HomeMy WebLinkAbout4948 Bellyache Ridge Rd - 194134401010i
EAGLE COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH
PLEASE CALL FOR FINAL P. 0. Box 850 - 550 Broadway PERMIT MUST BE POSTED
INSPECTION BEFORE COVERING Eagle, Colorado 81631 AT INSTALLATION SITE
ANY PORTION OF INSTALLED SYSTEM No 533 c/o Midwest Telephon
328-7311 or 949-5257 or 927-3823 PERMIT NO. Box 131 9
Phone: 1-800-558-8448
OWNER: John Spalding ADDRESS: Appleton, Wisconsin 54912
SYSTEM LOCATION: Lot 66, Bellvache Ridqe Subdivision
LICENSED INSTALLER: Donald D. "Scotty" Davis LICENSE NUMBER: -81
**CONDITIONAL INSTALLATION APPROVAL is hereby granted for the following:
MINIMUM REQUIREMENTS: 75 0 gallon septic tank or aerated treatment unit.
Absorption area or dispersal area computed as follows:
PERCOLATION RATE: 1 inch in 5 minutes.
Absorption Area per Bedroom sq. ft.
No. of Bedrooms x sq. ft. minimum requirement per bedroom
total sq. ft. minimum requirement.
SPECIAL REQUIREMENTS: This is an alteration to an existing ISDS . The new
minimum requirements are: 750 gal septic tank with min. 600 sq. ft. leach
field to he ttGPd in ec�n3nn(I1 nn with Pxi cti ng 1 (1f1(1 gal rank and �rz well ,
DATE: Sept. 3, 1981 INSPECTOR. Erik W. Edeen
**CONDITIONS:
1. All installation must comply with all requirements of the County Individual Sewage
Disposal System Regulations, adopted pursuant to authority granted in 25-10-104,
C.R.S. 1973, as amended.
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 structure not approved by the building and zoning departments 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, 3.21 requires any person who constructs, alters, or installs an
individual sewage disposal system to be licensed according to the Regulations.
FINAL APPROVAL OF SYSTEM: No system shall be deemed to be in compliance with the Eagle
County Individual Sewage Disposal System Regulations until the installed system is
approved prior to covering any part.
Installed Absorption or Dispersal Area: i 0 sq. ft.
Installed Septic Tank: % gallons.
Design Engineer of System: T�
Installer of System: C a_ Phone:
Septic tank cleanout to within 12" of final glade or
aerated access ports above grade? Yes �✓ No
Proper materials and assembly? Yes No
Compliance with permit requirements? Yes No
Compliance with County/State regulations requirements? Yesy- No
COMMENTS:
/� 4-4, �
nA
>'7
I"
(Any item checked "No" requires correction before final approval of system is made.
Arrange a re -inspection when work is completed.)
DATE: /0 -- Z('=—,`—` 6( INSPECTOR:
RE -INSPECTION DATE: INSPECTOR:
ri,NJt KCIUKIv Iru3 t'VKIlvw AiIri rUUK 31It 1'LHN A;INU rttJ
c3 2 8 - 7,-" 949-5257 927-3823
CENVIRONMENTAL HEALTH
BOX 850
— 7� — EAGLE, COLORADO 81631
PERMIT FEE _ $75 PERCOLATION TEST FEE = $50
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
9
NAME 'OF 014NER: �.%D/�/%/ �,��Gbj� .�a�C /S/ 9
ADDRESS:-f/ ./� PHONE:
NAME. OF APPLICANT ( I F DIFFERENT FROM OWNER) :
ADDRESS: j.� j j 11*1
PHONE:
DESIGN ENGINEER OF SYSTEM (IF APPLICABLE): 1-21G--
ADDRESS:
PHONE:
-PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM:
ADDRESS: PHONE:
PERMIT APPLICATION IS FOR: ( ) New Installation (�'^ Alteration ( ) Repair
LOCATION OF PROPOSED FACILITY: County
City or Town, if within City or Town Limits
LEGAL DESCRIPTION:
STREET (RURAL) ADDRESS:
Lot Size
IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY? ( pr-Y,es ( ) No
BUILDING OR SERVICE TYPE: (Check applicable category)
( Residential - Single-family dwelling ( ) Residential - Triplex
( ) Residential - Duplex ( ) Residential - Quadplex
( ) Commercial - State usage
# Persons j% — If # Bedrooms
WASTE TYPES: ( Check all applicable) ae.�
( ) Commercial or Institutional ( � Dwelling ( ) Garbage Grinde
( ) Non -domestic wastes ( ) Transient Use ( ) Dishwasher
( ) Other ( kr Automatic Masher
SOURCE AND TYPE OF WATER SUPPLY: ( ) Well ( ) Spring ( ) Creek or Stream
Give depth of all wells within 200 feet of the system:
If supplied by community water, give name of supplier:
TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED:
( 0-� Septic Tank ( ) Aeration Plant ( ) Chemical Toilet
Vau I t FY''I V CIAI vJ L i �.� Tu i t s "% ire% L i Ing, c v;tab re 'vas
( ) Pit Privy ( ) Incineration Toilet ( ) Recycling, Other Use
(, ) Grey Irrater ( ) Other
WILL EFFLUENT BE DISCHARGED DIRECTLY Tun WATERS OF THE STATE? ( ) Yes ( 4—No
Signature Date _ l L�(
INFORMATION BELOW TO BE FILLED OUT BY ENVIRONMENTAL HEALTH OFFICER
GROUND CONDITIONS: Percent Ground Slope:
Depth to Bedrock (per 8' Profile Hole): Depth to Groundwater Table:
SOIL PERCOLATION TEST RESULTS: Minutes per inch in Hole No. 1
Minutes per inch in Hole No. 2
Minutes per inch in Hole No. 3
FINAL DISPOSAL BY: ( ) Absorption Trench, Bed or Pit ( ) Evapotranspiration
( ) Above Ground Dispersal ( ) Sand Filter
( ) Underground Dispersal ( ) Wastewater Pond
( ) Other
�� .
- ��+`� � ^ ^u
' CO. Ol0EPAKTMENTOF ` ^, -`._ "'- —� ' +,`�'..
Nater�Pu1lution Control �~��si8n�yj,��,,^,,�
` East llth Avenue
`
.Denver,Colorado 80220
- ' `
� ' !
NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE*
INDIVIDUAL.HOME SEWAGETREATMENT SYSTEM**, ' '
`
/> �
Owner:
^~
Mail Address: l �y___
A. INFORMATION REGARDING PROJECT SUBMITTED FOR REVIEW:
61,
Z
- -
Attach separate sheets or report showing entire ` area with respect to surroundin
g
areas, topography of area, habitable buildings, location of potable walls,
so!] percolation test holes, sol l�profl ley in test holey. x
1. 'Location of far-! l yty: Countycity ortown
'--
^
La'al `des l ze
�
2 ~�No. of 6gd Septic tank �apa�Y Aeration unit �apacl
. / - ."".� ^/^/______
' '
� \
3. Source of domestic water: Publ1c `name,
' ' �
"-^'-^-� ' .^'`` �^ °--~� n~�-.2��/� '
^^`�� rr/v�L�; n�//���pu/�u,�.�=p"' "" '''"` y'"""" ,="^' `"=�^��___-�_'
-� '��~~ .
4. Is facility within boundaries of a city/town or sanitation district?.",..
" �'
' Have you attempted to arrange a 'connection `with the system? '
- \
If rejected, what was the `
78' f i lZ" -own on the location map, in minutes per,inch
' [J -- absorption '
'
test hole,�
of drop in water level after qles.Ih,ave been soaked for 24 hours
-� 7 Name, address, and telephone of person who made soil absorption tests: `
8. Name, address, and telephone of person responsible for design of the system:
/ '
*Required by Article 66-28~l2`CK3, lq��, l��7 Perm.'Sum. 5upp.,\ '
.~
*Required in areas which have identified as areas in which
` danger of pollution.
\ of waters of the State may occur (Art. 66-28-8(5), CRS) and/or areas in which there
is no local septic tank ordi o^ .
�^
� '
a.+.av l.1v vv VaY 1 1 LaY r 1. i�.v iv i....1ir tr�L 11LL1L 111
� s
• : ROUTE FORM
)ATE REFERRED ^yam APPLICATION NO.
�S LOCAT 'I
'lease review the attached application and return it and this completed form
=o the Environmental Health Office.
?,�Nti—IN G— Complies with: Yes
Subdivision Regulationsl
Zo ing Regulations
Recommend Approval
,omments:
3UILDING Set Backs
LI/ Site LoCI_��=7�
As -
Other
Recommend Approval`
,omments:
�_ Reviewed By
Lincoln DeVore
1000 ft!st hilmore St
Ceiofado Sprncis Colorado f30907
(303) 632-3593
Home Office
John Spalding
P.O. Box 23
Wolcott, CO 81655
August 18, 1981,: l
Re: Subsurface Soils Investigation
Proposed Addition at Lot 66
Bellyache Ridge Subdivision
Wolcott, Colorado
Sir:
a
We have completed the Subsurface.Soils Investigation for
the above project. Two soil borings were drilled at the
site. Samples obtained thereby were tested and.evaluated in
the lab, along with other pertinent information, so that we
could make recommendations with regard to foundation design
and construction.. This letter reports the observations and
recommendations made by Lincoln-DeVore with regard to a
one- and two-story, wood -frame, split log paneled addition
containing a garage, health and activities related rooms
and storage spaces.
Soil Classification: The site soils consist of 312- to 7 feet
of colluvium derived from the Entrada, Morrison and Chinle
Formations. As most of these formations are of claystone
and very fine sandstone, the colluvium classifies principally
as a silty clay (CL). Details are shown on the attached
summary sheet for Soil Type No. 1.
The colluvium is underlain by claystone and sandstone
(Soil Type Nos. 2 and 3) of the Entrada and Morrison For-
mations. (Detailed summary sheets also attached.) Weathered
in the upper several feet, these formational materials are
generally intact, dense and mildly expansive. It is recom-
mended that the foundations bear on formational material at
a maximum allowable bearing pressure of 4000 psf. In order
to resist the potential swell of the most likely bearing
material (Soil Type No. 2) a minimum contact pressure of 850
psf will be required.
602 East Bth Street
Pueblo, Colo 81001
P.O. Box f 427
Glenwood Springy) Colo 81601
86 Rosemont Plaza
Montrose, Colo 81401
P.O. Box 1882
Grand Junction, Cob 81501
P.O. Box 1643
Rock Springs, Wyu ti 9Qi
(303)546-1150
(303) 945-6020
(303) 249-7838
(303) 242-8968
(307)382•2049
TEST. HOLE NO. / z
TOP ELEVATION
6z'' %iGvY cc.aY.,
C C., 3it7Y
54..�oY co6{3I
I
_
CcAY ✓. tA.uOY
9A.I tee, Ae
BCN-CLAY
14/l.z
i
3 *.z
x X
XX X
5
,�.,e, r
0
cc , s.G r r
6A,v0Y GGA Y,
uxx
5
X X x
Gil, gaNs`Y
'XxX
X X x
7p
X X X
L. arSTo^✓�
X X
X X X
C,C. P✓
54n.O y GG4 Y)
/C X X
w 2
X X X
�/ S 3
to
G,rmaw L.-.) Str
X XX
P
10
7'T+ V. pr-vsC` --X)()(
X.X
XJCXxxx
SANDS���
-
XXr
X XX
XXXT
sp
��
�G L, 6 /GOY
GG,aY�3
e G►, p�
SgNDY
I"ra9 ,/
15
15—
V. ivsel'
SauosTo,✓t;
CZAVSTONZ
XX
/
xXX x X
SANaY GG4Y
S/NOV GLAY�
XJ�.JC
V. -Dl&WAvlll!r . -
® - --
.
...
-
C�,.4YSTO,VC
xxx
(GG;
X X X
SeuoY auY�
X XJC
25
G,�a J� lx
XX
. so/s
25
v aa,...s�
XXX
LDTG "4666I GS
.eiyG // / LINCOLN COLORADO: COLORADO SPRINGS,
C�c4TiaNS - GVT �G DeVQRE PUEBLO , GLENWOOD SPRINGS,
Boisg,AT
�tGLY.QGHB b� �u6. - L) ENGINEERS- GRAND JUNCTION , NTRQSE,
GEOLOGISTS WYOMING: ROCK SPRIRI NGS
SUMMARY SHEET
Soil Sample GL Test No. _ ¢off G / G S
Location Gyacviwo�� qua- LcJ��o�r; LD Date
Boring No . Depth
Sample No. 3 Test by A-bD
Natural Water Content (w)
Specific Gravity (Gs) In Place Density (ro)_ pcf
SIEVE ANALYSIS:
Sieve No .
% Passing
1 1 /2"
1/1211
4
20 �¢ s
40
100 GS8
200 s'1- s
HYDROMETER ANALYSIS:
Grain size (mm) %
D - 02 ¢b. S
O•oOS 3/. ¢
SOIL ANALYSIS
Plastic Limit P.L. %
Liquid Limit L. L.
Plasticity Index P.I. 17--5
Shrinkage Limit_ °lo
Flow Index
Shrinkage Ratio
Volumetric Change _ _%
Lineal Shrinkage %.
MOISTURE DENSITY: ASTM METHOD
Optimum lv isture Content d�
Maximum Dry Density -T-d =pcf
California Bearhig Ratio (avl,�°lo
Swell- Days3/0
Swell against O psf Wo gain�o
BEARING:
Housel Penetrometer (av) osf
Unconfined Compression (qu) psf
Plate Bearing: psf
Inches Settlement
Consolidation % under psf
PERMEABILITY:
K (at 20°C)
Void Ratio_
Sulfates
ppm .
LINCOLN-DeVORE TESTING LABORATORY
COLORADO SPRINGS, COLORADO
John Spalding
SSI
Prop. Addition at Lot 66
Bellyache Ridge Subdivision
August 18, 1981
Page - 2 -
Man -Made Fill: Soils appear to be native to the site.
Moisture Conditions at Time of Inspection: The colluvial soils
had a moisture content of 19.8 percent. The formational bed-
rock had generally lower moisture contents varying from 2.9
to 15.3 percent. These may be described as low to moderate
moisture levels.
Foundation Type Recommended: The no footing foundation system
with the stem wall resting directly on the soil is recommended.
Voids will be requires. This addition is located on a relatively
gentle to moderate slope, with a change in elevation from the
far end to the existing building of 3 to 5 feet. No major cuts.
are anticipated and some fill placement near.the existing house
appears likely. No major lateral loads due, to high cuts and
fills are expected.
Reinforcing: Reinforcing should consist of five ##5 rebars,
three of'them near the top, placed continuously around the build-
ing without any gaps or breaks. Additional ##5 rebars should be
placed at 45Q at any steps in the foundation wall,'and.all
reinforcing should have a minimum lap of 15 inches.
Floor s,labs�on grade should be positively separated from all
structural portions of the building and allowed to 4loat freely.
Non -bearing partitions resting on slabs on grade should be con-
structed with a void space, at the bottom preferably, to allow
for freedom of movement without affecting the roof or floor
above. Bearing partitions should have their own foundations.
For multi -level structure, stairway between floors should not
be constructed as a rigid connection, but should allow for
vertical movement in the floor slab.
Drainage and Grading: Surface grading should be constructed
in such a manner that all runoff moisture is removed from the
vicinity of the structure as quickly as possible. Roof drains,
if any, should.be carried across backfilled areas and allowed
to discharge well away from the building. Water should not be
allowed to pond in areas of backfill. It is recommended that
a peripheral drain be constructed around the living area of
this structure.
John Spalding
SSI
Prop. Addition at Lot 66
Bellyache Ridge Subdivision
August 18, 1981
Page - 3 -
To aid in keeping water from reaching beneath the building, all
backfill around the building and in utility trenches leading to
the building, should be mechanically compacted to 90% of the
maximum Proctor density, ASTM D-698. All fill should be com-
posed of the native soils and no fill should be soaked, jetted
or ponded.
Cement Type: Type II Cement should be used in contact with the
ground.
Remarks: The open excavation must be inspected prior to the
t?7 ac+r�mF+nt of concrete to es a ish that materla s o e proper
design bearing capacity have been encountered and that no soft
spots or debris are present in the foundation area.
The design and construction of foundation should anticipate some
differential movement of the addition relative to the existing.
building that has had some years to stabilize. Where possible,
free "floating" connections should be made to allow for move-
ment without major stress damage. Probably movement for foun-
dations on formational bedrock should be very slight. Care
should be taken to avoid undermining or overloading existing
foundations.
If questions. arise or further information is required, please
do not hesitate to contact Lincoln-DeVore at any time.
Respectfully submitted, C �`
LINCOLN-DeVORE TESTING LABORATORY, INC. 6
By: , A��- y
Gary 67 Krzis i P E.
Grand Jun n Office
Reviewed by: -
GMK/jb
LDTL Job No. 40661GS
��,,:. .�•- . __._ -� _ --� � �- _ _ -----. `�,I � it L� '-�-`--1 •1,
\I_ � i\ t.J F � �� ! `1 � ` :,� tit _ /• \ `'` ��/ �' /:��:v/ '
IN
860
_�.
J �/ �/� ��\ •J./ - - ' _ \ \\� - /•� a �..• l!
TRAIL
-�•-�_�� j/7i _- ��� �� �, ,; •,�� ; ,•ram ��sf�
\'bGnG.d•d
0406e,-, /
C>�rNs2'AL emirs Go�,.�nd../- X-21117-11,,2 A7-
LINCOLN
DeVO RE
COLORADO= COLORADO SPR{NGS,
PUEBLO, GLENWOOD SPRINGS,
Gam- i",
ENGINEERS-
GRAND JUNCTION , MO- MTROSE,
SUMMARY SHEET
Soil Sample CG �Ays; a,�s) Test No. ¢o (,6 / GS
Location LorBalLyAcWd 2o4E Smw- 4c -,-e=CO Date B-izA/
Boring. No . Depth_
Sample No. Z Test by_ ,aaD
Natural Water Content (w)
Specific Gravity (Gs) In Place Density (ro) _pcf
SIEVE ANALYSIS:
Sieve No.
% Passing
1 1/2"
1°
3/411
1/211
4�00.0•0
10 98•
20 RR.z
40
100 7o.v
200 G e s•
HYDROMETER ANALYSIS:
Plastic Limit P.L.
L7
Liquid Limit L. L.
34•.2 %
Plasticity Index P.I._
/9./
Shrinkage Lima.
Flow Index —
Shrinkage Ratio
—216
Volumetric Change
°lo
Lineal .Shrinkage
MOISTURE DENSITY: ASTM METHOD
OptimurY,. Moisture Content : -, Jo
Maximum Dry Density -Td_—_ —pcf
California Bearing Ratio
Swe I I :_ Days
Swell against/5 psf Wo gain. 3 °o
Grain size (mm) %
BEARING:
a • oz
House I Penetrometer (av) psf
o ao5 -�o. do
Unconfined Compression (qu)
psf
Plate Bearing:_
psf
Inches Settlement
Consolidation % under
psf
SOIL ANALYSIS
PERMEABILITY:
K (at 200C).—
Void Ratio
Sulfates ppm.
LINCOLN-DeVORE TESTING LABORATORY
COLORADO SPRINGS, COLORADO
SUMMARY SHEET
Soil Sample ,a�0Cbs1�� Test No. _ 4oG i G S
Location Lo,' 66-1,�?eu.?1.4c.d610,66 w Sas-
Boring No. Depth
Sample No . /
Natural Water Content (w)
Specific Gravity (Gs)
SIEVE ANALYSIS:
Sieve No. % Passing
Date 8-/z -B /
Test by— ADD.
In Place Density (2►0)_�pcf
1n
3/4"
1/211
4
10gG • -7
20 ss,9
40—
100 73.4
200
HYDROMETER ANALYSIS:
Grain size (mm) %
o, ooS 30,
SOIL ANALYSIS
Plastic Limit P.L.
zo 1
Liquid Limit L. L.
e7.3 %
Plasticity Index P.I.
//0.4 %
Shrinkage . Limit
Flow Index
Shrinkage_ Ratio
Volumetric Change
olo
Lineal Shrinkage
MOISTURE DENSITY: ASTM METHOD
Optimum MaisFure Content o
Maximum Dry Density -2'd pcf
California Bearing Ratio (av)L
Swell- Days
Swell against 6 psf Wo gain o
BEARING:
Housel Penetrometer (av) nsf
Unconfined Compression (qu) psf
Plate Bearing: psf
Inches Settlement
Consolidation % under psf
PERMEABILITY:
K (at 200C)_
Void Ratio
Sulfates ppm ,
LINCOLN-DeVORE TESTING LABORATORY
COLORADO SPRINGS, COLORADO
TELEPHONE EAGLE COUNTY
Board of County Eagle, Colorado 81631
Commissioners
Ext 241 January 19, 1984
Assessor
Ext 202
Ms. Sandy Hahn
Clerk and First Western Mortgage Corporation
Recorder P.O. Box 1237
Ext 217 Vail, Colorado 81658
Sheriff Re:
Eagle: Ext 211
Basalt: 927-3244
Gilman: 827-5751
Treasurer
Ext 201
Administration
Ext 241
Animal Shelter
949-4292
Building
Inspection
Ext 226 or 229
Community
Development
Ext 226 or 229
County Attorney
Ext 263
Engineer
Ext 236
Environmental
Health
Ext 238
Extension Agent
Ext 247
Library
Ext 255
Public Health
Eagle: Ext 252
Vail: 476-5844
Personnel
Ext 241
Purchasing
Ext 245
Road and Bridge
Ext 257
Social Services
328-6328
INDIVIDUAL SEWAGE DISPOSAL SYSTEM INSPE,,,,,,,
Located on Lot 66 - Filing #2 - Bellyache Ridge
Dear Ms. Hahn:
All water and sewage disposal system loan inspections are done under
the authority of the Eagle County Building Regulations, Section 10,
sub -paragraph 3-A, adopted by the Eagle County Commissioners, Sep-
tember 20, 1982.
An on -site inspection on'Wednesday, January 18, 1984 of the above
referenced property revealed that major repair work had recently been
finsihed on the Individual Sewage Disposal System (ISDS) serving the
older portion of the home. According to Eagle County's ISDS regulations,
all major repair work requires a permit. The repair work was initiated
without the required County permit although an application has been applied
for by the contractor, Mr. Donald Davis. This office cannot confirm that
the repair work was accomplished in accordance with the appropriate stan-
dards and regulations since an inspection was not done prior to covering
the system (although Mr. Davis is a licensed installer (No.016-83) in
Eagle County and is knowledgeable of such installations). A $150.00
ISDS repair permit fee is required prior to issuance of a permit for the
above described repairs (f nvoice attached).
There is a separate individual sewage disposal system serving the newer
portion/addition to the residence. This system appears to be functioning
properly. This system was approved in October of 1981 and Permit No. 533
was issued, in accordance with applicable County regulations governing such
installations. This department recommends that the septic tank be -pumped
every four years.
Potable water is supplied by the community water supply (Bellyache Ridge).
This water supply is inspected annually and tested by the Colorado Depart-
ment of Health on a routine basis.
If you have any further questions concerning this matter, please contact
our office.
Sincerely,
3�
Sidney N. Fox
Assistant Environmental
EAGLE COUNTY
SNF/lf
Encs.
cc:'- Donald Davis
Health Officer
B. SIGNATURES OF LOCAL OFFICIALS: The undersigned have reviewed the notification
described on the front of this sheet and recommend approval or disapproval of
the discharge as shown below;
t
Date Approval Disapproval
Signature for Local Health Department
Signature for CityfTuAn Off icial7Title
Signature for County Jff17-ciaT -] Titre
Comilients :
Signature and Ti tie
N tdT. . Lit r. ' i e r (front of this sheet) must obtain comments and signature of at.
l e�i 55 t one of the above. -
C. 'FOI..LOWING F'jR STATE HEALTH DEPARTMENT USE: Recommendations of the:. D'i strict Engineer:
i
D. ACTION BY THE COLORADO WATER POLLUTION CONTROL COMMISSION:
3o
WP--33 (10-72-2) 6 0
0533. Lt 661 Bellyache Ridge,
Oki M5--2z Bellyache Ridge
JOB NO.
BILL TO
DATE STARTED
DATE COMPLETED
DATE BILLED
�
0 `" 26 Bellycicke
ILiv e 4'�'It'
_7
�
41-
0I-016
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 Prgduct 278 jg?q NEW ENGLAND BUSINESS SERVICE, INC.. GROTON, MA 01471 1®ice FOLDER
Printed in U.S.A.