HomeMy WebLinkAbout227 Fulford Dr - 210904101001EAGLE ')LINTY DEPARTMENT OF ENVIRONS° "NTAL HEALTH Box 811 6th & Broadway Eagle, Colorado 81631 PERMIT ® (this does not constitute a building or use permit) Owner EDWO€3D System Location Lot 11 - Raibab Licensed Contractor * Conditional Construction approval is hereby granted X Septic Tank or Aerated treatment uni Absorption area (or dispersal area) computed as follows: Perc rate 1 inches in 20 minutes 800 sq. ft. absorption area per bedroom 266 sq. f t . # of bedrooms 3 x 266 sq. ft. minimum requirement May we suggest a minimum of 800 sq. ft. leach field Date May 23, 1975 Inspector Erik W. Edeen, R.P.S. FINAL APPROVAL OF SYSTEM: No system shall be deemed to be in compliance with the Sewage Disposal Laws until the assembled system is approvedprior to covering any part. Septic Tank cleanout to within 12" of final grade or aerated access ports above grade. Date Proper materials and assembly. _Adequate absorption (or dispersal) area. Adequate compliance with permit re Adequate compliance with Canty and State regal �s Inspector quirements. RETAIN WITH REGEIPT RECORDS AT CONSTRUCTION SITE CONDITIONS: 1. All installation must comply with all requirementss 6f-te County Individual Sewage Disposal Regulations, adopted pursuant to authority granted in 25-10-104, CRS 1973 amended 25-1-614, CRS 1973 2. This permit is valid only for connection to structures which have fully complied with County Zoning and building requirements. Connection to or use with any dwelling or structures not approved by the building and Zoning office shall automatically be a violation of a requirement of the permit and cause for both legal action and revocation of the permit. 3. Section III, 3.24 requires any person who constructs, alters, or installs an individual sewage disposal system in a manner which involves a knowing and material variation from the terms or specifications con- tained in the application of permit commits a Class I, Petty Offense ($500.00 fine - 6 months in jail or both. ENVIRONMENTAL HEALTH .' � P.O. BOX 811 PERMIT NO. EAGLE.CQLORAQO 81631 PERMIT FEE $25.001 APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT 0 ����� ���� Nome of C},/nec Phone: Address of Owne Is facility within boundaries of district? ___/ 1/.�,,Distance to nearest sewer system: Location of Proposed System: Legal Dischpfion: Type of Structure: Single Family Dwelling -other: No. Bedrooms Water Supply: Private Well ( ) Location: Distance From leach fie|6:_________ Public Water Supply: Size of Lot: An appropriate plot plan most accompany site inspection for this application showing required information. (See attached sheet.) The individual sewage disposal system will be constructed and installed in accordance with the regulations governing individual sewage systems within Eagle County, and s6o|| comply with House Bill 1553 CRS 66-14. 1973. Payment shall be made to the Eagle County Treasurer. Permit, upon approval of this application, may be obtained at the Eagle County sonitorion'n office. Appointment for final inspection must be made prior to construction by contacting the inspecting sanitarian. [Phone 320-77lBbetween 8;3Cand 9;O8A88]Refer tupermit number. Noapproval will 6egiven onany system without final inspection. Name, address, and telephone of person responsible for design of system: The undersigned acknowledges that the above information in true and that fo|m* information will invalidate the' application or subsequent permit SIGNATURE OFAPPLICANT: Date: (This application becomes in,ok6�montKufrom above 6o+e.) Percolation Information: Permit Tank Capacity: Fee Receipt: Absorption Area:. Sq. ft. (mm|mum) File: REMARKS: APPLICATION IS: APPROVED ( DENIED The above in6kvi600| nevvogo disposal system was installed by AND HAS BEEN INSPECTED AND APPROVED BY A REPRESENTATIVE OF THE EAGLE COUNTY HEALTH DEPT. Dote' 3oni+ohon: OL III Strer_,t _address or T'egaal Descripti. zLi Ty'-, o' T _C T T -P ` � 3TILOU' T' IS NEE I J� I Date of Te s L :5 75 D'elp t h of ho I c D i ar,., e t: e r T-,v*,-)e of soil: Location of Test Hole: Test hole was presoaked o: D a t Da t e T i ir e TT'�r OF 2 3 1 2 3 3 1 2 I 3 /jLI , Percolation Rate: I Site has been reviewed and tc.tcd for percolauLon -ratc. Iv 7 e r c c o rm e n d `0 VA L PP ONJi_%T, Date: NCM� Plot plan sh-ow-inF, ou- inest 1 ocation o.F or000�:;c,.d hili -1 r, ; ;,cr nr P C! I'M J. t to '"OnSt]- 'C e s i Sn' of S ciL C S" f, L rm r­,J s t- b -- subL tc:d ­h t�on �7o � PI .:! ca -, U iIC t. Tiie hack OJE tlpli"' jcO2:f1 i-..Iay ble use�d Lc) show plot plan and design of syste-r.q. C, Telei,-Ahone (303) 325-7713- By: " C S an i t a Tian Bo,-.r 8 11 Eagle, Golorado 3!631 inn3�rmerr� 551 Broadway Eagle, Colorado 81631 (303) 328 7311 March 10, 1987 Colan Cassidy Empire Savings Post Office Box 5280 Avon, Colorado 81620 Attention: Holly Chavez RE: Loan Inspection for property located at: 0227 Fulford, Lot 11, Filing #1, Kaibab Subdivision All loan inspections are completed under the authority of the Eagle County Building Resolution, Section 3.09.03, A(7) adopted by the Eagle County Commissioners on October 8, 1985. An on -site inspection of the sewage disposal system on March 10, 1987 revealed that the septic system appears to be functioning properly. This individual sewage disposal system was permitted and installed in accordance with State and County Regulations. Final approval for Individual Sewage Disposal Permit Number 06 was granted on August 25, 1975. No water sample was taken at the time of this inspection! Should you have any questions concerning this inspection_, please do not hesitate to contact this office. Sincerely, %� ._ Andrew Montoya Department of Community Development APd/ cb xc: Files Board of County Commissioners Assessor Clerk and Recorder Sheriff Treasurer P.O. Box 850 P.O. Box 449 P.O. Box 537 P.O. Box 359 P.O. Box 479 Eagle, Colorado 81631 Eagle, Colorado 81631 Eagle, Colorado 81631 Eagle, Colorado 81631 Eagle, Colorado 81631 0006-Lot 11 Kaibab NAME --0227 Fulford Drive Beck q1 JOB ION as af —m BILL TO now r DATE STARTED DATE COMPLETED DATETBILLED -�Ceo�o( 0, otzUl-C'z-"wd" Ld fz-1- Lr/& z-2�-'5;z r1rl -ffw) OA Aso Pb f, e -i sa 'fi J-Clf fj,(. � WtV,1V , L;4 A - JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL TOTAL LABOR INSURANCE SALES TAX MISC. COSTS TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS % OF SELLING PRICE NET PROFIT JOB FOLDER Product 277 ®0 NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MASS. 01471 JOB FOLDER Printed in U.S.A. Septic System Inspection Report CLEARVUA ER CLEANUP; COMPANY - Shcving Wastewater Problems Cur�cmt vwaer; . Buyer (if Iicxbk): A Kc ant; Appl. Phone: AppL E-u:a& Site Address: r^ n I?esc riptiow J,,o R&Ct man copy to: Maki Address: Size of the property: acres . 3'I' mg or structure (if conumcrci2t list all uses or tettaais): S' a IVlultit Fazioa'l. / Com+r erdgl/ OutbuNot Yet Constructed I: t�r�itAL-IN'F0RM&T1[0N (to be completed by owner or owners asent) 1. ;Date Cktaii�Tglri cwater System iastalled f q 7�5 Date 0 Unknown 2:... Tvlie Tank & Field 0 Vault O incinerator 0 Other , 3. System'Ptrmitted Yes CI No Original peavit 4. ' Wateic Softcuer 0 Yes No 5. Garbage Disposal EX Yes .0 No 6. rTrap 0 Yes a No 7. In Home Business 0 Yes .K No Type. 8. Flow Meter 0 Yes 5r No 9. Number of Bedrooms in House Number Listed on OWS Permit 0 No pit exists -- "plumber Listed in .Assessor's Records io. House -Cum ndy Moccupicd Yes LJ No How Long- i i. iias a'SeiArAge Bi Ckap Ever occumd? © Yes O No "If yes, please explain- h lCft oW i, 17 - List any known repairs to the system /V0 Q 6 v; Ot~s 044LS Page i ors P.O. Box 4480 4 Breckenridge, Colorado 80424 (970) 453-8875 6 (Soo) 656-4928 6 Fax f970J 547-9669 T'd frLLL-96tr-E06 4TwwnS 844 sTTaS et44URO e19:01 so 91 099 04 t%A !> _(Legal description) Page 2 of 5 year PCM-)it# 13. Is there 2 service contract for system components? 14. -Date septic tank list pumped 15. Water supplied by a well; Potability test of well water analyzed mddiin past 12 months Potability test results 0 Yes 2C No , Company 14 — Company Prequency &I & kI ke S 0 Yes NO 0 Yes 0 NO 0 Pass 0 Fail Apaxy orfailh= doer not indicate apass orfailfor the inspection The above information is true to the best of the ownees knowledge. Owner/Agent Date: ?'CI 2iwwns awe STTaR eTU2URn eTQ:nT Rn qT mart ,4+/l 4 e. 1, _(Legal description) Page 3 of 5 SECTIONS 11 and III- Components of Onsite Wastewater System- to be completed by Use Permit inspector (any items checked in bold must include an explanation under section 11L # 14) 11. SYSTEM TYPE 1. 1HE Station 2. Pretreatment Unit (Septic Tank) 3. 4. 5. A 7. Advanced Treatment Unit Siphon/Pump Tank Soil Treatment Unit: Type Concretc/Plastic/Me4l/Nl< '17yPe �foncrete>lastic/Metal/NA Manufactures LA;-�k"Wj- n/ bran/Coast Type Wetlaa Manufacturer Capacity&04� Type Gravel/Chamber/Mound/Drip/Seepage I Capacity (0) Capacity (gat) —W 0 Capacity (gal) Area (Ft2) . ...... .... . Vault (set hWMdi0#* Type Concrete/Plastic/Meta — Capacity (g-1) Manufacturer Warning Device Pumping receipts Privy Water supplied fixtures in the home 0 Pass 0 FAIL (3 Pass 0 Fail Type Pit"40D 0 Yes 0 No 8. Additional Components: /Vo "-- 9. Gray Water discharge &Wone 0 SURFACE 0 SUBSURFACE 0 VAULT (If separate from OWS) o Field III. EVALUATION PROCEDURES 1. Locate, access, and open the septic tank cover 21"Pass 0 FAIL 2. If at grade, is tank cover secure ca—pass 0 FAIL 3. Can surface water infiltrate into tank(s)? 0 Yes Ck--No 4. Leaking water fixtures in the facility 0 Yes 0--No 5. Any indicators of previous tank failuxe 0 YES Q--No G. inspect ad, measure sludge & scum level L-4—yes Cl NO 7. Effluent filter present (requited after 6/2000) n Yes 0, No 2--yes 0 NO B. Run an operation test Gallons Gallons added in the operation test 25�2 Does water backflow into tank from field> 0 YES 2--No 9_ pump out primary treatment (septic) tank I /� o-) jr a How ! �&'-a QL'-Yes 0 No rrmay gallons? .2'-0 0-- Pass D FAIL 10. Condition of the, septic tank &X—Tass 0 Fail Inspect condition of inlet and outlet baffles Comments (cracks, deterioration, in- fil tmti0c, Or 11. darnage): Does the system contain a siphon or 2 Pump? C1 Siphon D n Pump No If so, was Eh Ono' divLon of the tank checked? 0 Yes Comments: a. Is the pump clev2t off the bottom of the chamber? f-1 Yes 0 [:3 No FAIL n or p P, b. Does the sip wont? siphon or w F-1 Pass M YCS Cl No r 21 c. Is there a high water 21 F. .9 r-. F, n P. -41wwng a'Al sTT9R e1(W4UR.1 eRq:nl Sn QT oan KC, %::K6 (Legal description) Page 4 of 5 d. Does the alarm work? 0 0 Pass Audio El FAXL 0 Visual e. Type of alarm f. Do electrical connections appear satisfactDo n Yes F1 No g. Was the pump tank cleaned? 0 Yes 0 No Was the soil treatment area Probed to determine its location and n Yes 3--No 12. to check for excessive moisture, odor, and/or effluent? a. Any area subject to damaging erosion 0 Yes 0-,Tqo C5--1;To b. Any part of field subject to compaction (Ex.: driveway) U Yes c. Any indication of previous failure 0 YES C31-No d. Seepage visible on the surface of the field 0 YES D-No c. Improper vegetation present (trees, large shrubs) [J.—Yes 0 No f. Heavy saturation observed in the distribution media 0 YES P--No g. Even distribution of effluent in the field 0 Yes 0 No b. Snow cover over the absorption area es ❑ Yes 0 No 0-150 i. Irrigation present on absorption area 13- Distance between water well and soil treatment area /V w' 4-'*t Feet 14. Inspection Results of OWS: 'Acceptable (No Repairs Needed) 0 Acceptable (Repairs Needed- completed during inspection/visit) Explain/Define Non Permit Repairs that were done 0 UNACCEPTABLE (Repairs Required) Explain repair work required 0 UNACCEPTABLE (Further Exploratory Work Required) Explain Inspector Signa.=C' Date- Ffflm:« rn-�� NO SOIL 0 TREATMENT AREA 4. - C1 471.1.1.- A r,4P-PnP aiwwnq alll. STT9R elUaUAn e;:7Q:nT Rn CT 06H (Legal description) N. SKETCH OF SYSTEM (to be completed by Use Permit inspector) i Oq i t"e-- Page 5 of 5 q"d b/.�.i.-9R.fa-Pn 4iwwnS aUx STTaS ety-4uR7 epq:ni Rn qT oaO ��..Lvv..'^.SY-C"...�"`"V'y�� ,^`_' � •._. ��.'L^..Z"�C:.G'�.�i+�_:v;...2.'�ti"4:..�"."'a�`:=25'St.�,�"F�'��Ytl'+��";<�....�.,;�..�.v�s;�•C }�a_+�{C^_■ry■'+"'"i�':..4:ei.� d ES-tam."'a?.<Xi-"-i'�4.vx"ir�^�.��.'�.�'.'..'�..v.:?�-c- Vr JOSH wocD INVOICEDATE.: - - REMIT PAYMENT TO: YUCK TRUCK t P.O. BOX 1365 GYPSUM CO 81637 (970) 401-3870 DESCRIPTION OF WORK PERFORMED: CHARGE TO ITEM HOURS DESCRIPTION UNIT PRICE TOTAL TRIP TRAVEL TIME THERE $801HOUR CHARGE - AND BACK PUMP TIME TRUCK RAN TO $801HOUR CHARGE PUMP TANK DUMP DISPOSAL $/GALLON FEE ON . , -< �. , GAL. { f_ DUMP TRUCKING TIME $801HOUR TRIP CHARGE ' TO DUMP AND BACK ' SNAKE LABOR FOR SNAKING -OUT $S0IHOUR CHARGE SEWER LINE SUBTOTAL BALANCEDUE National Association of too- Waste,,vat.et- Tmnspc)rters, Ine. Onsite Wastewater "Treatment System Inspection Report iA _v- , 0�' 4 C W 11 "N Tate' Tlnit� St fwduk­'i 2 OP" [A it d, 1 -2 IS T Y" 'k. General information: (Ohtiin ,ts nitich as possible v"hen insptCtjoll Questj t m nai re �. oil tpIt7tcd )%Vairi ,ottncr )*JYarbngc dlsp­;ad _)WIm !pt ,,-d halh ')Cle.imint� service 1;01olnc hllslncys: type 3yiN �Vll FlonN metor: )No pyin0 dg welfing. Curjonll�, N1111*Ncr tit' Peoi-AC occu _L)_ If CUITCMIN' 1111OCCUI)Wd, for ]ION-V 1011e hill, it flecll VilcitIlt \11mber of t"ediomil" in dweljillm,� 3 17 Lkung: I 111C 11OLTSe" vispecled b\ uthvv, YNO It so, %V11W IL If) .1-11 thore :I C01111*'M OF SYS M(6, -_)No Dtt,2 tfic trentllwnt Link lest pu mjw..d� )Nm or to lit% knowle-de Al what frtquellcv', Company: I . I'he above information is truV to the best of my knowle,(J"u. V National Association of Wastewater Transporters, Inc. NAWT Inspector Tra ining/ ertification Program 63 B.System Type t of 01`111111S of wia:stek' ,-1ter Ire atlllL',(it Systeni c°onip?lete tas necessary ry I's` tf ° zttiT fit l,t1Tt L t,e [ s`L 'w .1;itlt£(ivs o jai per day i -rid i 1 FT p: LTII?f.7 t�aiah p .4- >g)111' tc111 f-allcaaTs ;'1ctra.,TtiT?ciit Unit ' _ a [ i-M11cifas OF &Ital Per day (g cM I'ffsT,pi; ti#'TTp7 tirl ',# p?t12r tcllt tt<allorrs]. Sol', lre atine w Unit` fsquare e t! rX P"rents, 1 t It€liT it Components, ✓ t ,%��}�"��'�3i �z ` ��'' �_' t l "lI'll t 1 ( # Pt-- Z` i €i"ate a, alter C1T:it�li�2r;�;{� ? c1i; °gLTrt tf t C) Stil)�urlalci. Cfisc lar "C £4ralllia LIC svtel ixt' -)Nonv SU1l11L tit 1? ili't 1C 4p1 rl tr:3( t f EvaluationC. : Check the app3rop H to boxes. Locate, access, and open tlae septic tank cover. Yes C) No ilr.i(fe. i� the cw,,er -secure?-' `Yes � No ilia p it titer infiltrate into the tank" 0 Yes 0 No :i neficat on,+ tit' p r i,iou`r flcld Ire? 0 Yes ip No hp1c_°t hil. ulsp eiut le%el, tnCaasu e sludge- and scurti, check effluent screen- 0 Yes O No a &- ru /-- R ;t {m optera'1101? test � '«< C3 ;N£� � ������ f-e6eiluf-- }t,s ill de(l ill the te^s€, t i� +I gallon", [ # talalc IL1111f, alit prinlai , tre atta ent taanik, 1 [ l Yes 0 No t it writ olww f .c f0 i lime k [-low ifflip the tarib front the otitlet pipe. . } £ pfj. jF y r-L p lents: '- .}.. 7?td,E�Jf ?. !) t1tl. t1ft11J 3,+ 71't'tlCidlC'1T( IL2rl i' li7ely is el'iden €.' 0/ ,t t izllJ`Zt?sC`it 7 t" 41 tltli- �i)1'I£f7 47 iftt �Simrelt1. the wedition o the prim ary treatment tall„i YesNo i tilts- ftfclrt, cleteri3or ation, or clan iage ) H-C Inte"I'W' t)t tllc° ifflel ia[TCI clUtlet baffles (1`6;- cle.tericir atti7al or (ianla3,' e ) Yes '✓ No t.4 FR enter a tank unless proper confatae£1 space entry prtaccelures are follosNecl! Does tile: SNS(eln contain a dosing or punipr trams£$ ejector or grinder tn purnp,' >-) Yes p-'sic; )s(< VOL] check tite-it,cthe tk (cracks, nfilratici, eV"ir, ) Y`y J- N ; I;- flic unip cle,,-alcd off the Inc iton, { t f'TC• d,_in-ib y', ' , __ National Associcittionoft cast a C rTrcansporters.Alt' rights reserved. Notfor reproduction, 64 Inspection Manual for Onsite Wastewater Treatment Systems If there is a check valve, is a purge hole present'' Is there a high water alarm? Dues the alarm evoi—V Do electrical connections appear satisfactory? Did VOL] clean the pump tank" Probe the soil treatment area to determine its location and to check for excessive inoistttre, odor, and/ or effluent. Yes �) No Type of distribution: y�GGravity 4 Pressure Is There: Any indication of a previous failure? (7) Yes iv No Seepage visible on the lawn? O Yes r No Lush vegetation present'? n Yes A No Ponding Nvater in the Distribution media'? f-) YUs Ix No Ewen distribution Of effluent in the field? O Yes 0 No L;k Detennine distance bem een water well and soil treatment area. Distance. is Ct` f-Y t.e%�f fret. Explain answers is necessary: I)2 �� c; C� /"fit' 11'j � w�c,1 i5 i tY. c tTe f� tC 4,Vi liar ea'cr,(,IQ IJ-er rS /)i7es D. Sketch of Systemr � Es r 4� I'm reproduciblc results, shO'W dimensions from structures that will not change, such as corners or the house Show details, such as the road, in relation to the house to get tite correct orientation. Shoe; all located corspo- vents. National Association of Wastewater Transporters. All rights rese E. Checklist Summary fill it )NfAcce'- A -)Iahl- 97 L NAWT Inspector Training/Certification Program 'MicccPtable colldition- I! 11'111d ()UMT1 UUlk I IS ITI Acceptable L.riacceptable, condition, 0 N;T% i-,umll lank I is in AccentabIc iD Urhacceptable corldition, ;>,D- N-!A Ilea!111C."I aica is ill w lm,„C, "verc "ible ObeTVC -1111d OL11- CXj)eI-ie11Cc -,�,j'jl on site wastexvater ill """"Swill hi,,q)CClwl1 Rellort based 41n flit present condit1,0 ri w nsflc v.l a-)f the slelt-!C! nct been retail"'d to kvzirrant, guarantee, or Certify dri- proper -iod ol'tin"t" 11, "Fe fliture, llecatfsL t�!c s%,;t(1n1 for an pei tit: M1,111CMUS Nicton, 1'e-A0 LIS filiftlIVS, I"tC,) WhjCj) I'lliv effeCt tile 1)ropel (,I)cratiorl of Cl vvaste"i"lacr tre.omcn, -,vs- S11,11! r)(It he cmi'struq1 as a lxx ranty by our comp, liv t1lit the systelli 1x di I'mi-Tion pmjwrli, 4_j(C DISC MMS ANY Rtor < VVARAN"F) eithei exp 1`1, S, d Or ln-iph,ed- t i lk" !11-,cclio'n of the vva3ftC%A-,ltCl, !,("rflmwnt systelli or d"Is report We are aist) Scel'i ,,lilt! 11,1=� oll thc ClIN lffliimcnt OnnpanN h 6' -11`'-Orl f VAlste vvn 'isr Transl orter , Al ri h I-v S e d. ,Vot for re roduct;on, P U WarrfTfii C'can ly Systems Cleaners Reporting Form (Please Flint) N ain of" Sy stcin, ggt '. £ataae ail Sergi i Pei -soil a ; _ fir.; ) € 1 O f �.. Date of Ser?`b Ito v Date of lnstalltatac,aa pngWrty t -k ne] t l.C} } ht tae # un - _ _ SttlxhVisican r i ` __. v'stullateo laan S�rn —f` '_ C-' lklaterial of J'an1 i I aaa}a ,}t s Lie}nth to Manhole Covers Volume puill}peal_ 0f C'ourg anments - SkAgge ` hinknu _.. LL _ inches Sewn Thkknus � inches Ot& car Mini Tee in kw ' — Inlet _ _ �°� y Oaat}ea Lth K Mcent } t, cr in N ace.' ytl�ecluir'cl Mier 6;?C}(fill Axing KleetuAsan t'tanap _ Sohon one C:aaning N LCCAlimn I ,Arta"na Anctioning l'ragcrl�, _ _ � Y `va I'at:4� ia,a, l'taat�}�iat£.� l)aata�, it kntas�ta Location of Septa.te I19NKO G air, ul C ` unnyins (' ate}ucle anysigns cif failure and all work in addition to pumping_) It�t �, t t as a a -tie r 4 ' a° Sketch (Location of Taatk ) I r { W Mo NM , ,lt t f ".;€y ?SDS h pubt u n_. & I a_; s c°i as) tenn t .,, tit€ ' i n.t s3tuA Mpcsrt t Me Datt Snowbrid e RSOTE/;, KRISTA BRETZ 4662 S DEVINNEY ST MORRISON CO 80465 P.O. Box 2917 13097 Hwy. 9 Breckenridge, CO 80424 (970) 453-2339 (970) 476-6065 (800) 426-6827 Fax (970) 453-7240 www.snowbridgeinc.com 227 FULFORD DR EAGLE CO 81631 INVOICE Date`; Invoice, Number: 07/09/14 G-44-14 Wk Auth / CalCed in 17y.. . < Serwce Tech �� KRISTA BRETZ JARED TERMS Net 10 days after service date. Finance charge of 2% per month on all invoices over 30 days old. We welcome your comments: Please detach and return with your payment YES NO Did we solve your problem? Was our service technician courteous and knowledgeable? Did he clean up any mess he made? Was the office staff helpful? Would you use our company again? KRISTA BRETZ 4662 S DEVINNEY ST MORRISON CO 80465 Invoice #: G-44-14 Date: 07/09/14 Balance Due: Wit) Make Check Payable to: SNOWBRIDGE ROTO—ROOTER P O BOX 2917 BRECKENRIDGE CO 80424 MaE cmm Eagle CountV OV5 System Choners Ring Form tiOnIC; .. uLdi-e z to be to Envk onvow 1 10 Oars of dennina an OWTSls�t ► Systems Cleaner Company / ��C License Number EmaA,�/ Service TechrWan �Q l!D ►' l f �� 6122, Phone Z70 ` �2/ a Tad: parrei it 2 /0 9 o yi ©1 Oil/ garecs ar5ervice 2.27 Person Rewesur% Service L,�, a E if L - Phone Proputy Owner11 *tr 41 �rP Phone Septic System Permit Number '�% Tank Size _ �i �5 Date of service � �5�� � !� Tank Material Sewage Disposal Site Genera) Corlc9fiOn and rr C)/ b oftheSystem e�40 Recommended Repairs Site sketch showing tocation of the septic tank access Wh must ed from at )east 2 fiooed pow (Photos ErKouraged) Stgned DBW %- 5�2-01 J