oil and gas. Stephen and Susanne Self obtained a Commitment of Title Insurance, Commitment No. 817-172140 as part of the purchase of the property. The title commitment is dated September 3, 1985. The title commitment list and Exception 9 "An undivided one-half interest in all oil, gas and other mineral rights as reserved by Richard Fazzi". A phone conversation with Freddie Fazzi, heir to Richard Fazzi, to find out if he has sold any more of his oil and gas rights since October 8 1973. He has not sold any interests and stated that he still owns an undivided one-half interest in the oil and gas rights under the subject property. Stephen and Susanne W. Self Based on the above information the oil and gas ownership is as follows; 10968 County Road 214 Silt, CO 81652; And Freddie Fazzi 1240 County Road 214 Silt, CO 81652 Each listed person above holds a 50% ownership in the oil and gas. APPENDIX A Vicinity Map 1500 Foot Buffer Zone 200 Foot Buffer Zone Zoning Cz' • Garfield CoareoE, Garfield County Land Explorer Garfield County, Colorado 36 • 30 2175'1110eeaa —y 31 t .I I 3r< _.- --I -'27'wx la7ee17i 1 ° 1 ill ....et 2125323002e3 2137.7110012/ IP $ r � c • 1• 21790210003 ;-1 r 21700120057 �}I II 1 y ?17i01304.12. 28 12i262e4ce432 ai 21252t4000ee 1 -- j l_ X94 LSA li \�+[ ' -1 r 6 11905•10073S 21 21 r?sli1930S1 16 10 217l1Olamla 5 71,9117t1tIC T • 21 T911 400:] Fs7 14 217f17Zee3s1 to r 2171111aomH4 3171112i00150 .21 711131 06654 1.3 7 Garfield County Land Explorer J' rrlJ, printed by Mk; thrr Ind- • .§,Oi:9 Net •Ith • U.S? -rI•las ] F WL, k. 1,61 ru.q BurG•tl randy Colorado .waworl11A1.0J]Ir.W.I CussJF War vivo Waif FIX tiy.w...✓in MP 1.1.16m h lM1r, FIIMwrrrrr• m.•,rUh c tF.vnl.n. 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NOR7HWE57 52071430; 1 2175(111.11 r431 aeaikble5 LT 5530RTHViE51 Lr 71.441015 21:5161'1;1 frill',RibbIc 5111 1135 NORTHW LSI ,:11311Z4OC 12 2.17703E 1L Nal 11:4 r111r"1 T LSC NORI40115-0111 5D011C 7 17453E'L Not s.a WIN 5151 L$„ NOR 115.'1E3T''OL!P.:rd1111- 2.173291-11 5501 available SILT LSC NORTHWEST COIU5.n0 LLC d a R1i:;F' 11 015: availab c SILT L9: 1500:T31WEST C0;0FADO L:C Fi24'1555 5570 on '411055A1 GPEENWOOCN:I Ars. CO 2611: 15:40350 5570 L: •4700555.5 GRECNWDOC c. 11GE. 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SILT 7 17903E+11 sat; LAG! -4 NF1- 05 511.T 71790)11.11 498 6301E5 NE51 12.0.,.._1 2_125.0.8 .-1 4 71 EAGLES 4; EV/ 1.1 1111 1 1.111.1311_1 105 VISTA DR 411 7 12531E+11 1742 /14:x1 JN7Y RD iILT 212532.1. ?741233 20115141• 413• a'1 I 2.1 N::?r-7 313 517,1 DN SR1 2 1 /5335..11 154 F RST IJP 40. 01i 512- 7 17903E+11 444 rail F;'V1CP: CT 51-T 2127286.11 53261(00417N[sII 71403E,_ 1 674 130_61,16041 14 467 13179031.11 42411061 05 N ET 40 5117 2.17901..1: 43 i 14[215 VIEW C' SAL 1.1256141.1: 1740 2_1 131111111' if? 5 T 1.1797%F -11 •-C_ 113010M 678 1- 2.15733E-11 10;0 714 COUATr RC 2111 217933E+11 1;11 11. C,' JRTY PO SR' /.179316, 11 313 5 10121,1 041.'11 r .▪ :141:3F._1 161 N GO_L*Y 1:,15111 2.279.13E+11 14911C -011F•1005117 2 17903 E.11 44,1 1 215(5 ER 5117 1153031.1: 380 EAGLES NLs1 1)F 41'11 J 11914111.11 2965US-4.1114111 1.111,3E+11 1015 51211417 4112117E C i SILT 2.17503E+11 110 (:16.JNri 0)A- /371081.21 )SIL- 2.37101,21 4431444i111116 5 11 1.: ,11146.:1 513EAGLES. (1•_s11.64111 - 11;51(3E111 226 FRC- IJ F55 CR 511' 217923€.15 127 N GO1.0E11 ]R 1111 2179936,11491 EAGLE, NL11 '141S'T ▪ 17903E+11 S..30 41 ;1ST A 14 417 2.17903[911 4;7 F6G8555 416` CT 5111 1.7:54[90111 44) C7,131E1.11E51 CH 1111 1 2.175055,2 NUL 411.1114 7 2.27903E+1_ 2316: 51414110 5111 2179031-11 415 745165 44217 041 4311 7,119: RF 11 12 51,76151 21 .121 2 1797.3E.11 132 115511141111111141 SILT 2 179_38.11 _391x:5 s-6184 5111 117901E611 351 231 COUYr(41L .II 2.1)'K/1F1' 1 261'3,'41(4 OR S,_I '.•NT: YE, LVIISL I I `R LEF11:2/0481, J.7HN L0.NL. 4)116141 11 412,66• 161L1. 1x1(02\51 & 1[1141 4-5411 617.7-1115, A'AANJA 4114 HL1FF. SCOT- Vl KERB JOAN'' J: 4111.LL''. I Rr7' 14 & GLL AN�, -1(4215141 REL:YF. I [WISE & G _RAL[ L 1(3(143. DAYIEL P 41 1(550.'.4 1:15(5, CHAR 1.6E U 4 ISLLVJ 1A•: 1 IF41FN. MART MEIIDITP & IUS1FH L 110.51, 0E7E11.1 GFAIIT, L4AT•A 1414111+VIP, JUSTIN 12 & 7 V DRF4 1:61.13513 141LLIAM r 1162(1(2, FF1T2 & lc*IE & W ESTERLAN)- Rohl 011 LUCINDA. COAD, Lc1 Ali ]ERSR',L F1.11116 1041 E0K!'`,I0JR 2. 11NICr 4-4!71, 51-4,006 r+121. FRECC4= E6ERE7I14.416156 (, 1STAPITOI{ _ESL II- IT CC IAINGLEL. Vi1L7EDC• 12 IFR. RR.ANCON M ...T.& <II !IAA N R IX -V.1 3E115, PARR( VI CA'2150N,lAS:TY M COP'ERSM! 111, M ICNPII 4 :1.11-1, rt ARSelx;r :71HNG•1131, PEPSI GCNE & 11.105416E CONIIC:15. W_RRY til NF CIA 47, 6,511 EN ,141,117,1R1 Ry. LEEANR F !IRK, 0(65416.6 4, J05 N+, PLICIIIIOLL IR IST P%i1EL5, MARK 5. DEBRA 4RICGEF..3(11EN E R iII:A'1- 00YD, .311210 & FR IAR1 lIRT,MAN, 04 E & CHF 1711141 6E1NA1-, CHRISTCPHC? 1! 0.64,THLENE.A FEN^. SM, 4411-1:01? 112041150411, K1;R=N 6 Bf1UCP.,+,CSC=_ 20.66 711111 610134561E TR14.I 11 I:,JCVF7 MAR5006.1 413156, .E0 VJ 6016.3,561E51464:, 1. 004115 F & 4,1251361,4, 6414 10142120 174:, -4(541 13 & 141.6 635/1/.139 22110.1 4.14100 173115E 51_1. L 5151,+ 50+2564 1C9351;1NFYFI DG1?PPJ1 SILT,211 41R52 4135)568 415Ro1T-IGOLCENORI(L 41111,10 81.652 41351."1) 4+211F013115 NES 36,71 5111, CO83G52 1250142' 453 EAGLES NEST 541, 130 31652 R351035 P3 61111, 41111, CO 31632 620E233 PO &7157 74E4'0[831u :1111164.1 02012419 1,47[13(NT, 4050214 51T, 2031123 1231:662 "711{011617Y ROAD 533 SILT, --C: 3203285 3118 E 1'1411* 1111111 5117 CC 216474777 0351017 119 FIRST IAEA ORP( N117,1:0 .51552 411',31143 4.15 5551E54164.5 (1:•.161 SILT, CO 411027-6317 11030076 6213 .11776040251 5111.13091!,57 5711 4151016 514 70:14 F5 NEWS •DIME. 514), :41. 11152 4351011 455'.1' 2005 LAYI 3441411.313« 81621 8419.1:514 431 E'4L15,5416' :7.71.I171- SILT, CC 61652 9200552 .740 CPA wry RO102 2:4 5111,111 3:632 6350397 401 R 15:11 DEN CRI'.'E VL1, 21181652 412110059 109; 13137.114' 16.24):14 5117 22 812.41,- 'n Ri 38098 11350:99 4359992 33`-0)9911 N.2174,f:i 6155025 1200281 402(57•) 61111.4 N1C065U 413E_1.328 11351031 14.3',19445 1:35103: 4100283 R1S103.2 6351;.21 02[0520 R/[0240 8351020 579:291 135:9944 6)0321111 620'31'!0 6700231 PO ROA 25/ 3[I I,:,193652 316 SO 10111E 40 RIVE 5111, 1311 01652 4054141111111(0103E 511,121 01E-.5.7 44514 GC LDEN 01110 5 1 r 1:0 51652 391 5 91514 34,01 1111; CO 51662 180 [...GIS IJFSr 08I4E 5131. tll4111V 296 LA41 9151A (FIVE 5lE-,CCI 61157 'C:• 001190 51-1, L :: !H F.47-4256 M 1011296 5111, C: 31652-01118 PC 504. 19; 4 635017,130 21521 2311 F19. 0.1415401115 111r CO 4'102950115031.41171 SII T, CO 51E52 451 ^.311111 NF57 DRIVE 5111, 111 31157 1311+ ('4116 DRIVE SRL 1311 51147 45, EA.GLE54ILW I171IP.T <_I21 CO 5113.'.1-64117 45.1 EA2LESN0lT 1419E SILT, COTES/ 105 F VISTA ERRE 511, 21,111;57-9E91 ..•=4,1F VISTA 1151'1141 $111, 1 1) 0:5529777 41811,811581s! 11611E 5167,C017111i41- 12 5261.11E R::III 6.51(1(1 511-, Ct. .i16S 2-97,2'5 330 S C01.DEN CRI': C 5111,1::1 4:052 114 5041513 8131'FE 5111,1118'632-970, EN:8.111616h'1111 1 K 74 GL2N4400l, r6 NGS..OSL62] 2283 4.415. 6!9.12.111170 SILT, CO 1315112 7 t7993E-11 283 'A' VISTA OR SIL I 2.179Ji1 -11 417 E.••u5LE5 NEST Di& 1 I 2_1:54iE11 117 ERGLTS LF4T FSR 517 ;1:71.4. Nut avallab P tilt Not availatir lo aW HEJVICY 14NF F .SLLDAL•GH, WADI HY7Ll•HE d IANF S+n7R4TF.A AL l j.SL (i H. f.. R R203,232 2&, Cr VI5T4 DRI :'E Sal ,C O x1 E`_2-373, R35 1C2 i F.en tia'_RI' 3L1E1510NF VA (WW/' 7a1P.OP.a, rG =OZ ` R.35134F 417 EAGL:s VLSF I:•Ri'..F SILT CZ 816:3: Garfield County Garfield County Land Explorer Garfield County, Colorado Garfield County Land Explorer Tinted by WE'E' Liser" u,1BI` I _11r d [nllMY CO Monde rva Url lil4wi•Y.mn ?be rtrer relrnrlaa., r.ra -,.w FMI ir'71Y[ amp, 11.11••••.71./01414.i a,Y rRle[4.nr...no,•`•.•••r .r�.l Irf Iv a:a.h...Irt.enlYr b. rf •m. u_ M .IW c roeaa n fd_n__I.s: 15,1 ..,r.xr I. I :S4•:71f ri:i �a am Garfield County Land Explorer k«P.ifra,( 9/ZS/, Parcel Physical Address Owner Account Num Mailing Address 217903100002 217903100006 217903100007 217903100012 217903100013 217903100017 217903100018 217903200001 217903200002 1090 214 COUNTY RD SILT 1098 214 COUNTY RD SILT 1104214 COUNTY RD SILT Not available SILT 115 E VISTA DR SILT Not available SILT Not available SILT 214 COUNTY RD SILT 368 231 COUNTY RD SILT FAZZI, SHARON K SELF, STEPHEN & SUSANNE W RITTER, PAUL 6 & CONNIE J STATE-WIDE DEVELOPERS INC NORRIS, ANNE S TRUST DATED APRIL 24, 2007 RUSCH, JEROME W CONNOLLY, PERRY GENE CONNOLLY, PERRY GENE & IMOGENE J BAIR, JAMES CRAIG & DORIS P & R200390 JAMES CRAIG BAIR RANCH CO R200059 1090 COUNTY ROAD 214 SILT, CO 81652-9701 R200612 1098 COUNTY ROAD 214 SILT, CO 81652 R200613 PO BOX 423 SILT, CO 81652- 0423 R200635 353 E VISTA DRIVE SILT, CO 81652 R200657 625 27 1/2 ROAD APT 259 GRAND JUNCTION, CO 81506 R200679 353 E VISTA DRIVE SILT, CO 81652-9699 R200680 PO BOX 298 SILT, CO 81652- 0298 R200332 PO BOX 298 SILT, CO 81652- 0298 66418 HIGHWAY 6 & 24 GLENWOOD SPRINGS, CO 81601 Garfield Coumly Garfield County Land Explorer Garfield County, Colorado 114► ? +ge]lc4°°7' 11103066311 7s rSQssi,C0)1 ,4. f 15 i?ittr)10Dr1 rtix+.1.135 pf 7mut5g. RltrnF Copt 211 .nigeS111W f r Tt v,stocri".. .� x1190}j0"dIe Iu sg:IWesrpetale 1 [sty arivan Garfield Counnty Land Explorer Prirterl L 1f:1•h Lscr a!CVJii7_ : •3•y fact 1,xh=0n"r.�. 8.rllald [euryr Wlm do .aan m,s,.....w...rw.•i..f.,�..,..o.r.w,.m..,.s.Y,...i.0 1....tnr.11.<rar.- . i•....Krlrrrtanr e.,.•>H.w,r, 1.11a n1, 1 ,rraue.I Yi W n.••.... 111 4J • .1, 0.1m, Lam:, 1 A1 f 'UR W-3' 4 ic r. 11 APPENDIX 6 Photos of Property Garage View Looking South from Garage View Along West Boundary Showing Drainage View Looking South House and Garage • - . View Looking SE towards Garage and House APPENDIX C HP Geotech Report 6E37Tc:111k:id Ma.y 20, 2111 Slcphen SeIr :ounty Rond 211 Culurado h1652 p ti Job No. 116 154A ObSaVelli Li:1 f Ii. ie Pi roposed Barn/Auxiliary Dwelling Unit, 1098 County Rad 214, Nr1h of Si]L, Garfield County, Colorado Dear Stephen: As requesicAl, i representative of He pwordi-Rmlak Geotechnical observed the hill-A:toe pit excavation tri ille.Subject. Aile on May 2, 20I to evaluate the soilN exposed for tbnrickilatm pappgrl.. The findings of clot- ottservaMais Enid reconntwndalions for the foundation design are preken led In this repot. The services were performed in accordance with our agreement for professional cngineeriiiv, services tO yOu., tkiL•al April 29. 2016. he dweliins iniI ADU) will be lucated north of clic existing residence un the property. The building will he a two story woed iamestructure with a Niah-on- grade ground. 110.. Ir. Tho ground flour wi 11 be at an elevation fICUr k iIigEitJv above the adjuceni Errnmici surface.. We akstime relatively light foundaiion loads. At the tinct of our 'AN. visit. MPc haekhoc pit ;Ph 1) had been excavated La the prilpok4111 building arct.i, :thou( ei0 feet [ion h oqthe itsidelec. 'lhe MO% CNprIsrd in the Fit, Inw about 3 iitvlies of iopsoll.con.Sis.Lud of generally miff, sandy clay and it that %.:Ntelitleil down to the pit depth of (iv, tett. Results of swell.consoliation testing performed on kl Sall !plc taken from the ph. shown on Figure 1, indicia:eihr soils are Alighily io moderately viimpr..,ssible titular condition:. of loading and vititunIt. The iahorvilerylCStiliv is smumarized Table 1. No free WalCr was emaniniened m the 1)11 at the lime of excavation and the soils '.re slightly moist to moist depth. considering V41:1Ciiikins expo5ed in the pit sand the mailer.- ill the proposed vomtinehon, spread footings placed oil L1u undisiurbed natural soil deSigned for an allowable bearing pressuic of I ,50t1 psf can be id Fir stipport of the propoqed baits/Apt/ building. The post •coris.,_ruC li011 Stills may lend to compress when wcttcd and it -ere could he stlifIC SeLliemen1 of the foundation if 11hz . bearing soils become tivel, taxi precautions should ho taken li prevent wetting.. Fool ings should be a minimum width of 1. inches Jr COnfinuous wogs and 2 feet fur columns. Prior to tlic fuoting conktritetiOti. all fill. topsoil and any losedisiorhed soils should lie rerno...ed oral the baring level extended down the undisturbed natural soils, zind the :flubsn-ttdc moisrened and COttptictecl. F.xtrrinr footings should Ie provided with adequate soil ced,•er *On their 11eurint7 elevations for 1 , 1 • • : 1 SIrphen Self May 20, 201e: Pape 2 frost protection. Contin_rtt;r+ foundulit+n walls should be wt11 rcinl;nrol toll and bottom to spam local di10tr•:,lies 4uc+, as by ati.iunt:ng arc unsupported length of at least 12 fret. Poundal or stall, .c. -ting 35 retaining glut..titres i if any) should also I r designed to resist a Enteral earth pressure based on an cqui►;litre fluid unit weight of di ;cost 50 prf for titt•xile soil as 1tnctftII. Slructura? I placed willrin floor slab areas can consist he 0n silt solis coiripiicLcd to at [cast 95"{ of standard Proctor density (SPD) uta moisture content n:o,r optimum. Backlit! plated around the au acture should be compacted to at I:aat 91.1% S P1) i95++i' in pavement Arens) arld the surface ei:i;trd Eo pre.rctit puilcling within al least 10 feet of the !wilding. Li,nz1sear .. that requires it•gula heavy irrigation. ,,uch as sod. and sprinWer heads ,litmid 110E be located within 5 I+P- of the Found:Mien. This study hits bccn conducted in accordance with generally accepted gemethnir: i1 enginee.i i ng: principle; and practices to this. area at this time. The conclusions and recommendation .ubmitte.d in this report lire based upzn the data obtained from the cxploraii1ry pit excavated nt :lir location and to the depth indicated, the proposed type ct construction, and out exKr'ience in Ela: area. CI:rr service., def not include iIn:re rrninirig the presence. prevention or poss:bilityof 'mid or other h:olugical coo r.+niilaants (1‘4 0H1.1 developing in the Baur;:. If die client is concerned about `1O11:1[. then a proresiional in thll special field of I r:.,nibe torsidied, OurIia:lir.gs iacludt 1r+tarpolittian ;brit extrapolation girlie srbs►ufu,r conditions identified at the exp1Mntury pit and ►•uritrions the subsurface conditions mav not h xionlc e►•itlent tiniiE exenv:nion is perforated. If tnrnli+iltilts en:ountered during construction appeal different ft au time de<rribcd in Ili:, IeIFJrc, tut ihntlhl l tiiltilied at once :so re-evaluation t:I the rec•Unn cnaidions may be made. We reuiniTrlcnd ori .i:r itbscivatjoti ied foundation Irt,ring strata and resting oi'slrue Iurlt' fill lit a representai%.c of the goutechnient en€ineet. If you have rrny questions or need further ;issistencc, please c+,ll our office. Sinrci ly, HEPWORTH PAWT AK.CiBOT'IL 1 LAICAL, INC, r David .A. Young, 7?_�#r ic err 4` ....,• ..,w� �' DAY;ksta fig E3400'. r+;les 1 t4l�k�� attachments Figure 1. Swell Consolidation TieResults 'fable. I , Summary of T.;iborattiry Test Results cc: Kum/ anti Assri:i.ttes- Brian Kurt/ (k irtieir:;+item}L.11n' n.g11) lasNn. 1t Ii4A .1U'H Cr Der 11.f; rrpI oi nit, Clay WV. SrIl rr.v-il Pit al 6 PHI -II 11 Ho rriemie • '1'1 1:7 PrEf.:=5 ,AE 1J 111S 1E14. GgFitecti CCCt4einnir.Di SVirl L-C:=INSU IRATION I E P1-31,LT3 uc I HEPWORTH-PAWLAK GEOTECHNICAL, INC. TABLE 1 SUMMARY OF LABORATORY TEST RESULTS dots No, 116154A SArAPLE LOCATal[1N PIT DEPTH NAfl1RAL rADI.STURE CONTENT NATURAL DRY DENSITY l r I ;PGF, s'AADAT;ON GRAVEI, SAND PERCENT PASSING 116213I0 MAST if.: OQMPRESSIVE NO.21* LIMIT INDEX STRENGTH SIEVE TEREFi<C,,LELSfFS_[ UNCONFINED j irsri SOIL OR BEDROCK TYPE 1 11.6 I 0 l f. I +. 5 I fly 1 Si -Indy CIT and Si( 1 Sand;; elny and Sill APPENDIX D Perc Tests GAHP1eLD COUNTY BUILDING AND SANITATION DEPARTMENT rua+.rr FIT: COMP Mx. S4e].f 111 3'.E:. t14t1 4 1d Pea; hi111:1t1f. 109 $th 81ra■t Saila 303 4l.nwood Serino, Colorado et 661 Phnna (3031 aaft.6212 INDIVIbUAL SEWAGE DISPOSAL PERMIT Li 1545 iris 0e41 not an• alatrbs.1 ,d PJr;fnpal IA* p fl• t Ownar 6 R 811GIrnfr Eel! Dom. eta lion Lb. Fid. 214, Silt (Ttact 13 o! the Antlers C¢d1ard mid25. ) •~ •� •! LICansed Initallsr Robe'L,CO 'L1�Rl ConetruutLon C,ondltAnal Con41='LGIion approval it nerebM grantee far a _ gsltor! -- Stone Tank or A rated t/aapnent unit. Absertrti as. ar i for dirpar.. areal curn suitsti es fell ows: 711 PQrC ,air o{ ane inch in—_ . rrinilrPfoss � s of w In m a _. sr f 1, 41 absorpeio, area Per btdraorn Thereiurc tht no. a1 nfairl41T1 May t«6 aupq■et: -9.S A%+•1 Oa1a_ FINAL APPROVAL OF SYSTEM. --• - Jr _ ._30- ft •111r 'mull I Nuiramanl + a talar 4i is rt. 01 itncprplion wpm A. are e .as. 70%rr1rlie 1,/04.,1 >a/0�r_•1 f — — - . Insilecior _ - --- - No syrlterr shall be dammed in be in cnrnpl ionto with Nr! Sew. it I ispaial Lara with the scrambled system is approved prior 10 cam in Ins. Wil. { Sept E Tank •cCCl1 for 1,151.1C{ non ai,d 1:Ie}9i% Lnliein 17' of o•pJnd a uFaea Or earatad octets Peftl af.rrs proimd LJIfarY. Nuttier mala) etl ori: a11Afr ill' r _ T•ecIe name 0 septic tart% or a, jLed 1.,C1/1.9rent Jril A4t`9u91e alnorptIon Ic, C11Ha1 LaI) naa. --- AUequare r,(1i rel arra rl•hh 9ermir �rrgi. �rarnanle 7'" / -e e s, r r r,P e[ /f71 71.pil Pt, aCr..a 4r7 5 r _ 7Leu/ i Adequate co•rlrliancc alllr Cntln:y and SIAN repulat'00s ragvirernenis — ___ Other Dale— R /6 Insot to r 77.1,"1144-43 AE`AIN 1'L'ITf-I ri CEIPT RECORDS • T • f.STRUCTION $ITE 'CONDI TIONS: 1 All IrsrplIrllloamuac401r1plr'rfihEll rebulrerrionilotlhaColnradoSlaiaAoardofHpslihlneilIgwalSewageDisposalsya irq Crispier 26, Art111p ?0 C A S. 10T3. neyks.I 19e4. 2. MIK lserrrvl 11 valid uoT hr rnl,nec'.lon 10 LIruslurua w+ICr raw, ie,lly aom .fled *lit, County aollnp and building wadl'pm!'1ta, t'p nryzlun CC e• Lis* Alm Any dwelllip D<}tI rctJr so rest npprprleil ty 1110 laultelrrq and t01inpo1104 .i. ii al,lameliea l7 bap •,icialc,c a p fer{JIp.m It 011-4 ppm!! end o1rL4+ ler boil legal aoIlcn rrno 'sweatier' of the primill S Any g4rhan %%0 tenetsJatll BlLeis Cf M1plp!IS fol nId14Ia1Lal ■swage emaolat system in a rlannat w•idtl IMalYe4 a knobinp ere.: males.• el yarietzn ,tarp Mit le -mg or toe.naa.n theeparles: on GI pn'rr-,t : wnrnlle a Class I. 9.rty010.1r'laa 11 }.bO Ilii — e months. In jml or both App. Yana C1rae, Cosy 13.p4r9mane: 4I.1, Capt' .a INDIVIDUAL SEWAGE CISPQSAL SYSTCM n'F! 1C1T,TCII VIER ' ,,577-47444-04.3 c,eireurAye f` ADDRESS ,a on*? I ¢ r 8/44z PHONDAV c5rT.' S9a6 CONTRACTOR , ADDRESS /Qu 4;-g44 4 el) PERMIT REQUEST FOR! (P() New Installati Attach separate sheets or report showing topography of area, habitable building, 1 test holes. soil profiles in test holes. LOCATIOA OF PROPOSED FACILITY: County Near what City of Town .3;r' legal Description_r_AlheaLiz OHNE Gds-rrr�f¢ DA ( ) Alteration ( ) Repair entire aree with respect to surround ng areas, °Cation of potable water wells, sail percolation (See page 4,) Application Approval by county Official: 'e o�'4 art4 y Ye?, s ptiLe,01 `V,1G. A. Lot Sire 849 c-'._4 EiVGrIrsr:.cz WASTES TYPE: (>G) Dwelling ( ) Commercial or Institutional ( ) Other - Describe BUILDING OR SERVICE TYPE:„+. Number of bedrooms 44 ( ) Transient Use ( ) Non-domestic Wastes Wilber of persons (yam garbage grinder (,J Automatic washer (Ni. Dishwasher SOURCE AND TYPE OF WATER SUPPLY: (,y[,) well ( ) spring ( ) stream or creek Give depth of all wells within 180 feet of system: If supplied by community water, give name or supplier:' GROUND CONDITIONS: Depth to bedrock: 47 Depth to first Ground Yater Table: , , 3r �� Percent ground Slope: ' t4, DISTANCE TO MEARE57 cOMMuNITY SEWER SYSTEM % .. A: - Was an effort made to connect to community System? TYPE OF INDIVIDUAL SEWAGE DISPOSAL -SYSTEM rRDPOSEO: Septic Tank ( ) Aeration Plant ( ) Vault Privy ( ) Composting Toilet ( ) Pit Privy ( ) Incineration Toilet ( ) Chemical Toilet ( ) Other - Describe: FINAL DISPOSAL DY: 4 Absorptio1 Trench, Bed or Pit ( ) Underground Dispersal ( ) Above Ground Dispersal ( ) Other - Describe: ( ) Vault ( ) Recycling. potable use ( ) Recycling, other use ( ) Evapotranspiration ( ) Sand Filter ( ) Wastewater Pond WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE? A Page 2 1 SOIL PERCOLATION Tr ST RESULTS: (To be completed by Registered Professional Engineer,) 4 Minutes /7.4e,4, per inch in hole No. 1 Minutes 42.0e0 per inch in hole Wo. 3 Minutes epta,_Per inch in hole No. 2 Minutes per Inch in hole No._ Name, address and telephone of R?E who made soil absorption tests: y p Name, address and telephone of RFE responsible for design, of the systr /Air 4e1"6 STd - .lam) Applicant acknowledges that the Completeness of the application is conditional upon such further mandatory and additional tests and reports as may be required by the local health department to be made and furnished ey the applicant or ey she local health departmert for purposes o' the evaluation of the application; and the issuance of the permit is Subject to such terms and conditions as deemed necessary to insure compliance with rules and regulations adopted under Artic'.e 10. Title 25. C.R.S. 1973, as amended. The undersigned hereby certifies that all statecrents made, information and reports submitted herewith and required to he submitted by the applicant are or will be represented to be true and correct to the best of my knowledge and belief and are designed to be relied on by the local department of health in evaluating the same for p..rposes of issuing the permit applied for herein. 1 further under- stand that Any falsification or misrepresentation may result in the denial of the application or revocation of any pent granted based upon said application and in legal action for per- jury as provided by law. Date 4, /Fe? PLEASE DRAW AND ACCURATE MAP TO TOJR PROPERTY Signed arf..-71/ r_ro c:a� Page 3 -fe sirs / IL Include by pe.sured distance location of wells, springs, potob'e water Supp1Y lines, c1sterns. buildings, property lines, subsoil drains. sake, water caurre. stream, dry 'gulch arld show location of prvpused sySten by eirecticn and distance from dwelling or other fixed reference object,. and additional submissions in support of this application Such as data, plans, specifications. statements and comnitlaents. mac• adjaP a. 04744$1, /dor& PLOT PLAN AND UfSiiiii FEATURES: A) A ice.# " J P;vadki : 4 3- ,4,0rfi ' v '.i>i � --- la- ,-s- , ,-,-, .g=, A j� '�- ti ~ 4,, ,4 43i. ,.i C =--• s Oso 'T f/ , a le. la Pape 4 .. Pi!-OT_J.iA,q-ANI ufSJGfs FCdiTllrtF,$: Jatlurie '.sy in»enured distersre Inapt! on of wells. spr; Tines. cisterns. buildings. proptirty lines, s4Gsuil dr-., stream, dry gulch and show 'Dutton of proposed systr,l from dwelling fir Other fiaad reference abject, owl add, support of this application such as data, lans. 4pHcif Carm:i tments . 3, L trr supply ins, wolf,- course. ly ciirectlo ..fC distance subrissions in ,:;,l.igns, Stur.r•menis aAb ..- XSN - /17Prr , ,. ' T"". „, /J;.4r " - 1J6 , r¢', fpm --_ . der r. -- o �. y .,. £/''kms- **, / SAM c c------ - a , S-'-.1 cP o G x ri'A,gi 'eiieng, Games/ fir f /r T 40 a .r Pape 4 APPENDIX E West Divide Water Conservation District Agreement Well Permit -New Well Test May 12, 2016 WEST DIVIDE 5d.11 :i'.1 ')ra 51:K AYr "' DIS1 YIC-T April, 21, 21)16 Stcpbc11 and Susanne Self 11)98 C_ountx• Ro L1 21 Silt, CO 81652 Re; Applicatiou try lease Wale! Dear Stephen and Susanne Self: Encli?cd ix approved Water Allotment Contract #16042 I SS4(a). 919 f.uµhenhauEih my t„ Sap,: i l . E0 3i I-79 RI He.S : d. •1:1.1a BLJilrJ-l4 i ti 11 I• r 13 1 ') 625-5461 rap. 111:.11 u':. rl,eu, lw„1V1: The tti~xt step is to obtain a well permit front the Colorado Division nl'‘4ratc:r Resources office in Glenwood Springs. Once the well is rlrillr:d, a totalizing flow rector muss b installed and maintained in good working order. Itt September. Rest Divide requests an ;irtnual reading ot'this meter. Ilion -compliance with measuring and reporting requirements are graund.s for cancellation or this contract, which could[ result in action hythe Col nrndc.Divi SionofVVaterResources Lrlcurt#nl toHier use oftle w•el1. Also enclosed is some inlurrnalitm rrgarding acquirina meter. Sincerely yours, WEST DIVIDE WATEI. CONSERVANCY DISTRICT 1 amrny Keenan 'Enclosures cc I)i4+ir ion Vo, 5 Waltz Resources w' Cnntracl 1, i1s.n Water Group v..'comrnct airarn :encu li^rl�- Brut: f, `n`''unrlrr I ir.5 P. 1 len �H n. WEST DIVTr>IL WATER CONSERVANCY DISTRICT .APIPI ICATION TO LLASE WATER MI K Tou4_Il,:nh041 i11cc A Ii:1. F L} Box 1.178. r:,11.:. COH. O 97iJ- i -5-I61 1.APTLItANT INFURMAIION 'anla: Siep119r B pna Sus&ine Seal I.�nihri <aiL,10.: 1098 CaU� ROi<ir.• 714 Calorallr1816S2 — T.Icphnnc 9711478-0163 — L.:ua 1 s:001engteillovimSp,Re! hu11•„mrp9 3� n:: �l','' • ::+t f 3- Cr../iLla (.SL ge: I} r¢� Las- \o. Au emndulir'n l' n i.F_C 'JE. USF. (}F Pr rI:R RESIT)t,N'r1.4L \crib i•.fTil r: deme: 1 _ rxa,:'LDI1-ti Snlrcrvi+.il:n N1, con:,Ir Lein un Is yr, NI, l'anriI Ions 1 lane Jtnrtfcn:Iawn III *whim IR •7 �}[j(IQ I..11 1 J.1.:1 %Ic:11:Ir i elf ir!I I I I: 11(IIC_ sl:l1rkl r X .If–.):7murdsi:x7illptiwM;ri{yr pr f3 _ n lnal> Fixe Vraslaali 1 _ r1.•¢.por3l,eln: .I :I uue I ec: IlcscT;rioIruJ.':. GfiC.[dhrrSI1;17n.•Il:rind'4-7, .talllratiry'yor di v.r•im. ;x.2 nr 11 brs'S1t}I.. and ur,nuai an 'rI fl from II itN nnring•1,p;mrarur for reulriflr owned.' a Oil PPOIST be s4blrlfrreet Jj 3vnal,•r NerNr txw "mien. r;ryrilcmtim, Mimi be 'emir wider a Pruner errerr aticYJei Vk.a- COMMERCIAL uuh;rofuai.;_ L\�ccptioJl CPC u,c INDUS'11Mr, k5cl.l:rinu n' I1 C _10101 41, 1'I..I conincl c:al Evuprcrariiil;.I rTl•,Ir'I s% cxrncec: _ [:4"4,ilroi.m elf ay, usr, •dh::r 1haI7 mss; u,�a'i;nt ;L:;1 rue:hoc of :I %cr;inn, r;II 01 ive%•;I..11. Lnr w-7L,I1 0:now7LuI •.In'rn.ico0i au': :nn I'n IkJ1ej: IIRF.C.T PIMPING Trilsw:,-y- r :rr:dicn. 41. COL HU 1: OF WATER SrniC(L.: Well tit url.uc :,In Self Mali SL,.Irnr SIII fluxSt471 :i L'l• nrr nl_d :Yater X f'uee�l P:uuil _ 14D55,8 , i,l7t:ia uq:p LOCA Yu/N. OFS1HLCFI RF Garnela i'.nlrn} 3 — �r:-.l ill !a5 slvrrr,'Iip 1?I51JFIc. r.l' e'I ...eel Oil hoes: 11 IO3 ft fr iiir Lhe norm line 220a tt front tlin east line I3.4il:inn 9723 tr CI I li'va:ion sdc:: sx; 1 C9$ COLO,. Road 214 8111, CO 81652 — -� mourn al.06*Ji hvo..:rear i,t,ilh7,se ,vera-r.v,r.• Contract 4 16042155S;a) Map ID ti 7D3 Date Activated 04•/21/16 92W Rlure NE Q4w wr6LIL b, LAND ON WHICH WATER 1t'JLL. RF USED Ley r s.'ucrr'f'are•r. May arr irJ;tKtr_'.! Lut 13 Anllatu Q1Ch4r Stih(liaisign huir her 0: al:re,. • a -rner 8.9 J — Ilhfreuffn bin! rift LIiklrirt, m-llytiesrntk e:tr+en.%e, mall he Mildred. ? T11'L OF SEWA(:F sYStL:tt sip ir',al:h at..Ir1•-4II. IC:i •I lirld )( L'enrrrll ti•,sLcrn Chhcr f7151iicl uunic & 1'OL.11.41h Or }.r.ayEJ) H'ATFIt NELDED ry ' RF. FELT: 1 Acre Fl r 11111 11111 I' n r 1 1'11.,1 :vier! .u1ll'C lI 11 er I: it a,'II .11abnr+ Ile-cr.r+[r>':'hnr.l i.. err r11I IL•J I: ., : 1 usr:di f'undele ramme <riam adf.V w aryrperrr iahrlflr: IIf turner errl1er ied. (Wrefr Wrr &. oavrfi4+Irl. Ned inet userArl arm' NW/ furrridr dluersion and Lim/him/NAV dlJir Lrrr a awlarhtl' basiA. .1 rnA7liJR4)Lnv Nater x111, mutate 7t'lefrurt is rr utieed ra M Jasfoll.•d r1& [lingo- repurimf rn rl :nr lrir1dr. (Nine turf rigrrr-srlrair; fedmeleatert it 640, 1INf ofte 0,ryarrirrJ j lr+',mew fllr Ji6tnirl6 Amp 1)'un•r •1ll9rtarrre (mama nlrri rrgrrrr IAA appikRllei is rrrar1L• oil:WHO and sl(C»c1 f i fllr' 1thIPN+ufrf re i,firiruu• r oiefahrs+,f 1Nrreter_ 3.; r AR, I•:rii ptit — rrJ Appli:.rlll: tiler;'lnr- %,%:•( App icrttii •n J};a� Ititil r1} A5 1RITA I L U.\'J'RACT •, X :'I.1 F'irred preiun: cftil.s, ..3C r1t t.Lu;nx; hnr h,1•n:WM..., I •,1n t+',.:: 1 in•Idu 4.'al� i'.xr,rn nlrr DkIrkr FLcw. lrl}1\'I ;.7". 11 ,FII 1•b. NR;•.:R.. 7p Applicar, on rnuit ba eat+pletn where ;x I A PERMIT TO LSE GROWN) NAT LR Bpplivabla. Type or r 1 A. P6A41 T TO LYJNSI'Roi r A WELL Mink ALACK rOR: IX; A PE TO INSTALL A PUMP INTI , No o4Bri1rikc5 ur nrasure5 unFeii 1 ; 14EPLACEMENT Ff1R NU Initialed COLORADO DIVISION OF WATER RESOURCES RECEIVED ela Centenni■I Bldp., 1713 Sherman Si., Mower, Colorado 10903 Jll`,128 '9$5 PERMIT APPLICATION FORM i ;OTHER ry�tR kL5PioC UM JS ll • th,,a14Ffr1 WAIF), CQLRT CASE NO,_ RECEIVED • JUL 11tia5 vomit 9.Eigisnal surf f W IhIIR (1) A'PLicANT - mailing address NAME Jim D4asuahi STgEET_ P -O 1IL6 CITY $ $1.1t. CoLz• TL• LE PHON E NO imew 674.2335 $1654 t7+.7 FOR OFF'CE LSE ONLY; DO NOT ir.'RI IE eN ailS COLUMN (F) LOCAT•ION' F E Count v__ge,PLI., -- _A 4 r The NE :4 SCGII4h Twp. 6_ L , Prig, 92 -- .E 13)WAT> RUSE AND HELL DATA Prm:vied rnaibrnuen oL,rnprng rate IgW*.rl — 15 Average a+i,lull of gnxi.id water m be appropriated [acre-feel1: t•5 Numbnr !t acres Lu me irrigated: 1. Pr *p ed total depth ifgel l 150 Aquifergraund waver ia'o DB :brei •ap fr.v*n; Oraval Owrnr'i hall detlynation — Tat 1 A gR01)1 P WATER TO r ,)SLD FQFli i1 It/r1 IfOUSI:P OLD L1SE C•NI v - ^r; •Trig;tion :ol 1 DOMESTIC i1'' i 1 VQUSI HEAL 151 1 mor LIVESTOCK isl i 1 :RRIGA-1 IJV IB; 1 1 I COM Er1GIAL {Qi t 1 C•1 HER Iti; DETAIL Thlt L15c ON BACK iN (111 1 RIUN C1PAL 181 "CQ $ilii sa+st LT m Li- No..__. I Receipt P,'a Bar j�r f�il:� 4•� CQ,I DITIO}NiSQ. APPROVAL Tnis avail shetl I:a +tied to;:n a ►vay b5 to claim n4 •tlater'al inJury lc existing water eights. The i3.1:upr+e8of the Dorm; t does rant assure l}ltf xpplit:ant ,kd; no inl Jry ►viii occur rp another vested wd"er right or nrecli.de Dry her orvncr of a veiled weer right from seeking relief in a civil cai,rt action, 1) APPROVED PURSUANT TO CRS ' 37-92-402 (3)(b)01) II] AS THE ONLY 1ELL ON A RESIDENTIAL, SITE OF f•i9 ACRES DESCRIBED A5 -7CT NC, 1 +tt t 1 v. a 1% O• f r 2) THE USE OF GROUNDWATER FROM NIS WELL 15 LIAH1LC Tq OROIl1ARY HOUSEHOLD PURPOSES INSIDE A SINGLE FAMILY OWELLINf., AND SNAIL NOT BE !BED OUTSIDE THE ROUSE FOR AIIY PURPOSE. ATHE RETJRN FLOW FROM THE USE OF r1$E WELL I?ST BE TNRU At4 INDIVIDUAL WWI: WATER DISPOSAL SYSTEM OF THE NON - EVAPORATIVE TYPE WHERE TF1E WATER IS RErJRNED TO THE SAME STREAM SYSTEM IN WHICH THE WELL Is LOCATED. %/7.15" APPLICATION APPR 7V'ED PERMIT NUMBER 140566 DATE ISSUED, .J1-1 L 3 1 1985 EXPIRA`riO, DATE JUL 1 i 1967 v THE LOCATION OF THE PROP[ EO WILL and the area tnlrich 17te watt will be assn mat be indicated An this diagram blow. Um the CENTER SECTION 11 section, 6a0 rt.Ta4'or rho wall loco ion. 1 -- 1 MILL, !2BO Pe ea — Tllp Boole cf the n agr@rn is 2 inches - 1 mile Eaeh small aq,sre rept e1cnsa db hrrd1. rr (5) THE WELL MUST @E LOCATED_ OW by distances from stictiOn tines. edit? It. 'Prom 2240 _ WON Il, from tnm ed eoulai 2 tnuu nr WPM LOT_I LOCK FILING SUBDIVISION Antlers Orchard aec line W. I iris 7) TRACT ON_WHICH WELL WILL BE LOCATED O orrer:... _thea Ntasg86.1, ____ No of 4ae11 $_5h Will thzt he the c^•+y well on th s tract' 3rd {8} PROPOSED CASING PROGRAM Plain Casing in, lror i - O It to 'i. Ircrrn ft to ft Periuruted cAsing 5 in from 130 ft to I% ft - in from ft so It WATER E01.1 IVALEn-5 T4 DLL Rw.ican a q�rvrs. An acre -font cG,a I' moo M 1.1M 1 tryot G[rlr CULic loot pia 1a0an9 ;;‘,.Fel . 44910 hex ret rhnutt IgP ' A 1err ry uI 5 w'SI rpp yi.P ..;e. "u8. 1 atli4 1 Ytw 1p71 01 w'rlar par y"der 1 4,...1,1o7 ...43,566.r�11n . . 375,000 1,0.MJ YP rn P4 meld Obritim.rmalv toe *ow IJV arnducR 4.4: uC,C Ikr (9) FOR REPLAcEMENTWELLS elvtrdistance and d irecslon lr on, old wet and plant fa °tugging i1 RA (101 LAND ON WHICH GROUND WATER WILL BE U.Q: Owneers}: Sir VA 4,"1"i r4n of acres. B. 9L Lille deur iption. (11 } CIMMELDEScaPlig_Al of the u of around water Hpuaahotd use and demotic wells mot indicate W114 of disposal "In 16I*u jliod111111e, households > etahIMMIIIIIIMI411111.111•11EdultaIROPIIIIPi.t . Septic Justus will E4ta]X With Garfield Connt.7 t};auldlkt^dR. 1121 OTHE AILI RIGHTS ,,sac an L.*Is la -.0 rrcluc: ng wells Give RfgiEtralion and Water Co•.'rt Cos iVymle•a. Type o• roust Used for Iuurpota► Descriptioo of read on wonch �redt a y • (131 THE APPLICANTIS) STATEIS} THAT THE INFORMATION SET FORTH HEREON IS RUE TO THE BEST OF HIS KNOWLEDGE. JAN FF1.5 MAR APR MAY JUN JUL ALKG ;.LN l};:1 v1n' OFC OTAI WATER USE ESTIMATES COLORADO RIVER SERVICE AREA WEST DIVIDE WATER CONSERVANCY DISTRICT AJ' LICANI riftpl►iaaMS anaSrlr ti I 10VELUNG IJNI I 1 RRGFTED HtkA (:X7= fy 18090 CC611.uERCIni AIWA I •CI r"rl 1411 TT 111:01reC1S. FI EVA. -1041 1 ►I$r I. RVATY.JRA7lOti r4^tFd IAr. a:1 j_ C"; ; :J} iz1 15. (.02 Conlrad Arnpunl.o.i 5,36 transit Lc[s= ii 027 arse. tery Trsert Losw 5 040 (101 .12) 3 t.001$0 IP'. 10rJaxun tlrrermn (F; - Ur.4 &o' 1->gn1,}tt C.0 "�. 1 11 1Iwx . In Fh.<w. Doorman ' C U I1.61,-) L (Ar; Cemmertl Lovers on (AFJ cerool4tunl •C.U. L .AI I Bron n Dwerdnn OF) inGJa1 n C U.Eyap:mhos 4AI J LIrC]e.ol Oners+un F. I CU {?Fl Prink/ Ir IF) Iola! Uwernim (I.F,'. Tn el C U. .AF) Total Contract ArnDlrrr I (Al-) 11.47 0 01 0 nC 000 0.110 0 00 0.01 0.00 0G•7 0.1116 0 017 006 0.111 11111 0_01 nnn 40:1 0.01 0.014 0060 0.015 0015 017 11_01 000 O_0u 00O 0 OD 001 0011 0v.' 00111 0017 0NE0s 0CGS 03o 001 5 0 4 D 003 093 0.41 rc.n 0.10? nal- 0.043 0 364 0 307 0 0? 1) 01 1.00 r• m 0.14 9 11 0.01 0.00 0 225 11/20 0 7'75 0..550 11440 1.1.05 0 01 0.00 0 00 0.20 0.16 001 6.04 0 46 0 177 L, 1 ab 051110 0470 0.07 4.41 aor 000• 0.22 0.17 11111 7.101 1)30) 0.749 :1011 04611 8Jrs nm 0.01 oar J1c 2.1'7 014 101 ago 4.200 0.153 7.1M 0:nr.. 0.D114 0110 0.01 004 0211 •012 011 4.0- 01111 4.261 0_113 7111 4 009 01777 0 07 C 01 000 0 90 0.0-1 f. 03 001 0 lel 0.114 0 345 0.047 0210 11 01 OCU 0.00 00f1 (00 001 CI.00 0.074 0016 17.11? 11.0F 0 01 11.61) GM 0 C[1 0.00 DM 15) II f) R,I§ 9.C17 2.5J0 201%7 11.121 1117 ICU 000 097 0 r3 L'07 0.00 1050 0011114 0012 ;1) KM Irrgtttonelfuencyto-arairWerlvrderrs =) Slaney Gidec as6raall4.i,.iti Pochnp .1L'_I Ip1eno1 I:1) 75J0 o (oris older per res. -deny: 141 155.. ron44nylha uee for ttilx5-yr34�m. 11'1 100 9ellmx Per div pr•.r 1000 ai: I. d ourrmrrrlal FCav3 161 ! 5'ti aor.plunplIvo use kr Isom seicham5 173 Catonn (1) • teffledarsenarrms falunm 12)' Irnuamn n sues IrvL r ISA al 11 gallons per head pw rl y Eveparntlen f kvr]fior [:rai�rrl (3) 1 Cc1 mn (5; • c:c4.11n (71 . Column (01. 001101r1 [10; plum 5'69 nnanat A.se Celulrn 041 + Cdtnvl 03.. Column :61- Ccivrnn (9 - Column 1131 Column 1121 pW. Yanail Imes +,No 4l 4r FO'lel CvapU4T'J179 4in'2010 sso9gs. -107.6s1s1R000000rm J Go gle Functions Geo lookup: enter your Geo Locat ion and click Go. Legend District Boundarlest Alsbury Reservoir servioe area Fourmlle service area 'Silt Mesa service area .1.1S MaP nravxl. a -I apWIvi - Rine Creek and EIk Creek service area Colorado River service area t Includes the Bluestone, Silt and West Divide Water Conservancy Districln. Contract fi 1504211S5S{a) Map ID.t7l 3 Date Artfuated 04/2if16 WI :T t)1VEDi WATER CONSERVANCY r7IsiRICT WATER ,ALIO/NIENT C'OI' JRAC'!, Stephen B Arlo Summit 'A' Self Name of Am,.:,icant: 1 Ave Ft Quiltlitti• of Water in Acre feta: ApplIceiii, i1C'.'el:x' npplita tL ill; %i IA' f}Il•Idl' v ;Iter t. nrt,erc .n•:. District, a pnlltic'AI sit bd ivisiun ill rhe State e'+f Colorado, :r.ullnizedpan-Aura ln:ndexistiINlav v•itueofC.11...'.I')?3, •r;tion37-li_101,etaetl,. 11erer'nislerreferredtoaaIhe"Distrio"1forau4I111110em -.role i I to benrliciulty and peg...Su i.I utc wal rr ❑e water right a fined, Ica^:ed, c'r.icILzs ler acgulrcd by ?NI Dicer; t. lay execution rdlhia Coatrarl and the el I. ;fled AI: p'i atiol> Applicata hereby ac-ers [nth': r.,110wirlg Irrrns and conditions; I. 'at.rRi,hts.AppliranrSl:alIown water right,atthe peltat'."di;ct,Inahenrin lawfullycntiRing App1IG,nttodivert waiter, which 'Ai II ler au pplcrnenletlanal oliglncraed b> wntel ILAWI herein. r I-Appl crit itttvridx to di -eel i lllrYu.II!h :: sell, it Ming he cader-twd be Applicant thin no right to divert L1.s s unli. n valid Well perIllil is oblSil!In I li{•m the ()Or -a o 13irision c:d Water RLLs'rnrGes, -- 'J iuntity: Water nppl Lc' Iry the kpplieaat in rh: now un I set faith &itYwe aI tLI hr diwlle4Itai Apphentlrs pride of diversion Irian theI)iatrict'sd,revlflew wDeerrightsand Alen c.ateris lIntreailahlric?divercinnp.imudrrttoaileirides?;oral:''theColonl.h,Sta:c Lnare;r(luring yeciodf,crhen saiddilv:a 110•w•;4:31errivditisetchinplIOfiLy, IheDii:l' I shitI Icilzue Iitr[he use nrApplicynl uptr!raidquantity iri aero feat tier year nl'>.tuntge. water attinctl ca- ronticltid by the L) shirt 11 is understood that nny quantity apatted linin direct thou', ,:erne or tit hcrw•ise.trriheAtppiic.ml by the 1)k-h•ictwin he]inhilcd by the priorliy oribe District dccrce:sand by etre physical anti Ieaal ati•a.lalt:lit},ofwater :turn 1);strict S sorra s..i ny quantity alka err wit I ono., he provided SD 101.8 :IN wntel :; er Ai ]able aril :hl• •kpplieant fully cnurplies with all ofthc lams amid c:rnrliti cps ufth. a Contract. l Iw• Dii trier cold tin: A ppi I h1- recor{nixt- that Nome of the 'District's di rens a:ay he in a na.•r,C often Colorado Rivet lvalerConse-vuurn District, und:l'Ie dhilriv Cf Lilo ;District allot (iirect 1155w -ichl lti Lie Applialyd'try Lti ticperdent,in the eonten- of IIIc C.'olorode 11 iaer kvatet C.uncervatiol: I)ivtrict. Jfal;tny thaw the :1p jicai delrnttines it requites Ills was^.I limn the abloom herd': pcKrealLK1, .A pplieaut mai co neliCy the Dieu i l in writing. and the anon in tri water allotted Lacier this amine: I shall l:e reduced pr7rrou ill? in a ordai . lh such 111•lice. Rater, !A -x.111 be ad'ustea [c:callir:;ap' in following hale' yen.racnly, 3 Bcncihi I an» Ir ••-lorIt>:err a Aii' and�llallot ladApplicant hythe Deduct shall he!medlar the Ic'ilaro ll i. Ia icficial use u • ua industrial., municipal, a:rn,aiic and related nscs. err enmrnt tial I:exccp Gr cummerc: el a �r from ..",bare Rtiesf4 jir mid C.acepl To dle Galen! that kuedi Reservoir Rafe' mar my ire oval'.able roe' r ouure%, iul as that tern icde•5lied on PatottrCoaaroct No 2-0?-71:.14•(154?between atel l'liledStewsr ullIt Weir liividrWafer ;ouse:tDuey Ui lti.[I. Alirlicanfsbereticia'_use nfnnvai.JylIwater allotted shalI he within or through Cacili[ie lar twin hand Owned. Tensed. opei Wed. rr under A prtledat ti cr:ntrol- 4. IleircciarldI rl;ror, F:xertempcrclease4madebythe Dislrler•nrlofit•.ragL:1,camRuali 1tew-rvair, GrccrrMullin ;lin Reservoir. A labiiry !ia..crtiair. araeherhvorlt,Krim oisi he District. or 'ban sowei-; availAble 10 Lk, 511n111-ir delivered male •� ppll cant .11121C ..~odea n rsni II yr r age lacil it it, or at the decreed pr:inl of diver aion 'or laid : cher' i ii ccs, and rebate •Jr delit•en' of waver at uc 4 nutlet or pn ints cianstitu'.e per l'unnancu :+f rh r D isln et', hied obligation, Deliver' ;•f witch In l he District In.trn R.ucdi I evel-voir or {ireen 1 Ltcuunlain 1eseemir Anal Ihesi. jri:Ili Iheni«rri;:1 leiwe Wilhl'nrl-nirlyiSGlI Iu!-Snuk'fPrclnntalion Releusrsfrom olherft:ilitiss available to Dlstricl sli> ll Iti: soigne le :he writ met", laws, tidies. I'hLfttlCOL Furls1L 1nr,f:. the District hiiulrs evpressih. reserves the -ILh; Iti slure Winer urd W make rxrlmalge rele<Ises ]hunt slr,uuu:res that mit- be htiill or wnlrtlled by the District in the linurt:..An 1i ri , i the wale- r+ite Icy Ihr .Ap1Iierri p.Ifynart 1n this ityrerneni,' rkw ,rlpairell said mil ion, Any 4I11Anlily' nl'ihr Applicant's aIlewaiinenfilrinlivrn'rllitnrnKrriF.y• pplicanlfnibi er.11csfmrhw,r,rlyiarif)richer1;,•iallanew,ii1heuateriuzpIrrrnfthelli+lriri Cur rrYeisi.n Jul; rout e1dillr ,4{q li4'ar:1 Ii .uy refund ul';;Ia'milt rn;llle fur su.h water. Yf'Sler Service pruaidei iso the }i.lricl :iii 1 ?1e limited LI Inv iiruI ml iii° ;user avnilnhle in prinri-y ti the original point a1 divasion oftheDiKliCtS applicable Inter ilea, and neither ihe District oint those entitled to izethe Ditaint'sdieiecitIna, .;allonam) gticaicr anl.unt at new ur alterrALL pr:inLi Cif diver -+ion. Ihr Ill:Arid shall r qursr the l;oit-ado 0•0sinn 01"'r4 nrtr €tescurcci to estinmte tiny :onveyncice losses between cite origiunl point and any alternate ani such esti:hare shall he ded.onei Iron! tl.is LlI II urn in each cave. Wain' service. punt. ieed l.k' the .nada f. pluperlic IULa:cJ within Ihr Ala Sill Water C:censer+arc} I]i5tr41s provided pursuer lu Agnxrncrtti with snid Disuiets. The lnucegoverninental Agretinc t between the llistriot and the Silt Water [:an ervanev Di91riet, dated Jan21.,11)1, Is rLL'LIIJLLI al+rtJ_L•pi i1111 VII. 571641, S1.arte:kl C•uunly Clerk and Rel:nniers Orrice, The Intrrgovemnlrllral 11emorandurnofLind rt0ndiliaL1ctoeentileDistieianidieBluesince WWI l.ur_evvancyDistiicedr;.i JA11ri12), MOIL,isman :halits RLxvpliun Yu. 114X1(i. iLurlield clew C'It-k anti , MitTn,..dc Irairt :•f JPttr *Mint 71at cfAuynan'nrjv., Devrccs &,r altzrrww points of diversion o'thc Dlstflct's water ricins orstorage watermayherequiredInorderlot.4pplicls-1ttoavethewaterter'ire:vsntenipinadhereunder-. Ohtnining such decree is the evelu+ire r1. p in,ihilily n1. Applloan, The 7t5'ricr "err. -ver the 1.j hr in review and apprc•vr sol} c: tdilir'ns which ntay 'e artaslted W judicial ap kcal of said alienate retintot di i 1.514 Ni d. L•LIIIILF•1'1:1141Cd 111 1111C1?6arr LII scree t r I:.wets, •%pplicirnl ackrn'wv5rd17es and egtetes ihni it shill be s•:lely rospi msi hie for the procedures and leas) engineering cots macesgatty for any charges In water tight~ curlternplatcdl herein. and t'jr.l'. i aeric; Lu 1 L4JL•rnni ly the !] .inial Ih iru eii', awl •..Ir laver related tett the'relu. Appli iir.I is i 1e1;' reSpcna'i '11. for providing works and facilities n:cc s91+ :1.1.:huilulrii wLrl 1•w waters s1 said ah.:nthIc poi 11 Ill emersion and lieliver Them 1n Al:plitlnl'3'il1r='idrrt beneficial 1IY.. Irrespeetive of the a.1u u1:1 [,f '•Y2.1cr ac'.L:a:h it ii; feircd to alk• .kppLeanl s point of d i.'.r+icn, then Applicant shalI make annual pavrnrILt t:j late ))ip1rrr hint; upon ;he amount of tater alerted undr_' this Lo ttrs.'t., in the .went Ihr .Appli cent intends 10 npply for air eltcrnat.. point of &version and rct dc'. c lop as aue111. ulatIon plan aha it s'itute IL:L'd apprimal 11-.IL:•1 anniernnlinr pan ki allow, Ihr Applicant the wtiler.11lutle+l W Applicant hereunder, tie AppLeatm shall give the Disuld ...ciao' au;ivc III ft:J., intim!. I ri LI ti++ la Lli Applicant dL-YL:Inp• aaJ acljw1 iLzaet il• c•wn ally,*nrnlalien p,iin 10 "alilixttheWaterall:riledhereunder,Avplic.n1.'helm.Y.heeblisn:edtnpa}amneerint'irdr'Para raph'r+irkr ,Frani}ev'ent,IhrDialicishall 'lave the right te. approve or disa•L grave the .AIM kart s sumentation plan arld rhe Ape Rant shall prcviCe the District cc;ties of i.itlt ldmr L•.•iJ:n roll :i hili ng' anis nl Ilrr papers hind with he wit rr t:nurrl in Itie a:: RIO leen lin I hr*c'f [;. f iytrapt Pay:t:era Von-refLmdablc, one tine administrative chaise. in Cie aincL.ni determined by 1tie riaara or Directors of the Dirrri:1 from time to time, shall be submitted with the appl:catioo for consideration by :he Dist: ict. Anatal IY,ynt.21.1 fuer ilia 4.r:.1:7xcr+icc r c:ril..ul h::rein shell IN: dcic 'ninrrl by Ihr 1119arcl of r/in;:tors pr they [Disliier.7llrr India] annual payment shat! he male in toll, w tonin thirty tar)) d s atter the date of notice- iodic A ppl .ant lila; the initial payment l£ due. Said lraticc willadvise tic Applicant, sinnnpcnue thiii..,ir1IIrewalradever) yea Iriwhirhl`rr. it- itialpay mrnl%hallaKay and the prtrwhich isa 3lic hlr CD that year. .• n -mini Nil/1101U for each year thereattri shall. he due and payable by the Applicant onx1:ufurceaur:anua:y I. IfnnanmaaI pay nre�n iz ma mane by rh • lineI ii r r f ar .i.sn tine fee will hr xsses5cd FirC 4eritten notice Prot r 10 Cancellation 4•ILI be soul cer;ired rn ail, mimeo rocclp: requeeler it illy 4pplie: n.:11 tush address ie may be designatal by the Applicant in wr flillg rhe set forth in dile Cortese' nr App istlirtn. Water'3SC fn: any part c.l a water year sIi alI rctlui-e pm•menr. for the e Aire \va:er year Nothing herein shill be eenst-ued sC• este. arevest Jit f]i,Irei IRrrllddjdslinaInc annual rate inits sole disci tion 0r ULC !S; nIy. if payment is net roads within fiftocr, i 151 clay , a [ter r Ic ILiii n1'sa n: wr Ren nnI it't ..\ppl it:anl shall al Distric's sok option have no further right, title err internd nnler th ix ronrra0t K 1101:; Binhor noti.;r. ajid rid il.vr}• ata}' be iminediately c uriailcc.'I'he allotment nt water, t5 herein made, luny ix transferred, _eased. Jr oilier 4. Ise disposed uI at Illy J:>cretirm of the Ria+ -i: ni Dime him of the flIriet. r 'p,n cancel:adien of this watt r 3110linent { ;tatract with the Iyi str.t, the District shall nc ty tie D:nisi o of Witter Resources offices in Denver and (] leriw..;i I Springs The Dit isi:n of A'atrr F'O501.IrCCS may then order cnsati_n of ail water use. A Jitiunal Ices and/ A p yiicant ogress ;a defray nrq expenses incurred by thea District it coy:ta tion with ohs: allcptinen nt water r ver ! Ikereunrler. in: I iid r:r, hilt nni linriled or., reimbursement rf legal and engineering oasts incurred to :ennectiw, with any water rights and adjudication Ik:casaly u, allow 1pidicaur , use 4sf neat allul;etl water ri> its 11. A.4o simmer,. -Ihi,C'atarinavileIIurnthe b reliIoftheIletrs,=_iceossorsarassignsof:applicit,withoutthe prier !rutinca:isertofthe LhistriK'sHoard o'.'Ulreetnrti Any. asaielii:cruiIr Ap[rlic, u'. rights under Inns Contract shall'3rsubicctt;,,and Mit cur:rplr with, such requirenner1a as rhe District -awn hereafter adopt minding :l5_i'aniii.iii oaf (:in:t-•xi right-, ant_ the a,nurrplirm tri Contract nbli tlions try Ilxsipn.ca ar.d su MCSSCS3 slotting herein.thaI prevent soccessori ton parhon nr A pl,liennt'i a?pl• urp lir Il:c District for individual rind severateal_otiwnl Contracts. Ni assIgruncnl •mall ':,e recrigni,e,l by Ihr I7islriet r*.rept up_41 completion and filing of proper forms kir aactl{nmen1 and ehanys et ownership. In Mr event the wetter alloticd pursuant to this Colmar. is to I . tit tl lar the Nuchae c:l' arxl x•hich is ngYl •.w will subsequently he subdivided. or ]rind in neparale weknyrOirc the Applicant racy only assign the Applicant's rights harcutrdcr to: 17 Nu n-rnrt ilvir Ihr. ..ccparale utterer ;11I nl w•In:rr , ha II he ploy 1.: a Weil thnr,'ltg uptime It Satisfactory :0 the L?lstrie..: or ) A h:MeteuxrsT amoc: ation, waferdz,x1rict. lV i and sanitarian :i istrriei or t:tr_r special t l5ITit I pre I;erly or_umireJ and existing under the lams of the Slate of Calve adc. and then, only If such parties, association nr slwzial district c;cakii ishc, It: Iris aalisfaclinn 41 he I3izlrir Ihnl it has the a iilacy and ntrt1oray to perl'ornt the Applicant s ct li.&s1 .xie male' II:., t 4:r:Ira.1. In nr: mea I !-all 11 the ewnrr of a portion, 1r•.II .:•ss then all, of the Applicants property to i,•e served udder ii:s Covin:Ihn,,tinn}riEhlshirrureler. VN rim 714rights may eNiEl pursuant to a well Oaring agreement o: through 3 110111eal.ileis ial inn special district as provided aih-n o. Lpan the tale dale is -al rope' tytewllieillhist:kinn,wll:erutir.,'.ppli.;n1 shall rnnkebum usyure oEthis Contract and proper Ionns _ur is..aignrituaL aid clunrge ^r nwner4lip oma ht' n 1p elorl (Mho- Rnlyw Applicant shall he Irauud by 11io !nor z,iun:s nP1he WateiCncscivareiy au o1'l=oi.jraio; uylt rules arid rce lin kw's of the Rcarti of Dicedias of the District: and all amendments thercaf and sappLcments tiicteto milli by all a:her applicable law. 10. ±jprr nlon an[115iaint rnuIl�' Am -ern -writ' ,Appiic.iittshall enter inky ion Op:riiion and h1;31nIClln ecAgrzeincrrl' wait the 1)istrice under tzi mp anti col:Whims icicrinina! 11y'lye board of Directors of the 13 -Istria. i fund when, theB.ard of Laid ur•rncl deIormincs in its cute ili.orinion thin such are apireerneat is equilnl. Said aKrec:rnt rnity contain. 11(41 s1'81I 1'01 ire linlitrd 10, pnwv'islans mor a':I.I 144141 annual rnarlcicry s:tmside:'ation forcxcensirn•.t:l': )=,; ri;:'41cli cry seri ices ar.i ler additional a 11 uialralKxr„opeITIt1CI1, and reaintenan o a,2,-, or G;rottlrl Costs to clic I)IAncl which Til. urian 01 :1,0 eraices Tail^ available to the Aryli:ainl. 11 ChniapsALILui. I be 13istriiil riNereeSthc exciusic.e riNht [COON, re-firfailW i:T disapprove any propciazddrarrgc:in use of the water al Iuucd neseundtr Any use Other Limit !hal set firth heroin or all}' lea,e or sale of lie writer or 5s'aler rlkhs ;Jotted h reuiv.kr with.wl the ptlnr written approve! c f the Di.scr1v shall be deemed u; IN i Ina Irri;ml bretrch. of this t: antrael 12. Its and Fh.ref.ls%. Appl leant uvre-t, Iri lrsr the 5,'nrerintlaz insane!:rude:n the pr(perr.),descrilxxi ma &camera sutenitled loam DiStr ict iu tllz lin a di i, If un1-a1,t is eY. CL;tfid. 01 in _ay tipernicn and mr.int: ran: c 41V2111h111 prnt•id; d by Applicant Any use other tan asset I'nrih Iner:am01 any Kane or sale afthe Water of watZt CIO its Iii u i it 1, ii i r hm us permitted lit paragraph1 ah;n•e, shall be deemed I;i f+e n Tnntcri ni breast :>1 this ageennrnr. 13. I'Jlie: !1 is n tclerstx.d and r,Aeoett lhai nothing hercin shall be l ntcrprc lerl lea r iv11141 ,l plicxoul airy ovitahlc nr lrbll ICC title iuleru! l ;n ter 111 any water or water rierhla rel?crud ttahcrc:n, 14, (:c g rwn[i,;ig AppLic i ia11 ii commonly tt•rrprrd conservation plat:Li_us taint respect rothe ware' .,lul 1.1:41-•1 rights herein. and herr?} Jerrx.s to be bound i ant- p1:rr adop:cd hereafter ay the District fee esc of District r'wne:d ci cootrtlikd xvater or wafer rights 19 Rem r 4114411 " ArVJicann n1Lall restrict Banal divcrsioun lc nun cxcee l 11.1 X01111 XI anlG tnl I[rr katlinl1Ty household Ihr xai•.Y=1114 016'0101i, I i•: %i Ick, IirX rr xecti zea, and tie Irrigrdi.:n ,1 r 7..exn end garden as specified in rl:¢ Appli: atiun. Appliezu:.hall alv' comply 5vlih all reetricli:xn:;aid liniti :ioni nil forth in the well perMilobiaiihM rn1n1 Iher'r11orsdo D1 I1Iou f Water Itesi5jegcs, Watering 4: Ii>txre•uk shall be xstrietec to ,t rplicents :rails not tc be used for lxnurrcrc=.il pa -noses unless Appl;CII '1sihntiri.aprro•;atBorntieCsil,yrarI: n visi.nofWaterKes.::unriii r 1.mmrrcinl:Is.'Itvestoal:•,a•atenng.prnvideli the innuevent ,hall actual diver; inns exceed the r_r c•u.It 0f uaicx provided by this ConL^act, l'i,dylinn of this 7.nragrapn 13 ,hall h. cicrmrd rc kK a nlarenal bleach crib is t'•:c11T1lcr. 16. 1.';11 term Ir Applicani ir•tendc t, disci rel auc'gl: a 1.411, then Applicant a1u.t Irn'vLki lu Hist ice copy nl Applicant's vxlid'acIl peril l hr.''ire District is oblip,alce 10 ueliaar Kay taa.ttr hereunder. 17. +.femarring,Dcyico or Meter: Applicant agrees tc pre id:. a: its,:wr carensu, a measuring dcx'ILti ticcrllwl ,urrriahle lay the I)istric'sEnginc:cocoa c; igen_ or nt:,.talizing. alar• rreleratilhremote readout uo.nnLnucu,sly' and accurately Inea3ure:lLill timet all water dircrud pursuant to Ifni ierrns of Appicaal's ryaalr ripIi and i ie tarns of this Cul rI rad, Applicant arcs m prns•Frlrarr:nr,. readings from such data:e ,!r mel r to District upon 13istricl's lectures'. A ryrlicnlnt acknowledges that fat lure !n ennrply with this da:agrarh c:.4111 result in legal octan in teem Mutt Applicants diversian n1'w iL-r by. ;h: Sialcert'ulurulo Division of Water Rest.. roes. 3y ;ignine this C"unrre::r, .applicrhu htrr,by inc.; i1kt ly ,allows Distri:t, [lire+igh its ar.Ihuriced .111,e117. enter ppIiiuir a property during cx;NnnrS' businsws I:curs Li r the parprtscs- otdelta nailing :IpsIic;urfsacn.laluseafyt ter. 1a. fLCn.' artratinns' Its P!rF^Unna titi L0ILii et; Applicant .r L7erx tiar it is .101 Lel, 'taw Ju ill'aq;:Tail lfT s'rteinCEYlrh advice %at Applicant may helleve has b ii reeeivcd rnan 1111 District. :\I II_arti Further ncl nt'•n']cdgcs that it has obtained nil naz.s:ary kgal and erigintvvrine advice from Aml!cntrt's a' ii suuwca u11ur1hin the `.]wrier. App1i mi t farther atiL,IUwIeddes that the Disci -lei !nukes no gtoronb?:s, W1urea[ic,, Or arsnranc.es whatsoever :_::rthe quutllit} Dr quaLI of [aceta aviti]oblc purauanl III 1 hist untrac. Skauld thc District hd trnrble tD pr.'vld. Lk: w;ner::antnic'rd far Ilzrcltk uu darn al s may be assessed agairsI the DisIrict, norma}' Applicant obtsiin a refund fr5.ru ilii I}ktric-. 19CDS15 c Vi Iter S ;rlr Piing rind AU lti ntanon l'I en: Should tlx District. in ilk Lrsn discretion, chow,; id i:rcharle Applic 1nt'iCtwitran be!re n in a writer Co111t 1i.r alFern,!14=point c•fdi4'CrSiotlLw Owl ofna�,rncnrntion. dm: Applicant hG.ebysprees topay Lt:, 111c L1i3L'Ii�. when .usessed, an rrjdilirn:al fix nr!rrrscn:ing the Districts ncl.rel and reasc+nnble costs and Zees I;+- .tppliernrs spars: of me pnnxedings Applicsut sIr.11I Ire.lc:e..:;ed a pre.--ntir share U1 the Mal cost thettrrC'J by Lk Ditii rid in preparing. tiling and pursuing 1:+ c6r.;:rec the wa;cr cnur a:asr. The pro -i ala .fll;.iti shalI I'1 calculated by divi ding Sloth kraal COVE ht rhe number of contractees included intim filing. T',: the r'tao1that the L]ilrictisLal aiadditiotlnlc LsI tiau.rofo1r.Ircaifi1:dspecifically dueL Ihrirx;usi&nefApp1icant'sC.:CPrit sinthe lising, s1.�h milli! inrut' costs may be chatted s feci ric.rlly to ApJIialut and not sharrd on a FM --ratty basis L. ill c:;rn1rat Ire: bel. 14,mlinrtAlrrrenrrL' Th.ia;gri irrenish111rtesbecornp tenorEli•u1i11eupontheDistrierunless&Inchedhenernixrl3 form eutilled "A riFlioal inn to Lease 'tti'mei 1 fern West Divide V/atcl t'nuscrvanr, Its:ti.t' tolls c nipk:cd by :rpplicunl and approved by the Elistrict'senglnccr. SairaItathrricnttsSl11111bythis lera encetherela!h incorporated into the terrnsofthis agrcanitt. -iIlunrespornenoefrom clic LJistrii i to App Iieont :dm lag 11. suramin[ is b}• this rercrt-Irx in::urp3rided into this agreement as liln.her Icrrns and conditions of i2iLs agree riser t _I. Wrrrntic; IT IS THE SOI.F:It1..wl'0\'SIRr1.ITYOiTHLAPPLWANT TOORTA11iAVALID WIA.I.Ri11TOR 0I I II:R WATER RIGHT i:N CILw R 10:11Vl R'1' Nt'ATER.1Ni.1,L rDINC 11 I 196';1" ER ACQUIRED L NITh.R TI115E_G\TRACT. I r i5 1111•: CONI'lNL MG 01.7Y or THE A?PL'CAN . IC}M -\ NrAI\'THr.''AL1D]T't 01• I'IR., I:I.LPERMIT ORWA'TERRIM 1'1 iNCLUDING 1 I L I NC. I'OR E.XTENS1ONS OF rER'.,nT;. rrLiNG WELL CONWLh_'I ION It I:PORTS, rILiNC S. Al .7A1 f:\ rti r71' I F NFF]CiAL L SE, OR L3:'Ii1.:RwI`;I•.1.A1.FULLS' APPLS.II IL WATER TO BENEFICIAL SF:ON 3 REGULAR BAsis W'H'IR]:,TTWASTE. r7 i7F,gB.CONTIth('TS APPLICAN'I S',rELI. Caal)THr•.R :L'ATERk1GII'1 1'1I.•t1 I%'I'III:SIIRFFCTcIT r'HisCONTRACT :S.r,OVA 'ID OUTSIDE 'ARF.+.A'AS1)I• I11NA1'LJBYTHEDISTRrc-r. r•III:VTiEIS PARAGRAPH A.PPI IFS; THE r1 I( MEN ATIL)1 4A1h14PROVIr)I,')R\''HEDISTR1C'1 I..N3I:Ia'r1-.:SCONTRACT '4{AN' O'1iV I'RIII ,r_FAPPLICANT'S ri'Arr:a RiGHT Mom A CALL. ON THE CX1L0RADO It 1'.It .s ND MAY NOT "RU: Er "i APP: .I[''.NT FR.011:1 A CALL 1 ROV- .AN'f OTHER 5 SI -F IORRIGH,. NO R1 -:PI k E,hTATIrJN1Y JI1J WISL•ISMADE BYTHE I)ItirRIUT, IF THIS ISACOVC91NTOAFPLIC'ANI, PHIS f:f)NTRAC.'I'h1AVFitKIS('INIWDIJPONW'RI FLENNo-nit'F. DELIVERED TO1111U14'I'RIcrBYTHE APPLICA:vrW'IIIIIN1'III_ NEKt 30 DAYS 11)LJ)*INCr THF AI' IXINC.i of SICINA1 L RES UF- 1 HIS CONTRACT IN WHICH EVENT 11.7. SUh•1S LAID JY P?LICART FOR 1 1115 tX)V I RACT SHALL BE IMMLDLATEL3' REPENT/1E1).1 U A?PLICAL'. :1RNIL7LLL (• A Al., If i. kAle r 'L Ap iIi�rt S I A'I h' (31 sk-_ tis a I .t-_-.. - JANE E. D�tY�K,� ss. .5tr; E OA COLORAM C'DLJ h'I Y or•r• e (r411A i0}f ID R;�AP�i L s� .Ofg The f . i teiip inslfwuenl w,s< nckriv.vledged� before the un1s e+ . I' 491f2 •- 30_1_,.'" • hY 1�' '• ti4 ilnessnty hatlduruLI4111 :ipl scr1L My comrnissk:lc1 expire:: --i ' • t,. Neitnty Pubic STA r1: )s t:oL:LTY OE :ANE E OYKE HerARy PU Itlr. sTATE OF COLORADO NOMIYCOMI LS51GV1ptpFEAAAPRY 11 MO flu• C,rrJoi7t iistruntiulwas �.kn.lwlellu�al before, me on this c17.....; dtr.- rf fit' 1:•• L . .I) t . kr, �f��►. xwI - Limo nrr hand And official seal. my „einuniiSi4111dXFIirvs; A `"` 1 z k-2- - - VcRirn. Public ORDER After a hearing by the I kee d nf' n in-vinrc of 1I.4 Weil Di vide Wain' (nnservanet D lst is o1s tL.- .- pph.aeiu-i, is is Ii re,y ORDER F:I) LEHI viicl Appli:;ati in s e r,in,1:d and Phis Con11'aat shall he and is atx;epted by the Ltistric. 'a 1ST flIVIr7F WA L_! Lfr. ANC 1 Fri STRK I}y Pirsicrt:l I)aie 076; iz C"cn11 NIP. includes and is sublet to LI',112 ie r11 an cnnd ionsafihc fiilluw it g lhrurnrnis which ¢lust ncc.topual' tl:i, Crmi rue: I . Mapslowing 1ocaaaq of pwu:l r.l`dic•e1si en 1, use imp provided i 2. Applicatk:nand De1ii form ru.11y compleirdAlid.<igne rL4•prinlrJ pnriiom of chi: &n 1. tact fit difl I lIlinteJuJdLlians urdeletbsnc, ha% r- het nippt. iI anti aJupled by the lt'n41 UIYlar Wakr Oppognant:k- District. FUME w1lwt:u111-111.4 i(IL}1TItl.(T. COLORADO DIVISION OF WATER RESOURCES DEPARTMENT 0P NATURAL RESUUR(1S 1313 SHERMAN ST., Ste 821. DENVEti, CO 80203 wir: r_03) E80.33S' Lax 13103}55@ .2221 fterparretsonlre•Mste, RESIDENTIAL ncte:Aa3'xre-ha 4i-rnarry it for rieeelcek watering Water Well Permit Application Review f*rrrt Instructions prior Lo eomplating form. N and completed forma roust be completed In black or blue Ink or typed, 1, Applicant Information Stephen B Rne 511.S9nne W Self N.i, 1098 Cou illy Rud 2'4 C4 Sit -samw7:'n.1at;ae' (970)274 30134 Fr.., Cl 81652 SE1:3I.10 lig rilipwwisp net Oftlr•-re IAN 7.rtly Frrm CANS -44 :7.20121 2. Type Oi ApplicaIIon ❑ ConEtn.d new Intl ❑ Replace, e9ri.tiro w311 ■ .lea esliatir►g nr:u ▪ Chary: r increiso use ;Ct1ltCk appticaole boxes) J Chane Bc ire9 ,,aquirc'I Rexpplip .ihn Nan. t: Rao i;p vac s. colsv-,br 0 :sine,' 5. Use Of Wen ECl-eck applicable boxes) See ilI b L ens ra r.Ar?rrnrns 1.03?i3; fa• which yo.i may qua ly o A Oid 121.hraaefolt USE n one :Ingle dam' y dwalin3 (ru oulei;:r. • B Ordlney rab.el°old use in 1 to 2 sinalo-famly ahe icg5. Numter ryr dwellings: 2 Hrmrr gr. rtiare19Wn rripb'i3n. nal to enoaan aerre: are: Ini3lste4 18003 eq r L.i acre Domed c animal watering - ; larKluirrrercia 1 t'] C. Lit/Chi/31A rralorrg;cFl rafTlrenC-Vrecge 3estur+rj 3. Refer To 0( +--T-- rr_w cku l:.a.a 140565 tai.a,.r.fln v-%I`Ilrc,ml iris VA I ham Self Well 7. Well Data (pnaposea) Llan UT 0.11...X1 ,v 15 TCA :%.1 93 gra inert rq,rtt Unnamed 5anrlatcr e out -fret 4, Location Of Propaaed Welltlreportantt see InetruclionsL re yr Garfield NW -,a:nr., NE 5.13.r• rrAn?p k'v5 RaNi �xn - c-nnr,,'.F •,[n 3 0 II r 92 Irl 6'h Plat �[IWr+..'•r1xll•.., w -._n 1•... ,.,,ail,- rw�+rn lylWfr nCl won:, is, 1020 n Imnrx N - S 2083 r :Mixt•• CV: crre_riSI(Cri 11.6 J4:1:11 Lrr, ,r�.-1 ,: Ivry n\•' N+A feel MA Dreriinr. Weil kCCiVI same. u-awc, l:iv -i.,❑c-,a*rase, ah: -666. iiiri 1ci98 Col.n;y Road 214 Sill, CO 01652 e„w n...,•, .. +n.i k_r_r. ,'1.••,.amn .194.......,x.:__ 1, Y.rti_mt rr�-riralb art•13 Ur la,urb. M.- •., O.IIM m Si nn P.&I.I.a Ihl n.,, 'r -:- MaCPS tri ltf,.'aJler.�n.: 5. Parcel On Which Well Will Be Located Earl rn 2722015 v7-hng4382420 4e,: r.!rlM:la sol ❑.L,n In VG N'r 8. Water Supplier Is:h perl?e WIT el bJu507ties Tr ;•realer aero a afuai rF IE NC 11 jtas, fr.ir: di name of s.lppt r 9. Type Of Sewage System IN Septic tarp 7 ngtarl:t.0n loact, hat n car:rblbye:Bin, Otslrk rani ❑ usdll: l_Docr.br 5avreye 13 be, ha .+led tri 0 °ince, ;cxplslr; __ 10. Proposed Well Driller License Captions EXST 11_ Sign or Enfer Nana or ApplIcengal or A thoriaar Agent Tre makira co Falsc ate:eme Me hereir co,Islillnes tin:jury Ir :he 9ew11L oe3rc, which is punlsruate 3n n clan: 1 rinnenoenor pJr'Jent to C.R LZ�-t:ie 113;;,9J. I r. err read 11e 6:3103.01r. enroIn, k••1(x\ the uv Merits renew err. tune wet ins r.ireiruela'ry_t,Alueirdar g•e Nin wa�t:r preei..ritam liy+tp ;;le , • !71191. 1':, r. 1.-_•- 5tepl e- B Self Owner ypibr mutt attach a Current dead for the eapjaCL pareBI) t YL,I met elects end complete S4.6 D` Ihn arIIrw'IQ ■ Subitdiloi: Name Antlers Orchard Subdivision Amended Pls.-- Len 13 Black Filn.l,Jnt • Cart? exenp-onI.]10 , may nt CSUrty Eel:reveal & s-l.'ey;. YSrylt,'(t ! .I3 Office Use Only otf.s •roe ,uI l P9rcel less Alen 35 nce9, nal ,n .ltnlIr - fl alta:r 3 deed wfh I Ilex: 8 aD.11d•. de5c•ipc un rtaardcd pnn'ra J.rne 1 1972. std c4rreet deed O A1iailrl deem !Mimi pony of cls -1 or survey; NEme.'8 _e n Square 40 etre d:roc as Iona tied In Ilam A n cr 35 31 mare ac -es lau4d• r„ulet G roJ,s ae:733htr. D• Crier; otacr Teare,li U:ui4n de:lr.•lrrnn or br.rver tS 8 fl 1311 .s C! no 9, 5W h! pa ;'!CNC 1C In, le,pcm.l- r'IYurri:l r 'S-,1 91.. rJ., E. $U" WI wtn+llwrr 23.2179431.0D -0M -T DAR 1.,; •u Reoeint a: eo roily DIv u,�U_ ef. _ Mb Form Nc. GINS -25 APPLICANT OFFICE OF THE STATE ENGINEER COLORADO DIVISION OF WATER RESOURCES 31e Ott 1's •;1r•mcr': Ceiur1:„ari.Ekff33 ;3re�,1 Ph15-3€51 EXST WELL PERMIT NUMBER 79814 •F DW 5 'AID 3g l]r tiliASIN MD mal. 13 elleck. hllrp: �ubdr. ,^,+l It,ERS UR':F'ARD C Y=LOr IA=VT CORP =ltrn,LL)WELL LOCATION •3AR=I ELI) COUNTY NW 1i4 NE 1+4 Section 3 Township E $ Rarge 92 W Sixth RM. i? STAND 9 FROM SECTIC]V Ll ES '020 Ft. from North Section LIne 20$3 Ft. from East Section Line UTM CL1UR(INA.TES (Met13lb,Zone 13,NADE53j Easb'g Hatt 11ns. STEPHEN B & SUSANNE vd SELF 1438 COUNTY ROAD 214 $ LT, CO 81652- (870) 274-0064 PERMIT TO USE AN EAISTINIG WELL ISSUANCE OF THIS PERMIT DOES NOT CONFFR A WATER RIGHT CONDITION& OF APPROV)I l; rhla '.111 Ehell be ttlei in Such 9'n'ey ei :O (awl PO reales ie! n _my L, ex ehrt1 wale- righla Ire .r..Uarr..0 Qr 1h18 Perim cowl nc: en9i.rn 11)91 nr ir{4rV •nil 9Carr:o or a1rnf yCS1C4Ivii 9r r1;IY. ]r 7red6rle er'Iclhel Cw"H of a ve'iiec raster rciht F•crn snnkllg -n119111 9 dvf 2; The corwtrueller diNS wet OM be i1 Carp' An o'ni7 Tic y'Valnr Via :ane ruga I I'iuk2 2 CCR 4C2-2 ,JnIess ,Fpr.•.al rf a Trio/1c' hFa been praf1Gd bl the Male BeardarCxtlrirnre a15'61e-'Nan ;nratrudi.-,nand Purr r1n,Clli to C,onirecI6f9l'19CtCIJercrwillsRule 1n 31 Apprcvao p.rrsuontrn ENE 57.0,1-1371;2; tarihB+SYi 1rucdal cf a'wdl, a:preedarirq ground.l-ater ribtary-,3lhottrin ariq River. !:I 11e teerillior ylal tit tire!! raI i Orly •rher fi.^. :RIF 14 u 9i.haMi.ro .iatcr ] rapt} I'I?r (eeeec 5n t'ra rk cf case no. 0110, X250, DIAlol Weler C JVI a it erred arnl wheel n wnler arrJlmell cer —uc: between Ne well 7ur+Br and the 'AVE.: Clyhia INelef Galva -fancy Dist•Ir1'fix ire. release of rcplecerncrr, Priv-1S In clout, cr creme Br appreyew pee for auyn'e.11tlliun T. Tia well a acm Ilea Isr urder'I'fY^,GL7, ilracl rP1EO- 21SSS. tl 4prcveo'31 J la:alien aorrae:un, and Ire expansx+1 et Una rr an wMnllin well ,1nelrJeted o1 tla'cl 23, 1988 t7 a pep of I;3 Ia61 an .ilh p,rn-p rtvgl Vic, an moron 26 1566 ell ur68• par 1! nt_ 14Ca+3g1 (eanceledr. IssWlc. 0711 Deem hereD!; ptllnlil ro. 140,53&. 51 rhe use el grourd Warier lr n Ih 5 !ver S Irllte3 91 Crdnary lutlEwh6Yl ptrpDaa! rkIde one ;':1 ailale Fa ni.y cwesing, ens (1; anfetwr}' dnclllhg Ulf I:A04), tNd hl iout I+ Jf I A+nu n'1 iyi 19,COD mauve rout u= ^crtre pa •dens arc msra arrc eti6 wale h1 O e x �;3; dCrne+s!• alimela. 'hluplsd IR klcvn ua Ea' MAI 6'I TI'a nui'iu,i i ale ,J1 Ilia on, ata: nal earned 'R 71 The. Bnr:Jei 91'hJrt of grolyd werer lr 1_t V ithdr5)+r• sh91 n3I exceed 1.75 acre -';?al (v1U 325 gal inn 0 II r u+FIeI 1rIMl rmIikthe •, II r1 tl ccrop CLADS place n.:1 the ".e.‘111 pei—, I n.Ilrbm al,^. row Of eq,Irsr 9d elxl'co 12Le, arc S'IJII lar._ neniiuFarj rlrrarw air. prw-a. fl 1n5 In 6W5-tn., :leas rnarkJl'r1E. 4 TI•ie •rti! al. all Lr 'wslec lel male Ital 2C0 Feet 'ro 1' IFe losalIcn speyllcd an 1tl9 porr'1 t. 1UI n 1ntrIJLarc 1I7.y melee' mad to rRI•atrcl nr thlr will are r.alrrarel Ir rq'C y lcritrrl :rdef PCIn alert eccrcx d a8tl-.wr913re x1,151 be r99h18InEd by B!e'61E1 c.waer Ifect,cei at was' erruaIFj; urd sarritIcd !ohm Jr.19 nn l'rgrlgar „p]i renusr. t,IOT= :Y.R,11r1 !'b dr, rrook.lwr TFTa+cllcr Alf}TE Thie 0e1 IS le be !posted! 5 re!IdenilaI 9x of e.h acre(s) dascr bei .f Ini PJlI1.1,A (I n.:1 3etiwluprrer1 CcrocralIcn (Amended P:'rl; :Sinn viarn L:arlinkl r:o�11y, FI,11I'wr iderd led ae 1068 Ccully Read 214, Sill, CO a 1652 NOT- Parcel IderlihcnlianNumber;YIN 2:1=2'731-131,1c,u0f ri£1IE A,n86880f T9u SC'teilule te.rneer RBOC@12 APPROVED DMW rc w b3 :nj8Ie Enai•Iee• By N;A ,Recelpt No. 95040E7 DATE ISSUED 04.22-2016 EXPIRATION DATE Form Nc OFFICE OF THE STATE ENGINEER thus -25 COLORADO DIVISION OF WATER RESOURCES 318 1retn int DI',,, • _ I F .;Fe •mrr ::• Leriver ,..•:r• m.: 33 ;74m MO -3F51 A__PPLICANT WELL PERMIT NUMBER T9919 •F DIV 5 'AID 39 f1F ti KASIN MD 'CJI. 1J tll°Lk. Fnrg; Eubira PO4ILEH5 UFCvI-ARD / LOP M T GCr1P �.1-= tt)V11.313LLL LOCATION GARFIELD COUNTY NW 114 NE 1'4 Seclio'13 Township E S Range 92 W Sixth PM. DJSTAI+ICIES FROM SE CT1QV LINES '020 Ft, from North Section Line 2083 Ft. from East Section Line f070; 274-6064 UITM :::;).1EJLt+LATE8lydleturs,Zone 13•NRC831 PERMIT TO USE AN EXISTING WELLEesti'g: 1Erltnll/G.: ISSUANCE OF THIS PERMIT DOES NOT CONFFR A'WATER RIGHT CONDI TION 5QF APPROVAL, Thla ehell Itia uaed In as°h a'rr'ay tib :ti uiuxro r'a male' is! t, .eiy lU err ebrg wreer-righls I re asi larco tY 11113 derail Cdea nc1 enaLre 11191 nr. iron.? 'All OCJJ'v er J1ror YC51cd w4»r rIalY. 5r 7rddLCIe a,lolher Creel Cf a ..VS:CL• nater rQhl f-crn anakllg 211x4 10 a civ c0Jrt as 61. Z The wrath:ever of IhIS f ¢hall bo i1 a?n-p' irl.^i"A1IJ Yid Walar E'icll i Qr16 rU J4., HU1 ! 2 CCR hC2.2. unless spprr Cal ri 3',ir0r67,7 hEb been prarlee tee Iha 5La1a Dearu of ExaHreare OI )', e- Alel ,^,tratrucliln and Pudic h:rAILr.b1 I ontsecl°r9 t'I acre, Jai cn •Cilli. Rule 1 I 31 .1ppr.^.oe i purruult rn EPS :57 -1Y -137(Z;• lar the Wialkiet5cel of el'reel, ader°°dahrg prourdnxMr nLutary ;71ho .:cicr nr. , River, ut he ao,ynhr dam INs ti. ll B °partied Orly 'etc, 1'r SR.' .1lnply ,alar Cpeeec urs t•ry ril'n3 of wse -e. O!C:Y20,., DiOilci 5 Eaialer Caul u it effect and ether, a realer elk -dine -11 cor;-a:; bplreean Sie well P..par and Ire sea: Cl'Fde Rear Cr'rae-earny J,sc-Irl f r Irr. release of repdccan:r wad: -la In each cr 6rrder or apprcveo 0 ed F f euyn'tidaliun. The mull s a350aJn1e1:1 Ilr urder'I'.' YA.C.,D.xxllracl P1eO 21SSS. el 4yruv st lIr a b=a herr cmc= 12n. ala trr. d44'11 6:1 rf uta rr ate gYtelllll weI: chair J0;9101 I,'8 -Cr 29, :3fM t7 a C=Oh Ot r31a64. arc vatlh RAT naxlilw 1 enmract128. iSES all urea. rya r1Y! re. 1d{63! (Canceled,. Issualcn• c an; ?6rrrr, re'elra 4:4i - ,vel: Nmmil re. 146366. of The use of grOLrd wader earn D x wo) a Inter: tO °rdnarr ndueelald F,.V O)*! rrtldE' Cee ;"} er ,;lla ramdy rhehlg, cla f 1; ar.Mv.+ny dw'S111�g ,ADL). thel.1•0li51+ Jf r.4 amu a lie, I$.0015AL,d'e lr_lva -MOM as.tens arc anrc. and r7n ,Mree 'ag7ax,;3i 9cr-tr:•. •: al,mCl9. 'No'Ayala Olean, as A' 1LA! 6'1 TI t pu,1oer� 1915 .Flirt a•,vr' ahar" naI r.areted -b ;`i -Mi 7d Th6 arr,Jal 9r. Jrt of groLrd Water It l'a vrithdrati r shad n7I exceed 1"7' acre -'°;t1.:576 32i colt ne: Ol 11 a aasIeI stmt r-,nIti IIIc '.w_II r, a curuptL.03.15 plate 54:1 trate vial Fe -r7,1 narrha-A-.^. naw or soprer 96 apl)•CQ14Le. ;Jr -L. '.',all let- norannari r•rearu air. prrl. Nato m nn9.5,9wAlieee ma rlalrrl!. f7, TI Ie ere) al'dl Lt kasaleL •Iul an.ro Iha, 2C0 feet fret, II -e lapid:n spei IC12 on Ih'a FerP') t. 11.1 M. caiaharg)F:,. meter mai Ln raralri or MR'Anil are T.airrared Ir r.4) ,.o4)4r. ender. Pe,n m,Liv. eccris d all dIwnI re r1.151 be r13I11alnEd Cy the Wel eAmer iiece•de3J 8l le:sa ar rrJiiII/, and s.a,need Ir. ler. Lima on Fngrleer „pr]l r9nue 4(r! :xr:m ? :a at', rrr,pt.ler'T€il'sci:ur• NOTE The #81 le 1015n !DOW en a re!Idanhal sic of $.h even;, descrbri .I Ice • 5 A1111a'.n C:rt:he,.I )nvalapnert Ccrrorallcn (.Emended P 4ah, S.,hn oiarti '.:rat 1I. 1 r:i3Jmy F1.111'ee ideal fad ne 1(16E CLKnIy Road 21d, VIII, CD Nor: Parcel Iderlificalior Nurrber F'IN: '1'7An31.3r.-716 r'tU l . Aaaea4Of 79% Sc ,ad'ul r FFJn,cw. R20:e 12 STEPHEN B & StJSANNE ital SELF 1496 COUNTY ROAD 214 SILT; CO $18.2 - APPROVED UMW Regi( No. 9504007 hick wvCf�- by Dela Ertillee' DATE ISSUED 04-22-2016 By EXPIRATION DATE NIA r Ray's Well Done Pump Service, LIC Ray Latham May 12, 2016 Attn: Stephen Self RE: Well Test ti 1E198 C.R. 214 On 5f 12jIG, a lour how wall test was conducted an a well located at 1098 C.R. 214. The following information was obtained: App rox. well t)epth.. 90' t;.asinq Size ,G" Steel Static Water Level 38.10 ft. Total Test Time.4 hours Draw Down .............................,..,. 47,8 ft. Production 7 GPA9 Test I'un1p..._... _............,. 1{2 HP Rernarks: This well is pumping to a pressure tank, all evIpment is currently. in good working r:nndItlon. The well is adequate for a single family and AOU. We4I production may vary throughout a calendar year. if there are any questions regarding this well test, please contact me at 970-379-$017. Sincerely, Ray Latham Rays Well Done Pump Service, LLC 970-379-8017 we1lguneplirr•j,sArtall tarn Lic. # 1419 P.O. rs1r. yi:I FAT r, 4116iU 97D -379•B017 we I du rrepumpvfgm a I.,com Uc. 41119 APPENDIX G Water Analysis SGS ACCUTFST Mountain States ;' 4AT nP iRs, IGF r.I1,11A7 £ shD1 l ,N1-11,1 ;IT nu. ___ 41 YIF'r4TIf. N. it $':.A Ci,Yhfa Ca/ :,' F14,s TI':Id . JM� Arm Technical Report for Ray's Well Done Pumps, LLC 1098 CR 214 Self Rec SCS Auuutest Joh Number! D82684 Sampling Dale: OSA 2116 Report to: fRav s Well Done Pumps, 1,I C PO Bax 863 Riilc C13 H1650 u ei ldonepum ps f6gmall -com ATTN: Hav Latham Total number of pagr'i in report: 14 Tec, ra iiIi rvnlfinnl ctirlri *lc FUIa pxkagr mod 11 , ,.go4enrnls ihr M.don,I En_rannn ulel LI11111raIrr tl. r. rcliluicc Pn:gram ,nn.:rr vtalr 54II. IIc cralifhs(irri programs :s npilii1.hl. e-lIal i i p lr 2.0 Aif101,1202rel neporf Seciil I fr:idenlan Laboratory Director Client Service conlad: Cristina Ariuja 303-425-6.621 Crscrlrtnr.E rrs ICCil1iD1v;, u3 A1E':C0u[R1HI. riI ,;N-Di`,'1. N) (ON u:rr; Uk ID943C,,, 1;1 IvF:I LF COluu+91, 1 n:I- 14D2E}. ii: 1c1C47G101E. l4'Y 1:13 ICOUDDW This repair e1a11 r.. I., . 1rt dr c d. ufcrpl in irs nvl.a - .linin II. v: dors •ppraval of SCi lxe+aux, rrst rxsflrs rri;h ,Ally Iu ramples aualra,:I Mr.■Inlr `,funis • liclli Y,luiwiLic sr + 54'MiI IPiJPr CC. allIsi-2111i? • Ur1: an 12 r-11101 • 303 425 Iib .I • Ii p: 'KTx' af, fd.sl p:IQ nil nil. •u, 41.. b, -;I I 11.111'4Imp:It, r I,r„1h;F.I_,3 SGS 1 rt 1,1 IMar:N Sections: • Table of Contents NI -1- Saciium 1: %mph, Summary . 3 Section 21 Summary dints 4 0 D82684-1! 10CR24 ST D82684 -1A- 1098 CR214 &LI' . ... . • 8 113 98 1U 6 Section 4: Subcontract Lab Data NW.. 9 Section 5: Irtise, Forms 12 5.1: Chain of Custody 13 20 hi. SGS 1 !, SGS Accent 0 Sample Summary Ray's Well Done Pumps, LLC: 1{]9 I CR 214 Sell' Rest l06 Nu; D82684 Semple Collected Makin CI3eM1 Number Date rime By Receival Code Type Sample 10 D82664 1 CI5r12/16 14:45 RC 05?13:16 DW Drin in Nai& MOS CR214 SILL D826414 -IA 0512:18 14;45 RC 05/1311$ DW Drinking Waler 1068 CR21151LT SGS occurs, MAfRIa Summary of Hits Jab Nwnb r: D32084 Account' Rey tiVbl1 Duce Pumps, LLC Project: INS 1'R 214 Sell' Rex: C.allacted: 05112116 Nage l al 1 11,ab finmp*c ID Client Sample ID Result' Analyte Quell RL. MDL Unite Mailed t*2514-1 14M CR214 SILT Calcium 171 0.4(1 mg/1 EPA 200.7 Cappxv 11.011 1) 1111211 mg,7 EPA 200.13 Iron 1.I.U29 0.010 mR7 EPA 200 7 Magneslunn 77.9 0.20 mgfl ITA 400 7 Mamgartase 0-0018 0.0010 me] EPA 200.8 tilrrliutn lfi0 1).411 u0-7 EPA 200-7 Linc (].1117 0.010 mitil EPA 200.R Alkallnily. '1 seal as Co( 03 490 5.0 mgfl ski 71;120111.2411 Chloride IIIA 13 mgel EPA 300.1) Carraslvlry, Lang1ler Inde■ U-li SM 203. 151(5 Fluoride 0.09 0.50 owl RPA 300.0 Hardness, Calcium' 127 1.0 tap,') SM 2310E-2011 11LIrnRen, Mutate 3,5 0.25 mg:11 EPA :1011.1) 11ihiigesr,NinMe a Nilrirn5 3,9 0.27 g1g/l EPA 340.0 Sululs Tulin' Disuulved 1910 10 rngR SM 25400-2011 Spe.t'ilic Conductivity 11111) 1.0 wubosrcm EM 2510E-2011 Su]faEle 510 13 rap:1 EPA 300.0 pH '1.26 Su EPA 150.1 Temperature (FIe1i11 2(1 Deg. C IF.P.A 1711.1 D02694 -1A 1091 CR214 SILT Cxlciaru 170 2.0 uig+l S444140 60100 MaRusiruu 11[1-1] 1.11 mg+l SW'846 6010C Sodium 165 2.0 mg,1 SWH45601or: (a} Calculated ars: (Calcium2.4971 Irl txunw.ai Eu Calcium Carl.E.mate Ib( Caicolaled as! (Nfrragen, VIlrale) r (Nitrngma, Nitrite) SGSa�r1 7 I n,ccu� r+32Ees SGS ACCUTEST Mountain States Sample Results Report of Analysis SGS014 ,[a'EaiiaT Loam SGS A+xuteer Report of AnalysiA page I of 1 Chant Semple ID: 1006 C/1214 511.1' Leh Sarni -4r ID DR2664-1 Dahl Sampled: (Mil ?i16 Mulrix; UW- Di ink ing Waal. 111tteReceived: 05/1311G Peleent Solids: a:a PTT est 1098 CR 214 Self 11 el: Total Metals Analysis Ana 'yin Rauh MCL RL pail::DF Prep Analyzed By Method Prep Method :1t'SOrac .0.0UUUU 0 010 0.00080 owl 1 05i18/18 06122/11 Jr.s paS12W sf EPArai.as Cadmtutn c 6.1.10020 0.110.;0 0,00020a1g+1 Z IFS+IR+1B 05/'24110 ]h I 21 e 1 [WA All RS Calcium 171 0.40 nlg+I 1 415/ 19.113 05/20.16 AS UAW? t FPA 7 t49.1 h t:oppra 0.011 1.3 0.11020 iu /I t 1151181]1 05122;16 1N EPA 200.x 2 EPA nl0 all Iron 0.928 0 010 me 1 05110/16 051211+16 4s EP.+.3%7 1 EPh zuu.7 tits e Lead -e 0.00050 0.1115 0.00410 n ie, L 05/I Ael 6 05/$2.+16 pa EPA 300 0 2 DA NB H S MugpesJunn 7; A D. 'ei(I nng,7 1 115119413 051111:16 AS LEA 21111.7 1 FFA 200.7 F14 n Manganese 41.0018 0.0010 mj11 1 L15/18/16 03+22.16 p.1 E1.3 2111.1.H L1'.A 20:.0'; Sodium 1011 0.40 z11 1l 1 05/19/ 111 (1512:1116 hS 0P;\ 24),7 3 EPA E01.7 11104 5 Zln1r. 0.012 5.11 0 010 mg+1 1 Iki11&11$ US/LP11G .ns tiPa 1DD.6 f EIA mita IL) Olslniiornt QC Butch: MA73211 ;2) }nstrumeot QC Bnla:lt: \f / 7332 (0) Instrument QC Ibatch; ;MA.7335 (4] Tnslrn11xal QC Batch: MA7343 (5) Prep QC Bald: MP18728 (0) Prep QC Beret; MP18733 RL = Reporl:eg 1.111111 MCL = Maximum Canlnnllrlulinn Lnvcl 0U CFR 141) a31]a? 1f 1 A^a't iTlr; DI7, 7f VZi�] 9 (If aal:) 0)] P W'T unp1!uwmrwrl uema�xr.4V = 1J11 aruaiaJr4ier xrtima m amp IEwf II'W IIJp Ixgr.,rel:a I;,} faq »IN va2forl; l + 1:wv-M J ¢a'4a \I :ae p:ge[n.yu J ;�l} aIThOVe;) ornc3(».) m II4.4JIi.' al (LHC 7. rnulrp:iY :HE Pa1ejn)] I.E} 7'Od1 vd3 IDS s 11.:11 VaI 111 01:I•l 9I;111E6 1 as a.IrFVd1 Cr CV L T 91TIEUS6 Sl Lbw 1rII -poi NS of B1;&I'S0 1 noyompul r 11a-10ESa'cS cif 9T191160 1 Ow aIea-VJj slf OV: VI Bi i c'SD c Lieu @W WE .11 of Lt:11 4Lr1;US0 1 I/ I.0 0 Oa V a4 HI £Y 11 914111:541 !12. Law rll¢IlltE. ISS sV L5'TZ BT;O2;S111 l I,'9ui eta tld3 Al 111:41 41.r£11S0 S Au �yul '}JI( nv Ni is ;►Tr11.+50 I 1.141.:+: 1,411 Ell £61L19TrEIiSI r7 letiu IMr1MCEAS al OO80011LiS1I l Oki P 1fl }( •{9 FozLIRW au pru :smog iusioJ9.l 911C10:0 : PaeW»ail aULI 91 ?2 I r5:) 1poidureS 4$1111 Da 9ZL BIS 13 LI.: aZ0`0 ? 6E LZ6 99'0 9' f7 60T DOE ■l!47 '1334 1113011 (III !.1l a.IiuIATOdusa 1 sranmeirrd Rau lid +le!IPb .01.ul:mpwi3 7gradg Pas(ass141wa1 'SPlln'S 1IJIi 'Ir4kiiiIN q •dl'IIR s +INIIN .nafrnillN aleFll(� 'ua;faiarN uui!.ge:� K' L1'PH 431-101.( , IEul ra1151a n Xiimsono.a 1epw,14:1 CO)':)'aI¢uLL'•'llu!I 'lI ' (s1e!ara9D [arav+'3 1 to 9 oak SIS.kivuq*,;O 1JOdOj 3w1 IPS K2 4313601 .'aloe }Inn1n!'CI - i�1CI T-6$Bi 8( I IliS I rill) 8610 :xu .I1 :RI4111lr1rx5 [Ia 1 1 *Floras 3 sun° Jsa'Y SOS SGS AmuLem Report of Analysis pap 1 of 1 C.Iiera Srlmple D7: 1098 CR214 S1I.T Lab 8dmpia ID; D226R4.1 A Dote 8emplad: 05•12i ]G Matrix; I AV - Drinking Water Dare Iteeelvod; Of ,i 3i 16 Percent Solids_ uta Prnj ant; 1098 CR 214 Self Ret: 5.118 MeteIBAnalysis Analyte Rik MCL 1C1. Unlia DP Prop Analyzed Pky Method Prep Method Calcium 170 0 mg+l I 05+24+16 05t11+Lf aw Mali GG010C I SWwte vin+w,•?.I e Alagrir�iuni 80A 1 0 mg+I I 05+24+16 6512.1,+1ti A5 5Wllt.“011[• 3 .iWS46 9014A.'h9 2 Sudiurn 165 2.D mel I 0:11241Li 0.17411$ AS S441;16 61110c L SWg1GDio,s2M� 1:1) Inslrpmcalt Q Hatch: MA7111 (2) Prep QC Duct: Mtn N74ig RI. = Rimming Limb MCL — _lderdmvm C.on aronmllnn Level 140 CFR 141) SGS .0i;I'lin (Iof d nr.�' SGS ACCUTEST Mountain States Subcontract Lab Data Report of Analysis Section 4 BrA14 Sjj++((�� Ot7. aea.usp.s ca.r.0 ,1 V 1 t P en I LABORATORIES To: SGS Anemicst 4036 Yomtg[ield St. Wheat [ridge CO 8033 Aria: Rena Rooks TEST REPORT ACCUTEST - M Date Reaei+ ed: 51112016 Date Reported; 5117!2016 P4 Number. D82684X Test Anaiysie Lab No. Sample Description Method Result Units MPI. D©.tell3y 160513008-41 1 D62e44X-I, 5' 12'16. • Torn, Colliers MPN 4 total; 4 feral NOM I OQmL JP 2515 PM 517.2016 SMEWW922t a Department Manager Saamlae rewind iu good ccodiliM Milan atIerwls* noted In we an rtativt•. - S btummned Aatlnis 111111 - Wand netida I.imil YD a Na Deteelbd N est Method LlelulJuh Link Na: I of 1 SGS AC1001,4 C% IL S1 c.aa�.ea 1 RCGUT�ST. CHAIN OF CUSTODY aWL ritasl.dd it ONI.Ir.i.. Cf! F=11 Rt. W-OI..i FAs .W+LifSe Mira. MO C�e.l1 FLe[44.q 1.temyM.1 f,i11t. mak°" .5et.b•1t.ibei%1111. parr 410.'faIp1Nf Sant ptiMIN z•br Moat Mil% E7 1'ga1C.r.•1 ..... * • 1.f..F ycaalM.sr.aw+ 1112-4264021 rC Page 1 al 1 aw.clnw;.rrlga ..r 1.1•M.W.r .— Fid ID ASY Ni'aFral •1a1V111r11 LII tarAia1 4 V 512116 2.51.0 R1A 1tc Mir or; 111114 ■N i x NN 2 E R.ptiDiI MYnal fllTEST COO. mo . ■■N 1&.1111111•1111■ NNf N■■� mmig mmN r■NNN mNiN■■ N N 1alr.m. !Y 1`n• CYr 1,111s 4tt[ any 1ri...r 1•.. • n...wl a.•l ❑ ela It e.1•1•IM.11.3.• n . Gm, WIN 0 1 V.r+.I10rr1.•. o I D., a0ir7scr ▪ •r.• l.. ar1f11Mi 7s!O7 fAeiW.47 +rt•.n -F.a�+••I 141..E 31•114•014 ~AM nLL, cwr.iti', V..1 n j Imo C l.yry. 1J f.rrlLOwtrl ILMFAyett 01 II.a.1 D- pae. C/••..i'F - .w,,11..• F+.w..•rt •.v... •'s wrap 14.11,1+1 ••••••••1111 . p�T.. mrsabehr=mrsglarkmentim.^.rw+ ass+p a...41•Ie rev err., +tel-- 1•1•...a,..6•• L��• Pr lirrmrmIer u� SGS AGCUTEST Mountain States Misc. Forms Custody Documents and Other Fornis lncloadh% Ihr. tnllewing where applicable: Clain of Custody Section 5 SGS 12 of 14 - 4.:•••.;•••••••1•ti ai,•••••t r • CHAIN O CL cv_ •-44 F•719911; fe: 3 PA6E OF •L'r -•-...• , .. ........,..... i j ----....t-1‹.• -i. .KJt-g-it ij 4.444.44. *7•%1 1 • •14,•••••41a •I, Et4 'al; K:1.1 1,4......1.111 SA •: 4 K •4K ,.. .... a CY II1.1.14m• ",.../.. ...J IA. ....d • 0.11 • l• a.. A•A••• 11,... ' 71...11• W. An .0 Kfil.n. tie _ri. -....6.... 1....W.IIIN D•11, ,a1 fi 444;4 j-0-40Erm...1.7=.— t C4te. V. rd? • 41.- .17.; 411Til1 Ic 6 it X Xi 01 K balmaf.L.41b • • Sto• """ MAIKMar "m. 4.•10 c••• _I OK o'rt ‘4414111, • r J s• Infi • 444, ti •••16.; 1.7; , • • CO • id.. 1 0 tte-L- 1)8204: Chain cif Custoct!r Page lAa14 SGS ALLO I SGS Accuteat Sample RSCetpt Summary Job Minion C'22e94 Cllunh R/Y3'.EL,. PruJNtit '1496 Sal 214 SELF REC. Da.' }1m. gOrirl e41: Er, Marla 124U Y. PM I*I,py Ibloth4411 Alrbal Na: 1•d LbolerTompoCralali+42•41140 Mi (8.311 CooYr S.dl.1h. Y ar N : =LS. • fanulktlsr,k Mom :!, L OM Page 11 V 2 rur n1N li..1. Fb•J 7 _ drCI[mewl nau+. r=aalar 7amrMrlEr. Y of N 1 Tano ursrm W ..,1 r y;:rv.k• DIY.? naliga1v1 _ _ IR Gin. coal• moA+ Ica IN'. HA C... 1 t7MIuh1. ouNol P..sareaaon Y .vim i T14 an{ Fit :cal*. 1' 7 id 21.11151.41. l.IM nniO.: 1^ J id 4 ou::4 voirirp n rR.` _ L 7 CennanIn i ILMR LICLI1 w - ❑ uw =AL WA 1 Y ar JY 1 Sampo Inas brow', on Int ea: Yl J 2"GIn1n1 r+.dnil u. -,fir Y. _1 I °wti7lw43.amrz.s•I;000 V/ pa 1 Y w ..yS+r •..,.y».-1.... he :1 fe-d kir :}sa O.. 1rO7e: ;rimla Intaart-ingtrlW1IORI Y nr 11 el.A ., 3 Alt v::1.1.. i..,. L 29:11 VS l•.Grr. .- -.1..1-.1.11-197, If. ) 1.t•1 1. •..r.1,11 .1:..•3 _. 4 17.1%1V054112 r wl a!a•w y.rr 1-1 1 W =,1•np.,l—Us, ,_1v1 11 _1 F% D82684_ Chain of Custod+• Page 2 of 2 SGS14 14 A€:4;111CS7 062EM SGS A CCUTEST Mountain States A. :.ITFi-IA ar,RT .IF SS:i, 1 dL WC7101 S 1 TA.11'41, 1,SP411IIUrM. 4FRIFIGA-loN ILKIiP.G 111+1 f.FF,T FI(.A"I]N C]h'`Gr1T ' l'rellnical. Report for Ray's Well Done Pumps, LLC 10116 CR 21.1 Self Ree SCS Accutest job Number: DI12664XA Sampling Dale! U15.012/16 Report 1o: Ray's Well Done Pump,, LLC PO Dux R6:1 Rifle, CO 3111511 '.virllcluutiunlps•1 grnail,c•nm Al"l N: RayLathilTl1 J Total number of pakes la report: I 3 Test 1 tulle n Iihln this laa pzcY,tter. Lem nl the 1 .4 .711511.17 ,5carerlllIA+1 Clupner all.: L Skil[ Willi rmlfll Ji 4:u pr•stj OILS a uppli[ahl. e-liarticoikv 2.0 lidAmtwedRIll.wrr Scott lieidemlul Laboratory Director Clilsnt SLavioe contact: C.risti]ta Araujo 303-•125-40.21 C.rrilltullta.x CO Ir•ralduas;, ll> KI .room i. F 11 IH•II1?:, YI 1O0 u:Kr;•. OK :DOW 111 1NF:LAP CC[900), L?, ILaJ Wli,14 ) ITIO1701i111 4SY cO a: oh0:4hl 7h1.1;pn..a.Iawl Le,CpYadiC^d, o1r+In Iu;1..nIinl ilha.t Jc u.lunn ggnlwl nl'.S1 1. Arrult a. TEA mull!: 11411a only in larnpas ani?xnl R'r,sma;n:r>:- • Jelb YVu1.r1'0l0 Y1. • Wiry Midst. CO Bp}33.1,5:2 • Irk. :#!1 i25con • tiw• I.LY.i-Hl:ei + lnp .•uu-r aceulu>r.turu L of 1'1 SGS,€:IJIL 111 Skwiiun,; Tattle of Contents -1 Section l; Sample Summary 3111 Section 2: Subcontract Lail Data 4 it:'1{ 1- I ° Chain of CiisILdy 12 SGS 'ci:' 1Ixuoe SGS Amok Sample Summery Ray's Well Done Pumps, LLC 1098 CR E14 5r.If'Rec Job No: D821881XA Samplr Collected 3tatrih Client Numb1 Date Iime By Received Cnde Type Sample IG IIItQFRA IXA 11 6112,11€ I•1:15 RC f15/•13+16 DW Drinking Water IOFB CN314 SILT SGS 1 3of13 AGUIJILS1 Dro-4Xx SGS ACCUTEST Mountain States Subcontract Lab Data Report of Analysis Section 2 m 4uF1 SIGSI ENlW�1.+ Arrr.6e31 1d01,1F011 Males Kniln Gabe( 4036 Yolnggald $1 Wheat Ridge, GO KM 1.scen Reeeerch, h,c, 2h3, 1,1:14 ? FT 'API 43t1Juu. PP..AC9 IJS4 Ti I:T[41j 774.4!,1 FOX I;Iek. £76.1_'-23 REPORT OF ANALYSIS SAMPLE NO E162r1 &1 EatiPLEIDENTIFICArICN- L�v,1a4-1 - 1C99 CR244�IL' cawalea on r)K+12:2018 a 1445 by RC DATE June 27, 2]19 01141 PRi)JF.^.T pOl1`$-i HPI SEFRES N9 Elu,vie DATE REL -LI $Pi8t241.3 cuST. P.O., D62Ba XA. DETEcnnti ANhLY8:9 RWAN ER RESUL- LIMIT r.1FTHOO DA -E. PIdALYFJT arm AJpri a (+•Prwcaanl, p01.1 ;T) 15(-.2) 1 4 SM 71148 5.2Or2D1I LD (It 0855 Gross Bela (+-'reclalon'1, PCIA )T) 3.2(+-1.7) 1.6 SM 7110I3 f1,@012:125 LO MSS Tale' Soda, rnyll 1454 i0 EPA 1603 5+17,2016 DJ ee3n,ficalar, ID+s COEPACOJOUIpR: C7 31401E2; KS E -1U265; NJ =OM; NYSELAP (11FI_4C Certrrlecll 11417; 141 LAOD0284. WI 9E10;111' a, TK T1047D425E-13-5 'V44.01:114 of She redlXPclivc drxoy proCeeB ,: oJrltlr.g arror) PI :7e 175'% COn'idenGF win 1 EC 5 QIYr9 kiwi; rY.1' :r6• ;siva*: 1' dr P,I•lr. rWuIl...p 1ltd I* rlM te*AAA, 'nd III iMtirim adrn RIM :r p,. d Nil -MYn P1101:h np hrr. 11IMirra1 Ii: dee emu repemee.J.e al ar11Nr9 Glee Oren C•rr'=F. !Poi wire rezetrod k h* MSy,IruY. CaUt °I? TC11I I6J-CIseahed PS. -e.uwr.Je.1 ;pc;-F».,1W, O,ef7F.ed V.ea Th" �W • �M, Rerr,o-Wi Sre� 0 + I • COr I $ A,rhn Arelyhcral Lnberetarlea Manager An Ernpceyea-Crneed C."Driii'ry Page I of l SGS r. r.1 IE*2 F61 KO :l 1 �C.JI �z1 HAZENd RESEARCH, INC. RADIOCHEMISTRY LABORATORY Data: 8b In 1 I.2616 %tot QC Voiotia/1 Form•Crcena Alpha Anal;<le 9rcae Amiss Co of Stan r• 'LF£ ID: C11, pCIIrrJ: 57.4 (use 1 0 ml dtJl*d) Soke Solution: ID: C11 pCi'me $i 4 (use 1.0 mI) S,1I{a Rectayer/CaculetSample. -Trip a.II (5q -,5)(1.D) Calarlation: ' (0.6)(o.Z 1\,l X 103• 95- a/c 57. J p ttcri %1G r yslaejinn Required for belch size greater L n 10 samples. Conclusions! f Batch Passes uBach Fail _Barra Passes, AO a coe 4Ions: Reruns Pd red: Nan -atm,: Sets^. LI EVICI Or Number. 5e 7/4 Et ke riaPp tilt(/'b Flu. „ LELr .fir a 4(1:2 i rr Dalt SGS 1':�1 Cnle'a FOIE Fa' NA 1Para-neaer Carib of Std.1LFD -+-- 34 % I$'ice�Re calcis L 70 -130 % / , am j< or= 2 KMDL / ,Duplioste ' 95% cor+fidenrt Interval overlap / auollcale 2 • 95i% confidence Intuvel overlap f Required for belch size greater L n 10 samples. Conclusions! f Batch Passes uBach Fail _Barra Passes, AO a coe 4Ions: Reruns Pd red: Nan -atm,: Sets^. LI EVICI Or Number. 5e 7/4 Et ke riaPp tilt(/'b Flu. „ LELr .fir a 4(1:2 i rr Dalt SGS 1':�1 HAZEN RESEARCH, INC. RADIOCHEMISTRY LABORATORY Batch OC Evaluation rnrro.rirni+a rllrtA Arialyte: Gross Beta Coalr'Olaate''d lll.rn ID C11 puiN*d: 44.0 (use 1 0 ml dialed) Wks Solution, ID; C11 pCiln'L 44 0 (use 1 d m) Sulks IteooweaCalculaton: Sample: T Cab ilat Batch OC Eva;tQA fl.s2r• (51..1-01 .1-fti 1 .1)b. 1 - '. ` Date: 044§.11.11201(o. Parameter CTaria PasR i ii Nin Cental Std i.FB et-- 70 % ✓ Spiky Rrtu rry 00 - 120 3S { Blank c or = 2 x MDl [kplcata I 136% confie.alCe 014001 overlap . 0%I Ic e 2 • 95% apnrkie+lce Ir:tenael avert* Re:F red for batch sae greater than 10 ear -plea cOnQlusiOne: 6stch ParlBea Batch Falls Batch Passes, with exceptions Reruns Required' Narrative, F Ih L stre b./ Lab Carltrol Num be-. E1•171/4) r$7Jr r82l'� El IN f ro FvaIL atnr t rfo +1.114. _k„ 4ti1 (•ice �rg. nab No Date SGS RI:LIJ't.r,' MSN RESEARCH, INC, RADIOCHEMISTRY LABORATORY &dap EvelustaB arm-CrOao Alpha Analyte: CirosA Aphis Unrrcl 5landet'LE111a: C11 pCiirnl 57.4 (use 1,0 rti diluted) Seke;aal.Idtsl ID: G11 pCllrnl: 574 ;use 10 mi) Spore Reaovo:v Gal^,trletcn Sony*: ail. (Sta.o)( 1.e) r (C.$)(C.L X100= 17 iso CaIQL kation: fia:td Ev4i. ".,:.. : Oaf, 04/20/ 14o pardrne,er 1Glerle s Pass Far mtA Control SM.JLF9 -q-, 33°+4 S.ileaRec° IPC -13C% Blank .z ar = 2 >i N DL CurJ cate 1 _ Sa+S vor.I ts'» flat is stet lap --^—' ❑ua:icete 2 ` les% confriente mama" avenge J' • Hod „woo for sat& Size greeter than 10 samples. Qom^ 1:2DI: 1J am Passes _Sedoh Fails gala Passes, w h exceptans: Reruns 'equired: Narrative: Fvetuetor. 12 z- 1 �rZF3c Set Date SGS 8or1.'_. r I:u F 1.16L05.1 HAZEN RE8I ARCH, IHC. RADIOCHEMISTRY LABORATORY riatrrr ac Evjluanon r111 _1.053 Ssa ue� 66,1e0,1261e. Anel : CMG BM Contr -rgierdIFB: ID C11 pCttnl: 44.0 (use 1 0 mi diluted) fi tike S0'4201 - lA, C11 pCi,'rn'. 44 0 (]use 1 0 mi) $i'd.se Iie o ry �:actilalcn' Semple: 141(1 at � e CalcrlaliOn 40,0)L),b I - 1 0.5) .) M 100 47I 44,4 Hatch CC �vel[1atcm Pe erneler Criteria CantraI Std.A1.96 *i-• 2b 94 Pan rBII NA Spike Recc•iery ex - -2C 93: Biank < b = 2 x MUl. Dup Cate 1 $554 canklerce nerve ooxag Cup c:ata 2 ' 95% conr:Ceee rtervar cvcrep Repulred !or Dat DaTti sae greaser than 10 samples [:onc i,{ VIS• Passes _Bac' Psis WO Pas -Res, vnth exoepliuns Ratans Refused: Herratrve: Z irh Lat re :v1.41 C;anito Frgtr nets SGSm [*(��` JarI im u " u K w.•..1.• ..1 .tom•: ■ •U1ot %a£„d 'ede 1a w+e. k.ylrw +al>,w.t1.s,.f, •a•uiR.an Lr..+nt r.l•lu•alrol+L•r �ralna .dd.S .ca --P.—' LI •••••••10.G L..a r,.0 SAYA!.114.4 LJ 1•4•.-1) LTL O •A-+.r..wJL U 12••••FLILM.e.•••:. o t.•l.00401:11.11•••'1•il .•••1. 4.1...*..Iicey•�+n uaa�s �n +v Lb 101215Wicao. L AvuTazo *or C AXTFJ]IOwf r ..—. J- I- t uwv,ev ,111 Jl OBILMINW, .1S11 HP 1 x ..w :sH r.e tiiti72 94R �� 11.1.10 y1S1 L19pb•tl u• r •. ,...•• ...., -w +c •r. ur.n 1113 Man MI. A.^49;kH Jr al Mi S.1 •1 LiLYif[R wa..••N }•+ .• •e vi Mai: 414.lilll C:i ,•b•sai•Net 1W.Mi Pl•Illr.o& Mr, 144•.n1,4 tim110.11,11 ! y1.•KI .19 rit)-5ZrCIC ) J I:]f:CFIX!Z 110 N aped AUDIS 113 10 NTYIL3 lg��f lJ'd ■ ■ SGS ACCUTEST Mountain States Misr.. Forms Custody Docunienls and Other Forms lncludrw the followlnl wheal! appliiahle: • Chain of Cuuo'14 Section 3 :I SGS 11n'1i AI C'U E S MIA l� s9s j , olid 9meJ @ m91±&VZSG r -LE ~ . is sys :• -" q .. , \\� 74. :w VINI ��.!_�/ 111 ere von • \\ |Q:--� raw.. t, 1 •- ( ?(-x §\ Lc. • \ �� r„, % • 1_,m -,•.,w2' 0 k . --. I,L., I ,7.&Z'.t2 • rE ¥■ dapk-' .@ r/ •Vu ;} v ' w;� ®; &(/11 ©/4\ m , $,�2 _1 z . - - _W®TO m • § 2< ���° s±S�d�� AO -- ,md �� R,a m n SGS Accubeet Sample Recelpt Summary Job number: DOZOOL Cllaest: RAYS'hE1 ProlacL 10te SCR 214 S=LF 3cC 120141Ti144.RNdivod: 5.1N20161e4]CO FM DIIIwn.Mnlhmi A 11111 s: h:l Cooler lisps 14rt allAECreMtl)I Y1"9.:� u• n�Yr Snr idly —T—or—AL ll_a):.1174..G1.11.w4 LC l.f leQf`.A.0 Armr 'eC .k WI I•,art: Ur)! Dries -01* CM CaeW l.Glp Y a M Tarry c• IioG cen rroa ,y 2.C]a or no -co Ir.,hyr• a HD. abs) 251177.r C24W0l Prraar,6oe Y or N NIA nip rime limp,/ ,',77.7,2' np rr.nelu.n r.-. rnr SJny:Lt zremnUC roc^14' 4 'aGCa ormswr-'ncr .1'3611C-112 f ! M .1 1 71 -1 Saw . maacci . rutiew easem n _, 14 1 'arFi lebee or4oa171 oneeYlles 2 Cs•1N-v saw alg :are r rra C. J CRf■Ce:-4'••bite rK%:ACM. Y L Sarrrxo Inlayf. -Cole i. N. 1 hrrgwm:..d MRenlr iG r wr:r 2raexw'Ise far. 7 1 3 C0-d)ao o'smtle: Ira:a sa.relr tdegay_JnetrucAlons Y kf. _EI_�118 • h+u )w.i v.al.J.uv ye L 2 611rsro_Yiwa4:e _ro.r.irl ror to N Raiun•l .r1.'ix iwrr:]u nvrhrra Y e I5i.n.p1ee1 •WM-,WILYr,.n •_. 1- 2 e rar-y.r.l•Lnhrw Nor- 2684XA: C halo of Custudv 1'age2of2 1:141.11 SGS[1.11;1)ILSI ]1:241 S-4 APPENDIX H SITE MAP A Parcel of Land Situated in Section 3, 7buniship 6 South, Range 92 West of the Sixth Principal Meridian, Counrg qfGarfigid. Skits gr(Npeado 1098 County Road No. 214, SA CO 81652 1 • ft A.= • ''.—••• • ••••••,,, 1 V N - =A= 1 SITE MAP hon,•••••••.111...1= •••••••• %h. •••••• •••••• •••••111..n. Sia••••reASII•••••• ••••••••••• ••• APPENDIX Garfield County Road and Bridge Driveway Inspection Stephen From: Kathy A Eastley ‹keastleyo2garfield-ccunty.a3m, Sent: Tuesday, November 22 2016 7:46 AM To; Wyatt Keesbery Cc: 5tepinen©w1U0w'ais p, net Subject: RE Dnveway inspaclinn foe ADU Ok Wyatt, thank you. Kathy Eastley, AICP 5eniar Planner 6orfiald County Community Devebpmem 1138 Sth Street, 410401 Glenwood Springs, GO 61601 Phare 970-945-1377 ext, 1590 Fox; 970-364-3470 kenstley@ger f lul d-rsunty .ccm From: Wyatt Keesbery Sent: Tuesday, November 22. 2016 ?:2G AM To: Kathy A. Eastley ‹keastley@garfield-county corn> Cc: Stephen@willow wisy.rret Subject. Driveway Inspertinn for ADU Kathy, did a dnvnway Inspection for a home owner wanting an ADU permit The location is 7098 CR 214. Everything looks b be in good shape, and the driveway meets current County standards_ Thanks, Wyatt- kafteery Atztatt T7 Gr-�ctcfr l�cxe C:crcuiiy goad. Er 13rte, 029$ C.1 - 333A ?Wes Co-. 81650 OfiriCv 970.625.8601 Cali 970-309.6073 Ni virus fund in this mesNige. Checked by AVG - w w vb.com Version: 2016.0.7924 Virus Dadubusti: 4664.'135f4 - Relem []ate: 12'09,16 O &ENO. 0602002 • . OWNERSHIP & ENCUMBRANCE REPORT This Ownership & Encumbrance Report constitutes written information identifying the last recorded owner as shown in the most recent recorded instrument of conveyance, the legal description as set forth in the most recent recorded instrument of conveyance, and any recorded deed of trust or mortgage executed by the owner identified herein of the particular real property as identified in said recorded deed of trust or mortgage available from public records. This report does not constitute a title search and does not include any additional information, including but not limited to judgments against prior owners, name searches of prior owners, tax liens or encumbrances against or by prior owners. This report also does not guarantee the accuracy of the legal description set forth in the most recent instrument of conveyance or recorded deed of trust or mortgage. COMMONWEALTH TITLE COMPANY OF GARFIELD COUNTY HEREBY CERTIFIES from a search of the REAL PROPERTY records of the Garfield County Clerk and Recorder's Office that the owner of: TRACT NO. 13 in Section 3, Township 6 South, Range 92 West of the 6th P.M. as shown by Plat No. One of the Antlers Orchard Development Company filed for record with the County Clerk and Recorder of said Garfield County, Colorado; EXCEPT that portion conveyed by instrument recorded in Book 429 at Page 258 of said Garfield County Clerk and Recorder records. situated in the County of Garfield, State of Colorado, appears to be vested in the name of: Stephen Self and Susanne W. Self and that the above described property appears to be subject to the following: Deed of Trust from Stephen Self and Susanne W. Self to the Public Trustee of Garfield County for the use of Alpine Bank Rifle, showing an original amount of $120,000.00, dated February 2, 2006 and recorded February 6, 2006 in Book 1770 at Page 404. This report does not reflect any of the following: 1) Bankruptcies against the owner as identified herein which, from date of adjudication of the most recent bankruptcy, antedate this report by more than 7 years. 2) Suits and judgements against the owner as identified herein which, from date of entry, antedate the report by more than seven years. 3) Paid tax liens against the owner as identified herein which, from date of payment, antedate the report by more than 10 years. 4) All easements, rights of way and reservations whether of record or not. 5) Any and all unpaid taxes and assessments. Although we believe the facts stated are true, this Certificate is not to be construed as an abstract of title, nor an opinion of title, nor a guaranty of title, and it is understood and agreed that COMMONWEALTH TITLE COMPANY OF GARFIELD COUNTY, neither assumes, nor will be enarger] wnn any rinanciai oongations or moony wnatever on account of any statement contained herein. DATED at Rifle, Colorado this 13th day of March, 2013 A.D., at 7:59 A.M. COMMONWEALTH TITLE COMPANY OF GARFIELD COUNTY: BY: 3 L, Garfield County Garfield County Land Explorer Garfield County, Colorado • • 1 f • J r • Garfield County Land Explorer /4/ rrinted by Web User • r•r r. 1 1 r h111. ■ �1r'fara'h tR 11- ;a "07.4 11111 wES 1 inch = 1,505 feet 1 Inch = 0.28 miles all Moles Gar Iw1d C ou ftty Garfield County Colorado www gartleld-county.com Calorado Disclaimer hit is cornnil of inn of rerprth at they appear in the Garfield Caunly OH,ces•Harting the eras shown- 'this drewine fo be used only lof role rents purpose. and fhe County is not relpensible fro eny ,nac<tvanes herein contained Itt Gaf ta•Ir1 [ r„i nil''. 1,11,10 agsnrvpd Pnntr-d 1013 .'O10 at 1 1'J 19 PM Garfield County 1 PERM T CARD Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 Phone (970) 945-8212 PERMIT # SEPT -12-17-5046 Project Address 1098 CR 214 POST THIS IN A CONSPICIOUS PLACE WHEN CONSTRUCTION IS STARTED Permit Type Septic - ALT/ Repair Work Classification Alteration Issue Date 12/6/2017 Expiration Date 12/6/2018 Owner Name Stephen & Susanne Self Parcel No. 217903100006 Owner Phone 970-876-0163 Contractor(s) Silt Mesa Excavating Contractor Phone 970-985-3020 Work Description replace existing 1,000 gallon tank with new 1,500 gallon tank AGREEMENT In consideration of the issuance of the permit, the applicant hereby agrees to comply with all laws and regulations related to the zoning, location, construction and erection of the proposed structure for which this permit is granted. The applicant further agrees that if the above said regulations are not fully complied with in the zoning, location, erection and construction of the above described structure, the permit may then be revoked by notice from the County Budding division and immediately become null and void. Inspection Comments Pass Date Perc Test Final JW 12-20-17 PLEASE SEE BACK OF PERMIT FOR OTHER COMMENTS ADDITIONAL INSPECTIONS MAY BE REQUIRED For Inspections Call (970) 945-1377 x1621 For Driveway Inspections Call (970) 625-8601 Garfield County Community Development Department 1.08 8th Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www.garfield-county.corn TYPE OF CONSTRUCTION ONSITE WASTEWATER TREATMENT SYSTEM (OWTS) PERMIT APPLICATION 0 New Installation WASTE TYPE i( Alteration 0 Repair Dwelling 0 Other Describe 0 Transient Use 0 Comm./Industrial 0 Non -Domestic INVOLVED PARTIES Property Owner: .t I r! 5/ Phone: Mailing Address: /497.6 [.. 'c �q4- Jy /eels SI I/ /L" 2,14.-5- . Email Address: 14-` fi sz Lam+ f�.bfb_?4-v _.5v.'. .61 2 L •' /:.: Contractor: Mailing Address: Email Address: Phone: (`/ /a )_ . ` - 3vl e Engineer: .CJ /i4 Phone: ( ) Mailing Address: Email Address: PROJECT NAME AND LOCATION Job Address: C Assessor's Parcel Number: 2/7Y4 f/''L ,Sub.d 1e:Ac/d Building or Service Type: a...),//, 7 #Bedrooms: cf Garbage Disposal(Y/N) Distance to Nearest Community Sewer System: J 47, k , / Was an effort made to connect to the Community Sewer System: /1/0 Lot /15 Block y Type of OWTS fig Septic Tank 0 Aeration Plant 0 Vault 0 Vault Privy 1 Composting Toilet O Recycling, Potable Use O Recycling 0 Pit Privy 0 Incineration Toilet O Chemical Toilet 0 Other Ground Conditions Depth to lst Ground water table Percent Ground Slope Final Disposal by Absorption trench, Bed or Pit 0 Underground Dispersal 0 Above Ground Dispersal O Evapotranspiration O Wastewater Pond 0 Sand Filter O Other Water Source & Type Effluent Ej Well 0 Spring 0 Stream or Creek 0 Cistern O Community Water System Name Will Effluent be discharged directly into waters of the State? 0 Yes CERTIFICATION Applicant acknowledges that the completeness of the application is conditional upon such further mandatory and additional test and reports as may be required by the local health department to be made and furnished by the applicant or by the local health department for purposed of the evaluation of the application; and the issuance of the permit is subject to such terms and conditions as deemed necessary to insure compliance with rules and regulations made, information and reports submitted herewith and required to be submitted by the applicant are or will be represented to be true and correct to the best of my knowledge and belief and are designed to be relied on by the local 1 department of health in evaluating the same for purposes of issuing the permit applied for herein. 1 further understand that any falsification or misrepresentation may result in the denial of the application or revocation of any permit granted based upon said application and legal action for perjury as provided by law. 1 hereby acknowledge that I have read and understand the Notice and Certification above as well as have provided the required information which is correct and accurate to the best of my knowledge. (7)*Ii[' 11 ��Ii7 /di Property Owner Print and Sin [� � d da U ll oC" Date Al2-c1-11 OFFICIAL USE ONLY Special Conditions: Permit Fee: Building Permit Perk Fee: Septic Permit: L- Total Fees: Issue Date: -�1�2 4 1�-- BUILDING/ PLANNING DIVISION: 4m4 .co, Irc,, +3-14iii- FeesPaid Balance DiV ,4c X17 Date Stephen and Susanne Self 1098 County Road 214 Silt, CO 81652 December 1, 2017 David Pesnichak, Senior Planner Garfield County Community Development 108 Eighth Street #401 Glenwood Springs, CO 81601 Ref: Administrative Review Land Use Change Permit -Self -Accessory Dwelling Unit -Garfield County File Number GAPA-09-8580 David, Attached is the response to Conditions to be Satisfied Prior to Issuance of the Land Use Change Permit. The two conditions which had to be satisfied are; 1. Changing the size of the septic tank to a 1500 gallon tank 2. Statement of the impact of the well on the aquifer. Sincerely, Stephen Self Reference: Administrative Review Land Use Change Permit -Self -Accessory Dwelling Unit - Garfield County File Number GAPA-09-8580 Suggested Conditions of Approval 1. Onsite Wastewater Treatment System. A permit revision has been submitted for addition of a 1500 gallon tank to be placed along side of the existing 1250 gallon tank. The existing tank will be filled with 3/8" screened rock to ensure that the tank will not cave in and create a hole in the future. A copy of the permit revision is attached to this document. 2. The well pump test did not include information on well recovery/recharge. The well was drilled in 1986 under permit #140566. In 2016 a revised permit was approved by the Colorado Division of Water Resources to allow for the expanded use of an ADU for the property. When drilled the well was bailed at a rate of eight gallons per minute for an hour to clean out the fines in the well and determine the inflow into the well. There was no pump test completed when the first pump was installed. In 2013 the pump was replaced with a new pump. During the pump installation the pump was allowed to flow without any restriction. After a few minutes the pump stopped pumping. A few minutes later the pump was again turned on and started pumping again. A valve was installed to restrict the flow to clean up the water. The well was bailed to ensure the sediment in the bottom of the well was removed. That was the only time the well was pumped beyond its capacity of the aquifer to recharge the well. May 12, 2016 a four hour pump test was conducted on the well. The static water level before starting the test was 38.10 feet from the surface. The flowrate of 7 gallons per minute resulted in a drawdown to a level of 47.8 feet. During the pump test the drawdown remained at that level. During the time we have lived here, 1987 to the present, there has not been any problems with the well with the exception of replacing the pump that was originally installed. There has not been anytime that the lack of water was an issue. The long term impact of the well on the aquifer will be minimal. The yield of the well for the past 29 years has not significantly impacted the aquifer with respect to the yield.