HomeMy WebLinkAbout1.06 Existing Permitsk.
No. 8473
GARFIELD COUNTY
BUILDING, SANITATION,
and PLANNING DEPARTMENT
109 8th, Street, Suite 303
Glenwood Springs, CO 81601(970) 945 -8212
Job Address CR . l I
Nature of Work Building Permit
I
Use of Building a atilt a. 1• • a s :r A s. a. 1 4
Owner 1P n Ills G
Contract n
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Amount of PermitS Date O -( p
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Clerk
b GARFIELD COUNTY BUILDING PERMIT APPLICATION
GARFIELD COUNTY (OIEV WOOD SPRINGS), COLORADOTELEPHONE: (970) 945-8212
C.47 LVSPECTEONLME:(970)3 5003.
PERMIT NO.2 PARCEL/SCHEDULE NO,c OJ— )a3-co -o /S
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NOTI
ASEA PERMIT ISPERIS R AND MUST BE ISSUED BY 116 STATE OF PLAN CHECK FEE:PERMIT FEE:
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION Z 17 , 2 15 .9-5
AUTHORIZED 13 NOT COMMENCED WITHIN 150 DAYS, OR IF CONSTRUCTION OR
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 130 DAYS AT ANY TIME TOTAL FEE:MIDATEPERT ISSUED:AFTER WORK IS COMMENCED.
32 ! J'/' . 37IHEREBYCERTIFYTHATIHAVEREADANDEXAMINEDTHISAPPLICATIONANDKNOWTHESAMETOBETRUEANDCORRECT. ALL PROVISIONS OF LAWS
GOVERNINGTALM TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED OCC: GROUP:CONST: TYPE:HEREIN OR NOT. THE GRANTLNO OF A PELMII DOES NOT PRESUME TO GIVE l' I NJ
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AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR 4LOCALLAWRECONSTRUCTIONORTHEPERFORMANCEOFCONSTRUCTION
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AGREEMENT
PERMISSION IS HEREBY GRANTED TO THE APPLICANT AS OWNER. CONTRACTOR AND/OR TIE AGENT OF THE CONTRACTOR OR OWNIIL TO CONSTRUCT THE STRUCTUREDETAILEDONPLANSAMIDSPECIFICATIONSSUBMITTEDTOANDREVIEWEDBYTHEBUIDEMDEPARTMENT.
N CONSIDERATION OF THE ISSUANCE OF TITS PERMIT, THE SIGNER HEREBY AGREES TO COMPLY WTRi ALL BUILDING CODES AND LAND USE REGULATIONS ADOPTED 1GARFIELDCOUNTYPURSUANTTOAUTHORITYGIVENIN3035201CRSASAMENDW. THE SIGNER FURTHER AGREES THAT IF THE ABOVE SAID ORDINANCES ARE NOT FUL3COMPLIEDWITHINTHELOCATION, ERECTION. CONSTRUCTION AND USE OF TEE ABOVE DESCRIED STRUCTURE, THE PERMIT MAY THEN BE REVOKED BY NOTICE FRCTHECOUNTYANDTHATTHENANDTHEREITSHALLBECOMENULLAIMVOID.
THE ISSUANCE OF A PERMIT BASED UPON PLANS, SPECIFICATIONS AND OTTER DATA SHALL NOT PREVENT THE BUI.DL40 OFFICIAL FROM THEREAFTER REGUEEN° DCORRECTIONOFERRORSL4SAIDPIANS, SPECIFICATIONS AND CRIER DATA OR FRO PREVENTING BUIDLNG OPERATION BELNG CARRIED ON THEREUNDER WHENVIOIATTONOFTHISCODEORANYOTHERORDD:ANCE OR RECITATION OF THIS ILRISDICTION.
THE REVIEW OF THE SUBMITTED PLANS AND SPECIFICATIONS AND INSPECTIONS CONDUCTED THEREAFTER DOES NOT CONSTITUTE AN ACCEPTANCE OF AlRESPONSERILESORLAM:L /1S BY GARFIELD COUNTY FOR ERRORS OMISSIONS OR DISCREPANCIES THE RESPONSIBILITY FOR THESE ITEMS AND LMELEMENTATT(DURING CONSTRUCTION RESTS SPECIFICALLY WITH THE ARCHITECT, DESIGNER BUILDER AND OWNER. COMMENTS ARE INrEIDFD TO BE CONSERVATIVE AND L4 SUPPO:OF THE OWNERS INTEREST.
Cartem,ace I HEREBY ACKNOWLEDGE THAT I HAVE READ AND UNDERSTAND THE AGREEMENT E GNTABOVNTITAI) Y-
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The following items are required by Garfield County for a final inspection:
1. A final Electrical Inspection from the Colorado State Electrical Inspector;
2. Permanent address assigned by Garfield County Building Department posted where readily
visible from access road;
3. A finished roof, a lockable house, complete exterior siding, exterior doors and windows
installed, a complete kitchen with cabinets, a sink with hot & cold running water, non - absorbent
kitchen floor coverings, counter tops and finished walls, ready for stove and refrigerator, all
necessary plumbing;
4. A complete bathroom, with washbowl, tub or shower, toilet stool, hot and cold running water,
non - absorbent floors and walls finished and a privacy door;
5. All steps outside or inside over three (3) steps must have handrails, guard rails on balconies or
decks over 30" high constructed to all 1997 UBC requirements;
6. Outside grading done to where water will detour away from the building;
7. Exceptions to the outside steps, decks and grading may be made upon the demonstration of
extenuating circumstances, i.e. weather, but a Certificate of Occupancy will not be issued until
all the required items are completed and a final inspection made.
A CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED UNTIL ALL THE ABOVE
ITEMS HAVE BEEN COMPLETED.
CANNOT OCCUPY OR USE DWELLING UNTIL A CERTIFICATE OF OCCUPANCY
C.O.) IS ISSUED. OCCUPANCY OR USE OF DWELLING WITHOUT A C.O. WILL BE
CONSIDERED AN ILLEGAL OCCUPANCY AND MAY BE GROUNDS FOR VACATING
PREMISES UNTIL ABOVE CONDITIONS ARE MET.
I understand and agree to abide by the above conditions for occupancy, use and the issuance of aCertificateof) cupancy for the dwelling under building permit # U-7 3
i /_ _7 — /.S
Si Date
I
bpcont
it
III
VALUATION/FEE DETERMINATION
Applicant STAL(?R-Subdivision
Address L' K31)5 i /+Lot/Block
Date iv31 -0Z Contractor 0 '/ue i,f Shp-,
1
Finished (Livable Area):qq 212Main28figY4q
Upper
Lower
Other
Total Square Feet
Valuation
Basement:
Unfinished
Conversion of Unfinished to Finished
Plan Check Fee for Conversion
Valuation
Garage:3)480
Valuation 740 x /4
Crawl Space:
Valuation 2asg * 9 IS 99Z
Decks/Patios:
Covered Slip
Valuation 0 7 4) y Z gl 11, 784
Open
Valuation
Total Valuation Z54 72g
Building Permit Fee 8/Z . 9S
Plan Review Fee 2.17.42
Total BP & PR 3090, 31
SO. 00
3240,3-7
Garfield County
BUILDING & PLANNING DEPARTMENT
Agricultural Employee Affidavit
1, 1"t state that the residential structure
described below will be occupied solely as an agricultural employee dwelling unit
provided to an individual and related family member who is/are employed in an
agricultural use, including farms, garden, greenhouse, nursery, orchard, ranch, small
animal farm for production of poultry, fish, forbearing or other small animals, as
prescribed in Garfield County Zoning Resolution Section 3.02.01 and in Section 2.02.02
Agricultural Land, on the property at which the dwelling is located and further, pays no
rent.
It is agreed that proof of employment, in the form of Internal Revenue Service Forms
W -2 or 1099 for each person employed as described above will be submitted to the
Garfield County Building and Planning Department upon request by the county.
It is agreed that this property will not be sold to another party without representing that
the agricultural employee dwelling structure is for agricultural employees only and may
not be used for any other purpose.
Property and Building Description:
Address 31 3// dank c, • 64i-,
Assessors Parcel Number Ay 0 ( a 00 - 4% SBuildingDescriptionm. 7 e,WS, n,Building Square Feet Habitable c'0„ e 0
Building Permit Number R413
ISDS (Septic) Permit Numberj -'
Owner 1_-,_ Signature)
Owner Address U [. ifgalilfra fa G
Date 7 - pa - o i
Witness .4,
109 8th Street, Suite 303, Glenwood Springs, Colorado 81601
970) 945 -8212 970) 285 -7972 Fax: (970) 384 -3470
Plans to be included for a Building Permit, must be on drafting paper at least 18 "x24" and drawn to
scale.
Plans must include a floor plan, a concrete footing and foundation plan, elevations all sides with
decks, balcony, steps, hand rails and guard rails, windows and doors, including the finish grade line. A
section showing in detail, from the bottom of the footing to the top of the roof, including re -bar,
anchor bolts, pressure treated plates, floor joists, wall studs and spacing, insulation, sheeting, house -
rap, (which is required), siding or any approved building material.
A window schedule. A door schedule.
A floor Gaming plan, a roof framing plan, roof must be designed to withstand a 40 pound per square
foot up to 7,000 feet in elevation, an 80 M.P.H. windshear, wind exposure B, windload of 15 pounds
per square foot, and a 36 inch frost depth.
All sheets to be identified by number and indexed. All of the above requirements must be met or your
plans will be returned.
All plans submitted must be incompliance with the 1997 UBC, UMC and 1997 UPC.
1.Is a site plan included that identifies the location of the proposed structure or addition and
distances to the property lines from each corner of the proposed structure(s) prepared by a
licensed surveyor and has the surveyors signature and professional stamp on the drawing?
Proe with slopes of 40% or greater must be shown on the site plan.
Yes
2.Does the site plan also include any other buildings on the property, setback easements and
utili easements?
YesNi
3.Does the site plan include when applicable the location of the I.S.D.S. (Individual Sewage
Disposal System) and the distances to the property lines, wells (on subject property and
adjacent properties), streams or water courses?
Yes N
4.Does the site plan indicate the location and direction of the County or private road accessing
the property?
Yes N
5.Do the plans include a foundation plan indicating the size, location and spacing of all
reinforcing steel in accordance with the uniform building code or per stamped engineered
2
a .
design?
Yes
6.Do the plans indicate the location and size of ventilation openings for under floor crawl
spaces and the clearances required between wood and earth?
Yes \
7.Do the plans indicate the size and location of ventilation openings for the attic, roof joist
spaces's and soffits?
Yes 1
8.Do the plans include design loads as required by Garfield County for roof snow loads, (a
minimum of 40 pounds per square foot up to & including 7,000 feet above sea level), floor
loads and wind loads?
Yes \
9.Does the plan include a building section drawing indicating foundation, wall, floor, and roof
construction?
Yes N
10. Does the building section drawing include size and spacing of floor joists, wall studs, ceiling
joists, roof rafters or joists or trusses?
Yes \'
11. Does the building section drawing or other detail include the method ofpositive connectionof
all columns and beams?
Yes
12. Does the plan indicate the height of the building or proposed addition from the highest point
of the building or addition measured at mid span between the ridge and the eave down to
existing (undisturbed) grade contours?
Yes N
13. Does the plan include any stove or zero clearance fireplace planned for installation including
make and model and Colorado Phase H certifications or phase 1I EPA certification?
Yes No
r
14. Does the plan include a masonry fireplace including a fireplace section indicating design to
comply with the Uniform l<uildmg Code Chapter 37?
Yes No
3
15. Does the plan include a window schedule or other verification that egress/rescue windows
from sleeping rooms and/or basements comply with the requirements of the Uniform BuildingCode?
Yes No
16. Does the plan include a window schedule or other verification that windows provide naturallightdventilationforallhabitablerooms?
Yes No
17. Do the plans indicate the location of glazing subject to human impact such as glass doors,
glazing immediately adjacent to such doors; glazing adjacent to any surface normally used as a
walking surface; sliding glass doors; fixed glass panels; shower doors and tub enclosures and
specify safety glazing for th areas?
Yes No "
18. Is the location of all natural and liquid petroleum gas furnaces, boilers and water heaters
indicated on the plan?
Yes No
19. Do you understand that if you are building on a parcel of land created by the exemption
process or the subdivision process, are building plans in compliance with all plat notes and/orcovenants?
Yes No v
20. Do you understand that if you belong to a homeowners association, it is your responsibility to
obtain written permission from the association, if required by that association, prior to
submitting an application for a building permit? If you do not have written permission from
the association, do you understand that the plan check fee will not be refunded should the
architectural committee deny or reject your building plans?
Yes No NI
21. Will this be the only residential structure on the parcel?Yes N No If no- Explain:
22. Have two (2) complete sets of construction drawings been submitted with the application?Yes i
23. Do you understand that the minimum size a home can be on a lot is a 20ft. x 20ft.?Yes NI No
24. Have you designed or had this plan designed while considering building and otherconstructioncoderequirements?
4
Yes i No
25. Does the plan accurately indicate what you intend to construct and what will receive a final
inspection by the Garfield County Building Department?
Yes N No
26. Do you understand that approval for design and/or construction changes are required prior to
the application of these changes?
Yes Ni No
27. Do you understand that the Building Department will collect a "Plan Review" fee from you at
the time of application submittal and that you will be required to pay the "Permit Fee" as well
as any "Road Impact" or "Septic System" fees required, at the time you pick up your building
pe t?
Yes No
28. Are you aware that twenty-four (24) hour notice is required for all inspections?
Inspections will be made from Battlement Mesa to West Glenwood in the mornings and
from Glenwood Springs to Carbondale in the afternoon. Morning inspections must be
called in by 12:00 p.m. the day before; afternoon inspections must be called in by 4:00
p.m. the day before. Failure to give twenty-four (24) hour notice for inspections will
del your inspection one (1) day. Inspections are to be called in to 384 -5003.
Yeses No
29. Are you aware that you are required to call for all inspections required under the Uniform
Building Code including approval on a final inspection prior to receiving a Certificate of
Occupancy and occupancy of the building?
Yes No
30. Are you aware that the person signing the Permit Application, whether the "Owner ", "Agent
of the Owner ", "General Contractor ", "Contractor" or otherwise, is the party responsible for
the project complying with the Uniform Building Code?
Yes I No
31. Are you aware that prior to issuance of a building permit you are required to show proof of a
driveway access permit or obtain a statement from the Garfield County Road & Bridge
Department stating one is not necessary? You can contact the Road & Bridge Department at
625 -8601.
Yes N1 No
32. Do you understand that you will be required to hire a State of Colorado Licensed Electrician
5
and Plumber to perform installations and hookups, unless you as the homeowner are
performing the work? The license number of the person performing the work will be requiredattimeofapplicableinspection.
Yes \l No
33. Are you aware, that on the front of the Building Permit Application you will need to fill in the
Parcel/Schedule Number for the lot you are applying for this permit on prior to issuance of a
building permit? Your attention in this is appreciated.
Yes i No
I hereby acknowledge that I have read, understand and answered these questions to thebestISyability.
s .. 41 /.. / /I 15
Signa Date
Pho e: ft ' I S (days);
11
fa110 S y DS evenings)
Project Name: One) 21 re.Ci ion-ea
Project Address:311 1\0 f1 i a N Co 0 (( 5.k.
1
Notes:
If you have answered "No" on any of the questions, you may be required to provide this information
at the request of the Building Official prior to beginning the plan review process. Delays in issuingthepermitaretobeexpected. Work may not proceed without the issuance of a permit. If it is
determined by the Building Official that additional information is necessary to review the applicationandplanstodetermineminimumcompliancewiththeadoptedcodes, the application may be placedbehindmorerecentapplicationsforbuildingpermitsinthereviewprocessandnotrevieweduntil
required information has been provided and the application rotates again to first position for review,delay in issuance of the permit or delay in proceeding with construction.
bpminreq
04/02
6
Garfield County
Road and Bridge Department
902 Taughenbaugh Blvd., Ste 305
Rifle, CO 81650
Phone - (970)625 -8601 Fax- (970)625-8627
Invoice
Invoice Date:5/15/2002 Invoice Number.22
Bill To:Kerry and Kim Oneil
9110 CR 311
Silt CO 81652
Driveway Permit Number.22
515.00 per Driveway Permit.
Driveway Permit Fee:515.00
Total Due:515.00
Thank You!
6/„,
r
r Garfield County
Application for Driveway Permit
Application Date: 5/15/2002 Permit Number:22 Permitee: Kerry and Kim Oneil
Termination Date:5/23/2002 County Road Number: 311 Inspector: Jake Mall
District: 3 Sub - Contractor:
Kerry and Kim Oneil hereby requests permission and authority from the Board of County Commissioners to construct a
driveway approach (es) on the right -of -way off of County Road, 311, 9110 CR 311, adjacent to Applicant's property
located on the South side of road for the purpose of obtaining access to property.
Applicant submits herewith for the consideration and approval of the Board of County Commissioners, a sketch of the
proposed installation showing all the necessary specification detail including:
1. Frontage of lot along road.
2. Distance from centerline of road to property line.
3. Number of driveways requested
4. Width of proposed driveways and angle of approach.
5. Distance from driveway to road intersection, if any.
6. Size and shape of arca separating driveways if more than one approach.
7. Setback distance of building(s) and other structure improvements.
8. No unloading of equipment on county road, any damage caused to county road will be repaired at subdivision
expense.
9. Responsible for two years from the date of completion.
General Provisions
1) The applicant represents all parties in interest, and affirms that the driveway approach (es) is to be constructed by
him for the bona fide purpose of securing access to his property and not for the purpose of doing business or
servicing vehicles on the road right of way.
2) The applicant shall furnish all labor and materials, perform all work, and pay all costs in connection with the
construction of the driveway(s). All work shall be completed within thirty (30) days of the permit date.
3) The type of construction shall be as designated and/or approved by the Board of County Commissioners or their
representative and all materials used shall be of satisfactory quality and subject to inspection and approval of the
Board of County Commissioners or their representative.
4) The traveling public shall bc protected during the installation with proper warning signs and signals and the Board
of County Commissioners and their duly appointed agents and employee shall be held harmless against any action
for personal injury or property damage sustained by any reason of the exercise of the Permit.
5) The Applicant shall assume responsibility for the removal or clearance of snow, ice, or sleet upon any portion of
the driveway approach (es) even though deposited on the driveway(s) in the course of the County snow removal
operations.
6) In the event it becomes necessary to remove any right -of -way fence, the posts on either side of the entrance shall
be surely braced before the fence is cut to prevent any slacking of the remaining fence, and all posts and wire
reinoved shall be turned over to the District Road Supervisor of the Board of County Commissioners.
7) No revisions or additions shall be made to the drivcway(s) or its appurtenances on the right-of-way without written
permission of the Board of County Commissioners.
8) Provisions and specifications outlined herein shall apply on all roads under the jurisdiction of the Board of County
Commissioners of Garfield County, Colorado, and the Specifications, set forth on the attached hereof and
incorporated herein as conditions hereof.
Special Conditions:
1. 40' wide driveway.
2. No culvert is necessary.
3. Maintain 3% slope away from CR 311.
4. Clear brush on both sides of driveway to maintain visibility.
In signing this application and upon receiving authorization and permission to install the driveway approach (es)
described herein the Applicant signifies that he has read, understands and accepts the foregoing provisions and conditions
and agrees to construct the driveway(s) in accordance with the accompanying specification plan reviewed and approved
b the Board of County Commissi
VSigned:d {"..) A , u
Kerry and Kim 1 net 1
Address:
Telephone Number:
Permit granted 5/15/2002 subject to the provisions, specifications and conditions stipulated herein.
For Board of County Commissioners' of Garfield County, Colorado:
0,e4
Representative of Garfield County Road and Bridge Signature
Special Provisions for Excavation of Road Surface and Installation
1) Any oversized material, (larger than 10 inches in diameter), that is not utilized in backfill will be hauled off by
permitee. Further, any frozen material will be removed from site by permittee.
2) When a paved or chipped surface is cut, it is to be replaced with a minimum three -inch (3 ") hot mix asphalt patch.
Temporary patch with cold mix asphalt would be allowed, which would be replaced with hot mix asphalt whcn
the weather or availability of materials allow the work to be completed. An asphalt or chipped surface cut would
require the road to be straight cut and squared by means of a pavement cutter or saw. A chipped surface cut will
require a seal coat of the patch, which will be full width or half width of roadway when trenches run with the
road. For trenches across the road, the edges of the seal coat will overlap the existing edge. All seal mats will
overlap edges by a two of the roadway in the vicinity of the excavation. Asphalt hot mix or cold patches will be
completed in a maximum of five (5) working Days. Weather permitting.
3) When possible all installations should avoid the top edge of a fill slope.
4) Installations in drainages subject to flash flooding will have a minimum bury of 4 feet deeper than normal flowlineatnearestabutment, wing wall, or culvert.
5) Installations at culvert crossings will be buried beneath the culvert with a minimum separation of 18 inchesbetweeninstallationandthebottomoftheculvert.
6) Open trenches adjacent to the traveled roadway shall be backfilled daily to within 100 feet of the working area ofthetrench, and shall be barricaded with warning devices after dark. A 3 foot high orange plastic fence will be
installed daily to keep livestock out of the open trench after hours.
7) In areas being disturbed where vegetation is established, reseeding with a mixture either by broadcasting, drillingandmulchingwithseedmixturessuitabletotheclimaticconditionsorexistingvegetationwillbeperformed. Useonlycertifiedweed -free seed. Noxious weed control will be ongoing along with revegctation.
8) The permittee should check the R-O -W of surrounding landowners to see if other permits are required, i.e., BLM,Forest Service.
Aka)
R sentative for Garfield County Road and Bridgeg
I
Kerry and Kim Oneil
r
Specifications
1. A driveway approach is understood to be that portion of the county road right -of way between the pavement edge
and the property line that is designed and used for the interchange of traffic between the roadway and abutting
property.
2. At any intersection, a driveway shall be restricted for a sufficient distance from the intersection to preserve the
normal and safe movement of traffic. (1t is recommended for rural residence entrances that a minimum
intersection clearance of 50 feet be provided and for rural commercial entrances a minimum of 100 feet be
provided.)
3. All entrances and exits shall be so located and constructed that vehicles approaching or using them will be able to
obtain adequate sight distance in both directions along the county road in order to maneuver safely and without
interfering with county road traffic.
4. The Applicant shall not be permitted to erect any sign or display material, either fixed or movable, on or
extending over any portion of the county road right -of -way.
5. Generally, no more than one approach shall be allowed any parcel or property the frontage of which is less than
one hundred (100) feet. Additional entrances or exits for parcels having a frontage in excess of one hundred 100)feet shall be permitted only after showing of actual convenience and necessity.
6. All driveways shall be so located that the flared portion adjacent to the traveled way will not encroach uponadjoiningproperty.
7. No commercial driveway shall have a width greater than thirty (30) feet measured at right angles to the centerline
of the driveway except as increased by permissible radii. No noncommercial driveway shall have a width greater
than twenty (20) feet measured at right angles to the centerline of the driveway, except as increased bypermissibleradii.
8. The axis of an approach to thc road may be at a right angle to the centerline of the county road and of any angle
between ninety (90) degrees and sixty (60) degrees but shall not be Icss than sixty (60) degrees. Adjustment will
be made according to the type of traffic to be served and other physical conditions.
9. The construction of parking or servicing areas on the county road right-of-way is specifically prohibited.
Commercial establishments for customer vehicles should provide off-the -road parking facilities.
10. The grade of entrance and exit shall slope downward and away from the road surface at the same rate as the
normal shoulder slope and for a distance equal to the width of thc shoulder but in no case Icss than twenty (20)
fed from the pavement edge. Approach grades are restricted to not more than ten percent (10 %).
11. All driveways and approaches shall be so constructed that they shall not interfere with the drainage system of the
street or county road. The Applicant will be required to provide, at his own expense, drainage structures at
entrances and exits, which will become an integral part of the existing drainage system. The Board of County
Commissioners or their representative, prior to installation, must approve the dimensions of all drainagestructures.
Note: This permit shall be made available at the site where and when work is being done. A work sketch or
drawing of the proposed driveway(s) must accompany application. No permit will be issued without drawing,
blueprint, or sketch.
1
Garfield County
Road and Bridge Department
902 Taughenbaugh Blvd., Ste 305
Rifle, CO 81650
Phone - (970)625-8601 Fax- (970)625-8627
Invoice
Invoice Date:5/14/2002 Invoice Number:23
Bill To:Kerry and Kim Oneil
9110 CR 311
Silt CO 81652
Driveway Permit Number:23
15.00 per Driveway Permit.
Driveway Permit Fee:15.00
Total Due:15.00
Thank You!
51/6/02
r,
Garfield County
Application for Driveway Permit
Application Date: 5/14/2002 Permit Number:23 Permitee: Kerry and Kim Oneil
Termination Date: 5 /23/2002 County Road Number: 311 Inspector: Jake Mall
District: 3 Sub - Contractor:
Kerry and Kim Oneil hereby requests permission and authority from the Board of County Commissioners to construct a
driveway approach (es) on the right -of -way off of County Road, 311, 9110 CR 311, adjacent to Applicant's property
located on the South side of road for the purpose of obtaining access to property.
Applicant submits herewith for the consideration and approval of thc Board of County Commissioners, a sketch of the
proposed installation showing all thc necresary specification detail including:
1. Frontage of lot along mad.
2. Distance from centerline of road to property line.
3. Number of driveways requested
4. Width of proposed driveways and angle of approach.
5. Distance from driveway to road intersection, if any.
6. Size and shape of area separating driveways if more than one approach.
7. Setback distance of building(s) and other structure improvements.
8. No unloading of equipment on county road, any damage caused to county road will be repaired at subdivision
expense.
9. Responsible for two years from the date of completion.
General Provisions
1) The applicant represents all parties in interest, and affirms that the driveway approach (cs) is to be constructed by
him for the bona fide purpose of securing access to his property and not for the purpose of doing business or
servicing vehicles on the road right of way.
2) The applicant shall famish all labor and materials, perform all work, and pay all costs in connection with the
construction of the driveway(s). All work shall be completed within thirty (30) days of the permit date.
3) The type of construction shall be as designated and/or approved by thc Board of County Commissioncrs or their
representative and all materials used shall be of satisfactory quality and subject to inspection and approval of the
Board of County Commissioners or their representative.
4) The traveling public shall be protected during the installation with proper warning signs and signals and the Board
of County Commissioners and their duly appointed agents and employee shall be held harmless against any action
for personal injury or property damage sustained by any reason of the exercise of the Permit.
5) The Applicant shall assume responsibility for the removal or clearance of snow, ice, or sleet upon any portion of
the driveway approach (es) even though deposited on the driveway(s) in the course of the County snow removal
operations.
J•
6) In the event it becomes necessary to remove any right -of -way fence, the posts on either side of the entrance shall
be surely braced before the fence is cut to prevent any slacking of the remaining fence, and all posts and wireremovedshallbeturnedovertotheDistrictRoadSupervisoroftheBoardofCountyCommissioners.
7) No revisions or additions shall be made to the driveway(s) or its appurtenances on the right-of-way without written
permission of the Board of County Commissioners.
8) Provisions and specifications outlined hercin shall apply on all roads under the jurisdiction of the Board of CountyCommissionersofGarfieldCounty, Colorado, and the Specifications, set forth on the attached hereof and
incorporated herein as conditions hereof.
Special Conditions:
1. Install 40' wide driveway.
2. Clear brush from both sides of drive for visibility.
3. No culvert is necessary.
4. Maintain a 3% slope away from CR 311.
In signing this application and upon receiving authorization and permission to install the driveway approach (es)described herein the Applicant signifies that he has read, understands and accepts the forcgoing provisions and conditions
and agrecs to construct the Iriveway(s) in accordance with the accompanying specification plan reviewed and approved
1
by the Board of County Commissioners.
Signed: r r, 74/
erry and ' m Oneil
Address:
Telephone Number:
Permit granted 5/14/2002, subject to the provisions, specifications and conditions stipulated herein.
For Board of County Commissioners' of Garfield County, Colorado:
0/A 9--Cd
Representative of Garfield County Road and Bridge Signature
Special Provisions for Excavation of Road Surface and Installation
1) Any oversized material, (larger than 10 inches in diameter), that is not utilized in backfill will be hauled off bypermitce. Further, any frozen material will be removed from site by permittce.
2) When a paved or chipped surface is cut, it is to be replaced with a minimum three -inch (3 ") hot mix asphalt patch.
Temporary patch with cold mix asphalt would be allowed, which would be replaced with hot mix asphalt when
thc weather or availability of materials allow the work to be completed. An asphalt or chipped surface cut would
require the road to be straight cut and squared by means of a pavement cutter or saw. A chipped surface cut will
require a seal coat of the patch, which will be full width or half width of roadway when trenches run with the
road. For trenches across the road, the edges of thc seal coat will overlap the existing edge. All seal coats will
overlap edges by a two of the roadway in the vicinity of the excavation. Asphalt hot mix or cold patches will be
completed in a maximum of five (5) working Days. Weather permitting.
3) When possible all installations should avoid the top edge of a fill slope.
4) Installations in drainages subject to flash flooding will have a minimum bury of 4 feet deeper than normal flowlineatnearestabutment, wing wall, or culvert.
5) Installations at culvert crossings will be buried beneath the culvert with a minimum separation of 18 inches
between installation and the bottom of the culvert.
6) Open trenches adjacent to the traveled roadway shall be backfilled daily to within 100 feet of the working area of
the trench, and shall be barricaded with warning devices after dark. A 3 foot high orange plastic fence will be
installed daily to keep livestock out of the open trench after hours.
7) In areas being disturbcd where vegetation is established, reseeding with a mixture either by broadcasting, drilling
and mulching with seed mixtures suitable to the climatic conditions or existing vegetation will be performed. Usc
only certified weed -free seed. Noxious weed control will be ongoing along with revegetation.
8) The permittce should check the R -O -W of surrounding landowners to see if other permits arc required, i.e., BLM,Forest Service.
V4
Representative for Garfield County Road and Bridge
OU o -1
Kerry and Kim Oncil
4
Specifications
t. A driveway approach is understood to be that portion of the county road right -of way between the pavement edgeandthepropertylinethatisdesignedandusedfortheinterchangeoftrafficbetweentheroadwayandabuttingproperty.
2. At any intersection, a driveway shall be restricted for a sufficient distance from the intersection to preserve thenormalandsafemovementoftraffic. (It is recommended for rural residence entrances that a minimum
intersection clearance of 50 feet be provided and for rural commercial entrances a minimum of 100 feet be
provided.)
3. All entrances and exits shall be so located and constructed that vehicles approaching or using them will be able to
obtain adequate sight distance in both directions along the county road in order to maneuver safely and withoutinterferingwithcountyroadtraffic.
4. The Applicant shall not be permitted to erect any sign or display material, either fixed or movable, on or
extending over any portion of the county road right -of -way.
5. Generally, no more than one approach shall be allowed any parcel or property the frontage of which is less than
one hundred (100) feet. Additional entrances or exits for parcels having a frontage in excess of one hundred 100)feet shall be permitted only after showing of actual convenience and necessity.
6. All driveways shall be so located that the flared portion adjacent to the traveled way will not encroach uponadjoiningproperty.
7. No commercial driveway shall have a width greater than thirty (30) feet measure at right angles to the centerline
of the driveway except as increased by permissible radii. No noncommercial driveway shall have a width greaterthantwenty (20) feet measured at right angles to the centerline of the driveway, except as increased bypermissibleradii.
R. The axis of an approach to thc road may be at a right angle to the centerline of the county road and of any anglebetweenninety (90) degrees and sixty (60) degrees but shall not be Tess than sixty (60) degrees. Adjustment willbemadeaccordingtothetypeoftraffictobeservedandotherphysicalconditions.
9. The construction of parking or servicing areas on the county road right-of-way is specifically prohibited.
Commercial establishments for customer vehicles should provide off-the-road parking facilities.
10. The grade of entrance and exit shall slope downward and away from the road surface at the same rate as the
normal shoulder slope and for a distance equal to thc width of the shoulder but in no case Icss than twenty (20)feet from the pavement edge. Approach grades arc restricted to not more than ten percent (10 %).
11. All driveways and approaches shall be so constructed that they shall not interfere with the drainage system of the
street or county road. The Applicant will be required to provide, at his own expense, drainage structures at
entrances and exits, which will become an integral part of the existing drainage system. The Board of County
Commissioners or their representative, prior to installation, must approve the dimensions of all drainagestructures.
Note: This permit shall be made available at the site where and when work is being done. A work sketch or
drawing of the proposed driveway(s) must accompany application. No permit will be issued without drawing,
blueprint, or sketch.
935 371
INSPECTION WILL NOT BE MADE UNLESS
THIS CARD IS POSTED ON THE JOB
24 HOURS NOTICE REQUIRED FOR INSPECTIONS
BUILDING PERMIT EST COPY
G // RFFIELD COUNTY, COLORADO ;
Date Issue .oOI r—onned Area Permit No v ; , 73
AGREEMENT
In consideration of the issuance of this permit, the applicant hereby agrees to comply with alllawsandregulationsrelatedtothezoning, location; construction and erection of the proposedstructureforwhichthispermitisgranted, and further agrees that if the above said regulationsarenotfullycompliedwithinthezoning, location, erection and construction of the above
described structure, the permit may then be revoked by notice from the County BuildingIns • tor and IMM DIATELY 1 ECOME NULL AND VOID.
Us at A &: f•sS 4..,t•a.LS Il_L,
Ad • or Legal r - ription
4... 11• I Ca r r r r tter I r_
Setbacks Front Side Side Rra
r
This Card Must Be Posted So It k Plainly Visible From The Street Until Final Inspection.
INSPECTION RECORD
Footing $ -y- p7 at 1 4-1-44‘ 4-1-44‘ 4-1-44‘ / na H 27/ OL
Foundation g ., /j - -
Underground Plumbing Insulation t- /2 .oZy—
Rough Plumbing /Ay:Drywall / f
Chimney & Vent A /4- --Electric Final (by State Impactor) /.; -2 -
Gas Piping / / r--Final /2_ . 13 _oz
Electric Rough (By State inspector) if"ler Septic Final
Framing ii- c -azP'Y-Notes:
To inchrde Roof in place and Windows
and Doors installed).
ALL LISTED ITEMS MUST BE INSPECTED AND APPROVED BEFORE COVERING -
WHETHER INTERIOR OR EXTERIOR, UNDERGROUND OR ABOVE GROUND.
v THIS PERMIT IS NOT TRANSFERABLE
Phooe;3$45003- 109 8th Street County Courthouse Glenwood Springs, Colorado.
APPROVED NOT DESTROY THIS CARD
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ForrriNo OFFICE OF THE STATE ENGINEER
fWg25 COLORADO DIVISION OF WATER RESOURCES
818 Centennial Bldg 1313 Sherman St Denver Colorado 80203
303 8663581
APPLICANT
1095
WELL PERMIT NUMBER 238032
DIV 5 WD 45 DES BASIN MD
APPROVED WELL LOCATION
GARFIELD COUNTY
NW 114 NW 14 Section 13
HERMANN STAUFER Township 7 S Range 92 W Sixth PM
9109 COUNTY ROAD 311 DISTANCES FROM SECTION LINES
SILT CO 81652 75 Ft from North Section Line
200 Ft from West Section Line
970 8762826 UTM COORDINATES
PERMIT TO CONSTRUCT A WELL Northing Easting
ISSUANCE OF THIS PERMIT DOES NOT CONFER A WATER RIGHT
CONDITIONS OF APPROVAL
1 This well shall be used in such a way as to cause no material injury to existing water rights The issuance of this permit
does not assure the applicant that no injury will occur to another vested water right or preclude another owner of a vested
water right from seeking relief in a civil court action
2 The construction of this well shall be in compliance with the Water Well Construction Rules 2 CCR 4022unless approval
of a variance has been granted by the State Board of Examiners of Water Well Construction and Pump Installation
Contractors in accordance with Rule 18
3 Approved pursuant to CRS 37926023bIIAas the only well on a tract of land of 4000 acres described as the NW 14
of the NW 114 Sec 13 Twp 7 S Rng 92 W Sixth PM Garfield County
4 The use of ground water from this well is limited to fire protection ordinary household purposes inside not more than
three 3 single family dwellings the irrigation of not more than one 1 acre of home gardens and lawns and the watering
of domestic animals
5 The maximum pumping rate of this well shall not exceed 15 GPM
6 The return flow from the use of this well must be through an individual waste water disposal system of the
nonevaporativetype where the water is returned to the same stream system in which the well is located
7 This well shall be constructed not more than 200 feet from the location specified on this permit
03 fy 02
APPROVED
SAP
nD I
Receipt No 9500980
State Engineer
DATE ISSUED A 14 2002 Ely
XPIRATION DATMAR 14 004
Form No OFFICE OF THE STATE ENGINEERGWS5COLORADODIVISIONOFWATER RESOURCES
818 Centennial Bldg 1313 Sherman St Denver Colorado 80203
303 866 3581
APPLICANT
HERMANN STAUFER
P O BOX 5000
VAIL CO 81658
970 476 5828
REGISTRATION OF EXISTING WELL
LR
WELL PERMIT NUMBER 204423
DIV 5 CNTY 23 WD 45 DES BASIN MD
Lot block Filing bundiv
APPROVED WELL LOCATION
GARFIELD COUNTY
SW 1 4 SW 1 4 Section 12
Twp 7 S Rng 92 W 6th P M
DISTANCES FROM SECTION LINES
200 Ft from SOUTH Section Line
300 Ft from WEST Section Line
ISSUANCE OF THIS PERMIT DOES NOT CONFER A WATER RIGHT
CONDITIONS OF APPROVAL
1 This well shall be used in such a way as to cause no material injury to existing water rights The issuance of
the permit does not assure the applicant that no injury will occur to another vested water right or preclude
another owner of a vested water right from seeking relief in a civil court action
2 The construction of this well shall be in compliance with the Water Well Construction Rules 2 CCR 402 2
unless approval of a variance has been granted by the State Board of Examiners of Water Well Construction
and Pump Installation Contractors in accordance with Rule 18
3 This well is recorded and permit approved in accordance with CRS 37 92 602 5 for historic use as indicated
herein and described in CRS 37 92 602 1 b being a well producing 15 GPM and used for ordinary household
purposes inside one 1 single family dwelling fire protection the watering of domestic animals and poultryandtheirrigationofnotmorethan1acreofhomegardensandlawns
4 The date of first beneficial use as claimed by the applicant is 1971
APPROVED
SAP
Receipt No DATE ISSUED SPP 0 5
9 s 9
ByEXPIRATION DATE N A
STATE OF COLORADO 4z I For office Use only10891089OFFICEOFTHESTATEENGINEERu
818 Centennial Bldg 1313 Sherman St Denver Colorado 80203 PERMIT NUMBER
303 866 3581
R rnOLL
FOR INSTRUCTIONS SEE REVERSE SIDE
REGISTRATION OF EXISTING WELL
Z 997
TEN RE C
1 WELL OWNER
NAME S E Al A Yov s riE C A 11 9R pOOo
Mailing Address
City St Zip zxx L rD
Phone F O MG F90 o SEP 1 U 1997ReceiptNo
2 WELL LOCATION COUNTY y i4 LF Z OWNER S WELL DESIGNATION sTAt GrX NEERyAddressCityState Zip
1 4 of the 1 4 Sec Twp N or S Range L E or W G P M
Distances from Section Lines Ft from N S Line O Ft fromaOoro E or W Line
3 The well has historically been used for the following purpose s l P24 cr Q u e7
o G 4rror o ALL f aiRrc e of STo L
4 Water from the well was first used beneficially by the original owner for the above described purpose s
on Aa X 19 J
5 The total depth of this well is feet
6 The pumping rate is 3 gallons per minute
7 The average annual amount of water diverted is acre feet
8 The land area of home lawn and garden irrigated from this well is Acre or Square feet
Number
described as S v Z Gi 92 w fl IDesmpao
or as Subdivision Lot s Block Filing Unit
I we have read the statements made herein know the contents thereof and state that they are true to my ourknowledgePursuanttoSection24410413aCRSthemakingoffalsestatementshereinconstitutesperjuryintheseconddegreeandispunishableasaClass1misdemeanor
9 Name Title please type or print oWltt ignature ate
FOR OFFICE USE ONLYU CHECKS TR 421025 091097 60 00
DIV OF HATER RESOURCES
State Engineer By L Date
Court Case No Div S Co 23 WD L7 Basin MD Use
INSTRUCTIONS FOR THE COMPLETION OF REGISTRATION OF EXISTING WELL 9 26 96
Certain wells not previously registered or permitted may be registered pursuant to C R S 37 92 602 5 The wells musthavebeenconstructedandouttobeneficialusepriortomay81972Thetypesofwellsthatmayberegisteredare
identified as follows
1 Wells not exceeding fifteen gpm which are used for ordinary household purposes fire protection the watering ofpoultrydomesticanimalsandlivestockonfarmsandranchesandtheirrigationofnotoveroneacreofhome
gardens and lawns but not used for more than three single family dwellings
2 Wells not exceeding fifty gpm which are in production as of May 22 1971 and were and are used for the
purposes described in 1 above
3 Wells not exceeding fifteen gpm which are used for drinking and sanitary facilities in individual commercial
businesses
4 Wells used exclusively for fire fighting purposes if the wells are capped locked and are used only in fighting fires
5 Wells within Designated Groundwater Basins may be registered provided they do not exceed 50 gpm and are
used for not more than three single family dwellings and the irrigation of not over one acre of home gardens andlawnsorthewateringoflivestockonrangeandpastureTheymaybeusedinonecommercialbusinessbut
may be further restricted by applicable Ground Water Management District Rules and Regulations
The Form must be typewritten or printed in BLACK INK Initial and date any changes you make on the formIncompleteformsarenotacceptableandwillbereturnedAttachadditionalsheetsifmorespaceisneeded
The non refundable fee for filing a late registration is 60 00 Payable to the State Engineer If the late registration is
accompanied by an application for a permit to replace the existing well in the same aquifer there is no additional fee
1 Print the well owner s name and include the mailing address and phone number
2 If the well location is different than the mailing address of the owner include the address where the well islocatedNorthWellTheactualwelllocationmustinclude1414RangeTownshipSectionanddistancesfromSectionlinesMarktheappropriateboxesforNorthorSouthandEastorWestdirections
3 Describe the use s to which the water has actually been applied
4 Enter the date of first beneficial use by the original owner This date must be prior to May 8 1972
5 Enter the total depth of the well
6 Enter the pumping rate of the well in gallons per minute
7 The annual amount of water diverted in acre feet must be indicated One acre foot is equivalent to 325 900gallonsAtypicalhomewithlawnandgardenirrigationdivertsanaverageofoneacrefootAveragehomeusethatdoesnotincludelawnandgardenirrigationwateringdiverts13acrefoot
8 Report the area irrigated either as one acre fraction of one acre or square feet by filling in the correct numberandchecktheappropriateboxYoumustdescribethespecificareairrigatedusingeitherthelegaldescriptionofthatlandorbyreferencingtheSubdivisionLotBlockandFilingorUnitnumberThewateringofhomegardensandlawnsisconsideredirrigationandmustbereportedlfthewellisnotusedforirrigationplaceazerointhe
acres irrigated blank One acre is equivalent to 43 560 square feet
9 The well owner must sign the form Print or type your name in the first block if it is different from Item No 1 IfsigningasarepresentativeofacompanywhoownsthewellthenyourtitlemustalsobeincludedinthefirstblockSignthesecondblockanddatethelastblock
The existence and use of the well must be verified by field inspection before the registration can be evaluated For an
inspection contact the Division Office where your web is located L
Water Divisions and offices are based on the major river drainage areas For example the Division One office administers
the South Platte River Basin
DMSION 1
800 8th Ave Rm 321
Greeley CO 80631
303 352 8712
DIVISION 2 Box 5728
219 W 5th Rm 223
Pueblo CO 81003
719 542 3368
DIVISION 3 Box 269
422 4th St
Alamosa CO 81101
719 589 6683
DIVISION 5 Box 396 DIVISION 6 Box 773450 DIVISION 7 Box 1880
50633 US Hwy 6 24 625 So Lincoln Ave 1474 Main St
Glnwd Spgs CO 81601 Stmbt Spgs CO 80477 Durango CO 81302
303 945 5665 303 879 0272 303 247 1845
DIVISION 4 Box 456
1540 E Niagara
Montrose CO 81402
303 249 6622
DENVER OFFICE
Rm 821
1313 Sherman St
Denver CO 80203
303 866 3581
COLORADO DIVISION OF WATER RESOURCES FIEIrQ INSEECTION REPORT
Please complete this form in INK SEP I U 1997
DN WD t1 11 a l receipt no s
DATE OF INSPECTION wATE eswEERSTATEENGINEERCOLO
APPLICANT N F iytiq J rXFu GCE 2 person contacted if not applicant Qqd 646 e E S
ADDRESS T d V
phone 9 70 7 0 S8
W C name pfrone PD e E
o y9
DOSTING WELL LOCATION
w 114 A 114 Sec Twp S Rng 9 2 w o P M
DIST 2B from N Sec 11ne O from E Ssec line County C7 ef
if repl give disL dir to new well site
circle type of wasting well RI HAND DUG SPRING WELL GALLERY WELL GRAVEL PIT OTHER
how many other wells are located on this parcel use ei AD STOcC
are they registered permit case s L4Tr P F6 5T2Aln D A B traD J cTlg7l
EST DATE WELL CONSTRUCTED v DATE OF FIRST USE 7 EST PUMPING RATE S gpm
TOTAL OF ACRES IN THIS TRACT PARCEL ACRES
additional subdlparcel info
USE OF WELL
household use in indicate how many single family dwelling s
watering of poultry and or domestic animals domestic animals would include a few cows horses etc
watering of livestock on a farm or ranch approz how many headisthisafeedlothowmanyhead
it is important to specify estimated historic lawn garden n frr 4 C square feetlacre of lawn and or gardencfireprotection
commercial drinking san onW write details in comments section
other write details in comments section
ov no WERE THE USES CHECKED ABOVE INITIATED PRIOR TO MAY 8 1972
NOTE IF ANY CHANGE IN THE HISTORIC USE OF THIS WELL HAS OCCURRED SINCE MAY 8 1972 please
indicate the date s the use changes and discuss this chaggeland or e ansion of the current or proposed use
in the comments section of this form
if completing inssppe ctiionn for NON EXEMPT USES use comments section below include case acres in if applicable etc
signed 2 C dated o q7
additional comments and or information 7 00 Aek z LS 9 pAie C K L
F AC4 JcjGL S CS 6 1
1r vaA U nl rr f m0o 1
more room for comments on the back
GWS 13 A 3192
Page 2 F I REPORT
G W 5 25
APPLICANT
OFFICE OF THE STATE ENGINEER
COLORADO DIVISION OF WATER RESOURCES
818 Centennial Bldg 1313 Sherman St Denver Colorado 802033038663581
HERMANN STAUFER
P O BOX 5000
VAIL CO 81658
970 476 5828
REGISTRATION OF EXISTING WELL
LR
WELL PERMIT NUMBER 204424
DIV 5 CNTY 23 WD 45 DES BASIN MD
F 14 3
APPROVED WELL LOCATION
GARFIELD COUNTY
NW 1 4 NW 1 4 Section 13
Twp 7 S Rng 92W 6th P M
DISTANCES FROM SECTION LINES
700 Ft from NORTH Section Line
800 Ft from WEST Section Line
ISSUANCE OF THIS PERMIT DOES NOT CONFER A WATER RIGHT
CONDITIONS OF APPROVAL
1 This well shall be used in such a way as to cause no material injury to existing water rights The issuance ofthepermitdoesnotassuretheapplicantthatnoinjurywilloccurtoanothervestedwaterrightorpreclude
another owner of a vested water right from seeking relief in a civil court action
2 The construction of this well shall be in compliance with the Water Well Construction Rules 2 CCR 402 2unlessapprovalofavariancehasbeengrantedbytheStateBoardofExaminersofWaterWellConstructionandPumpInstallationContractorsinaccordancewithRule18
3 This well is recorded and permit approved in accordance with CRS 37 92 602 5 for historic use as indicatedhereinanddescribedinCRS37926021bbeingawellproducing15GPMandusedforordinaryhouseholdpurposesinsideone1singlefamilydwellingfireprotectionthewateringofdomesticanimalsandpoultryandtheirrigationofnotmorethan1acreofhomegardensandlawns
4 The date of first beneficial use as claimed by the applicant is 1950
APPROVED
SAP
Receipt No DATE ISSUEDSEr
v
EXPIRATION
By
DATE
r
6
I
I
Gws 12 1111 4 A OF COLORADO For Office Use only
to y9 OFFICE OF THE STATE ENGINEER
Centennial Bldg 1313 Sherman St Denver Colorado 80203 P112MIr NUMBER
303 866 3581 RECEIVED
P 10 1997
FOR INSTRUCTIONS SEE REVERSE SIDE
REGISTRATION OF MST NG WEWELL
WSTATE ENGINEC EIVED
G JUL 3119971WELLOWNER
II JJNAMES7ex r4 n cl u ie Q WATEHNESOURCESSTATEENGINFEqCOLO
J Mailing Address d t qo ti SD o o
City St Zip 1 y 1 c1 1 8 W S
Phone 70 St7Co 582
Receipt No
2 WELL LOCATION COUNTY G i e OWNER S WELL DESIGNATION f
zU S Lr Co rf
City State Zip
Vu 1 4 of the NW 1 4 Sec 3 Twp N or S Range 92 E W 6or P M
Distances from Section Lines 7o Ft from X N or S Line O a Ft from 11 E or W Line
3 The well has historically been used for the following purplosee s aJO Lej c fejIlL
2 rL l 4 s 9 72 RwC 4 yJL w T CL fAGC
4 Water from the well was first used beneficially by the original owner for the above described purpose s
on 19 6 0
5 The total depth of this well is 0 feet
6 The pumping rate is S gallons per minute
7 The average annual amount of water diverted is 3 0 acre feet
8 The land area of home lawn and garden irrigated from this well is 0 Acre or Square feet
Number i iu Sao GtIG e
described as rcj4e r jr A 2 7 7 d Z 9LCJ 6 7vo f zc
i escnpnon
or as Subdivision Lot s Block Filing Unit
I we have read the statements made herein know thecontents thereof and state thaL they are true to my oursknowledgePursuanttoSection24410413aCRSthemakingoffalsestatementshereinconstitutesperjuryintheseconddegreeandispunishableasaClass1misdemeanor
9 Name Title please Jry pe or print
C4 MNn w 7qr 7G 041 Gc
ig nature
Y
ate
qY
V
FOR OFFICE USE ONLY
a Best Copy Available CHECKS TRO4192iw 07 197 60 00
II V OF WATER RESMICES
State Engineer By Date
Court Case No Div S a3 4 JCoWD Basin MD Use
7S
Q5
IMPORTANT INFORMATION CERTAIN WELLS NOT PREVIOUSLY REGISTERED OR PERMITTE t MAY BEREGISTEREDPURSUANTTOCRS37926025THEWELLSMUSTHAVEBEENCONSTRUCTEDANDPUTTOBENEFICIALUSEPRIORTOMAY81972THETYPESOFWELLSTHATMAYBEREGISTEREDARE
IDENTIFIED AS FOLLOWS
1 Wells not exceeding fifteen f ppm which are used for ordinary household purposes fire protection the watering ofpoultrydomesticanimalsand7ivestockonfarmsandranchesandtheirrigationofnotoveroneacreofhomegardensandlawnsbutnotusedformorethanthreesinglefamilydwellings
2 Wells not exceeding fifty gpm which are in production as of May 22 1971 and were and are used for the purposes
described in 1 above
31 Wells not exceeding fifteengm which are used for drinking nd sanitary facilities in individual commercial businesses
4 Wells used exclusively for 5re fighting purposes if said wells are capped locked and available for use only in fightingfires
5 Wells within Designated Groundwater Basins ma be registered provided they do not exceed 50 gpm and are used fornotmorethanthreesinglefamilydwellingsandtheirrigationofnotoveroneacreofhomegardensandlawnsorthewateringoflivestockonrangeandpastureTheymaybeusedinonecommercialbusinessbutmaybefurtherrestrictedbyapplicableGroundWaterManagementDistrictRulesandRegulations
The Form must be typewritten or printed in BLACK INK Initial and date any changes you make on the formINCOMPLETEFORMSARENOTACCEPTABLEANDWILLBERETURNEDATTACHADDITIONAL SHEETS IF
MORE SPACE IS NEEDED
THE FEE FOR FELING OF A LATE REGISTRATION LS 60 00 PAYABLE TO THE STATE ENGINEER TF THEATEREGISTRATIONISACCOMPANIEDBYANAPPLICATIONFORAPERMITTOREPLACETHEEXLSTING
WELL IN THE SAME AQUIFER THERE IS NO ADDITIONAL FEE
1 Print the well owner s name and include the mailing address and phone number
2 If the well location is different than the mailing address of the owner include the address where the well is locatedNorthWellTheactualwelllocationmustinclude1414RangeTownshipSectionanddistancesfromSectionlines
Mark the appropriate boxes for North or South and East or West directions
3 Describe the use s to which the water has actually been applied
4 Enter the date of first beneficial use by the original owner This date must be prior to May 8 1972
5 Enter the total depth of the well
6 Enter the pumping rate of the well in gallons per minute
7 The annual amount of water diverted in acre feet must be indicated One acre foot is equivalent to 325 900 gallonsAnaveragehomewithlawnandgardenirrigationdivertsanaverageofoneacrefootAveragehomeusewhichdoesnotincludelawnandgardenirrigationwateringdiverts0acrefoot
8 Report the area irrigated either as one acre fraction of one acre or square feet by filling in the correct number andchecktheappropriateboxYoumustdescribethespecificareairrigatedusingeitherthelegaldescriptionofthatlandorbyreferencingtheSubdivisionLotBlockandFilingorUnitnumberThewateringofhomegardensandlawnsisconsideredirrigationandmustbereportedIfthewellisnotusedforirrigationplaceazerointheacaesirrigated
blank One acre is equivalent to 43 560 square feet
9 The weR owner must sign the form Print or type your name in the first block if it is different from Item No f IfsigningasarepresentativeofacompanywhoownsthewelltheeyourtitlemusealsobeincludedinthefirstblockSignthesecondblockanddatethelastblock
The existence and use of the well must be verified by field inspechdi before the registration can be evaluated For animmectioncontacttheDivisionOfficewhereyourwelli5located
WdiuiWater Divisions and offices are based on major river drainage areas For example the Division One Office administers the
South Platte River Basin
DIVISION 1
800 8th Ave Rm 321
Greeley CO 80631
303 352 8712
DIVISION S Box 396
50633 US Hwy 6 24
Glnwd Spgs CO 81601
303 945 5665
DMSION 2 Box 5728
219 W 5th Rm 223
Pueblo CO 81003
719 542 3368
DNISION 6 Box 773450
625 So Lincoln Ave
Stmbt Spgs CO 80477
303 879 0272
DIVISION 3 Box 269
422 4th St
Alamosa CO 81101
719 589 6683
DMSION 7 Box 1880
1474 Main St
Durango CO 81302
303 247 1845
DIVISION 4 Box 456
1540 E Niagara
Montrose CO 81402
303 249 6622
DENVER OFFICE
Rm 821
1313 Sherman St
Denver CO 80203
303 866 3581
OFFICE OF THE STATE ENGINEER
Division of Water Resources
Department of Natural Resources
1313 Sherman Street Room 818
Denver Colorado 80203
Phone 303 866 3581
FAX 303 866 3589
HERMAN STAUFER
P 0 BOX 5000
VAIL CO 81658
Dear Mr Staufer
STATE OF COLORADO
RECEIVED RECEIVED oe o
SEP 101997 AUG qq qq 97
WATER RESOURCES
STATECEOLO WATER RE3oURCEbt Roy Romer
August 8 1997 STATE EtdGo 4CrCLENVGo0
Governor
James S Loch head
Executive Director
Hal D Simpson
State Engineer
RE Receipt 419215
The enclosed application to REGISTER an existing unregistered well is being returnedtoyouBeforetheevaluationofanyapplicationtoregisteranexistingwellcanbecompleted
by this office the following MUST be received
As the instructions on the back of the Registration Form indicate highlighted the
existence of the well prior to May 8 1972 and it s continued use for the same
purpose as the historic use must be verified by a field inspection conducted by the
water commissioner for the Water District in which the well is located The
information on your application indicates that your well is located in Water District 45
Please contact either Dwight Whitehead or Steve Pope at our office in GlenwoodSpringsphone9709455665toarrangeforanonsitefieldinspectionofthewell
You may return the application and the water commissioner s Field Inspection Report either
to this office or the Glenwood Springs office once you have had a chance to have the Field
Inspection conducted If you have any other questions you may contact this office at 303 866 3587between800and500MondaythroughFridayWhenmakinginquiresreferencethisletterandthe
above receipt number s Thank you for your understanding and cooperation
enct s
cc Div 5 attn Dwight and Steve
file
Sincerely
i L Cunniniham
Supply Branch o Region
Kes j C Opy Available
FOR No
l010891189
STATE OF COLORADO
OFFICE OF THE STATE ENGINEER
818 Centennial Bldg 1313 Sherman St Denver Colorado 80203
303 866 3581
For office Use only
PERMIT NUMBER f
RECEIVED
LKFORINSTRUCTIONSSEEREVERSESIDE
REGISTRATION OF EXISTING WELL SEP 101997REC EI VED
W Af oA L 3 1 199 7
WATER RESOURCESStqCOLOms
1 WELL OWNER
NAME S 7ex 7 V VA crx u e R
Mailing Address 0 d X SO 4o o
City St Zip
Phone 5 70 StJ 582
Receipt No
22 WELL LOCATION COUNTY G e OWNER S WELL DESIGNATION
Zo Jz
CAddreu City State Zip
l u 1 4 of the NG 1 4 Sec l 3 Twp N or S Range 92 E or W 6 P M
Distances from Section Lines 701 Ft from 0 N or S Line If 0 Ft from E or El W Line
3 The well has historically been used for the following purpose s 01ti1 e i ll
f t G a ac5 f ae
4 Water from the well was first used beneficially by the original owner for the above described purpose s
on 19 5 0
5 The total depth of this well is 0 feet
r
6 The pumping rate is S gallons per minute
7 The average annual amount of water diverted is 3 o acre feet
8 The land area of home lawn and garden irrigated from this well is 0 0 Acre or Square feet
Number Jcvyc 900 Lt G rc
described as a Ir d4J Z T 7S Z
f rit
or as Subdivision Lot s Block Filiig Unit
I we have read the statements made herein know the contents thereof and state that they are aue to my ourknowledgePursuanttoSection24410413aCRSthemakingoffalsestatementshereinconstitutesperjuryintheseconddegreeandispunishableasaClass1misdemeanor
9 Name Title Please a or print ignature r
FOR OFFICE USE ONLY
vt C K RP i9215 7 0 197
DTU fir WATERa7Fnnillysi
State Engineer By Date
Court Case No Div S Co WD Basin MD Use
IP13
T
COLORADO DIVISION OF WATER RESOURCES FIELD INSPECTION REPORT
Please complete this form in INK RECEIVED IN I
WD Ji S rsw aDNSAP1019preceiptnosDATEOFINSPECTION8f797
WATER RESOURCES
STATE ENGWEER
APPLICANT E m A O 57A J FE Z person contacted ifWapplicant loA s
ADDRESS D oK st7ao W C name phone 9 E Pb E
JA 0 0 61Co5a inns oy 9
phone 1970 y7 p 58 AJ5
EX1STlNG WELL LOCATION N W 114 N W 114 Sec 13 Twp 7 Rng Z I J P M
DIST 700 from l S sec linegkj p from E l ec line County
if repl give dist dir to new well site
circle type of emsting wel DRILLEW HAND DUG SPRING WELL GALLERY WELL GRAVEL PIT OTHER
r
how marry otherwells are located on this parcel I use I Sr D I 4G fAk i S 7z CK
are they registered perm8lcase s 447T tTR 9TiDnS FrJp r 1G
EST DATE WELL CONSTRUCTED 19 Sa DATE OF FIRST USE I v EST PUMPING RATE gpm
TOTAL OF ACRES IN THIS TRACT PARCEL ACRES
additional subdlparcel into
USE OF WELL
C household use in indicate how many single lamily dwelling sXwateringofpoultryandordomesticanimalsdomesticanimalswould include a few cows horses etc
watering of livestock on a farm or ranch approz how marry head9
is this a feed lot how many head
je n is important to specify estimated historic lawn garden irr in fl C square feetlacre of lawn and or gardenZfireprotection
commercial drinking San only write details in comments section
other write details in comments section
l no WERE THE USES CHECKED ABOVE INITIATED PRIOR TO MAY 8 1972
NOTE IF ANY CHANGE IN THE HISTORIC USE OF THIS WELL HAS OCCURRED SINCE MAY 8 1972 pleaseindicatethedatestheusechangedanddiscussthischangelandorwwansionofthecurrentorproposeduse
in the comments section of this form
d completing inspection for NON EXEMPT USES use comments section below include case acres irr if applicable etc
signed dated yoZ7 U
additional comments and or information Trnl0 r bus Dr i DA kc
Fi4 r16L 4 4 10 Ec i Sre i coil EACQ GJ d i eS
I 15 O S I AC LAIJA 9A GDE A
more room for comments on the back
GWS 13A 3 92
Page 2 F LREPORT