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HomeMy WebLinkAbout46 Little Dipper Rd - 194135202018INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT EAGLE COUNTY ENVIRONMENTAL HEALTH DIVISION 2 -Z�� P.0 . Box 179 - 900 Broadway • Eagla, Colorado 81631 I� G Telephone: 328-8755 YELLOW COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. PERMIT NO. 1425 Please call for final inspection before covering any portion of installed system. OWNER: John Helmering PHONE: 926-1955 MAILINGADDRESS: P • 0 • BOX 3314 OITy; Vail St.ta: CO ZIp: 81657 APPLICANT: SAME PHONE: SAME SYSTEMLOCATION: 0046 Little Dipper Rd, Bellyache TAX PARCEL NUMBER: 1941-352-02-018 LICENSED INSTALLER: Jeff Thomas/Blade Runners LICENSE NO: 47-94 DESIGN ENGINEER OF SYSTEM: INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: GALLON SEPTIC TANK ABSORPTION AREA REQUIREMENTS: 85 SQUARE FEET OF SEEPAGE BED SQUARE FEET OF TRENCH BOTTOM. SPECIAL REQUIREMENTS: Install 85 SF of absorption trench with inspection ports at the end of the trench. Call for final inspection prior to backfilling. ENVIRONMENTAL HEALTH APPROVAL: DATE: v CONDITIONS: 1. ALL INSTALLATIONS MUST COMPLY WITH ALL REQUIREMENTS OF THE EAGLE COUNTY INDIVIDUAL SEWAGE DISPOSAL SYSTEM REGULATIONS, ADOPTED PURSUANT TO AUTHORITY GRANTED IN 25- 10. 104. 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 ZONING AND BUILDING DEPARTMENTS SHALL AUTOMATICALLY BE A VIOLATION OF A REQUIREMENT OF THE PERMIT AND CAUSE FOR BOTH LEGAL ACTION AND REVOCATION OF THE PERMIT. 3. CHAPTER IV, SECTION 4.03.29 REQUIRES ANY PERSON WHO CONSTRUCTS, ALTERS OR INSTALLS AN INDIVIDUAL SEWAGE DISPOSAL SYSTEM TO BE LICENSED. FINAL APPROVAL OF SYSTEM: (TO BE COMPLETED BY INSPECTOR): NO SYSTEM SHALL BE DEEMED TO BE IN COMPLIANCE WITH THE EAGLE COUNTY INDIVIDUAL SEWAGE DISPOSAL SYSTEM REGULATIONS UNTIL THE SYSTEM IS APPROVED PRIOR TO COVERING ANY PORTION OF THE SYSTEM. INSTALLED ABSORPTION OR DISPERSAL AREA: 85 SQUARE FEET. INSTALLED SEPTIC TANK: GALLON DEGREES FEET FROM SEPTIC TANK ACCESS TO WITHIN 8" OF FINAL GRADE AND PROPER MATERIAL AND ASSEMBLY YES —NO COMPLIANCE WITH COUNTY/ STATE REQUIREMENTS: YES _ NO ANY ITEM CHECKED NO REQUIRES CORRECTION BEFORE FINAL APPROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN WORK IS CORRECTED. COMMENTS: installed 3 infiltrator units as an addition to the original system System was covered with snow. No pic.t res r location documentation available ENVIRONMENTAL HEALTH APPROVAL: c - DATE: ENVIRONMENTAL HEALTH APPROVAL: DATE: (RE -INSPECTION IF NECESSARY) RETAIN WITH RECEIPT RECORDS APPLICANT / AGENT: PERMIT PERCOLATION TEST FEE OWNER: RECEIPT # CHECK# SEW 9Y= 9-28-94 ; 13:35 XommunityDevelopment-4 303 476 6499;# 2/12 'Incomplete Applacat.ions Will NOT Be Accepted '(Site Plan MUST be attached) ISDS Permit Building Permit APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYBTjK PERMIT ENVIRONMENTAL HEALTH OFFICE EAGLE COUNTY P. 0. BOX 179 EAGLES CO 81531 328-8755/927-3823 (Basalt) * PERMIT APPLICATION FEE $150.00 PERCOLATION TEST FEE $200.00 * MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER" PROPERTY OWNER: - L jx C z MAILING ADDRESS: R7 Eox 3 GO ( PHONE: APPLICANT/CONTACT PERSON: NN tJ PHONE: —_ LICENSED SYSTEMS CONTRACTOR: PHONE: COMPANY / DBA : ADDRESS: w N PERMIT APPLICATION IS FOR: ( ) NEW INSTALLATION A ALTERATION O REPAIR LOCATION OF PROPOSED INDIVIDUAL'.SEWAGE DISPOSAL SYSTEM: Legal Description: fir= r 1L-Y aLjAE R i QCwE LssT 319 F L Q U Z Tax Parcel Number: ��1 �- 3 SZ-- Z - U l „� Lot Size: • Physical Address: 004�e LUrLE DI PEA- RD BUILDING TYPE: (Check applicable category) O.Residential/Single Family ( ) Residential/Multi-Family* ( ) Commercial/Industrial* TYPE OF WATER SUPPLY: (Checkapplicable category) ( ) Well ( ) Spring ( ) Surface (YJ Public Name of Supplier: UrVyJ& ©u- Wroahl O AAI-�i oh i r, Number of Bedrooms -j-u`u Number of Bedrooms Type *These systems require design by a Registered Professional Engineer SIGNATURE: Wr Date: l0 AMOUNT PAID: {� U RECEI T # : DATE: w f CU CHECK 0: CASHIER: I dI,pRo vrm IY T COCAT %ON Z"�,rl cATE 1.0 T Wo BELLYACHE R/Dbo• • XMIVISION EA*Lr COUNTY, COLORADO. 00I6 t rn E o/PmR Rbio PYLINQ NO.0 s� w W NOA's' ANO IROMr,Vy 0 o h �•�• 11v, uuuuQ,L/Lr R= If47t0� ' Ll ~. N B90 s6'2I "E le 3.OB� r ' LOT Sl I HEREBY CERTIFY TIIA'f Tlil;; iMl'tIUVCMCtV'f LOCATION CERTIFICATE {tA5 'PREPARED FOR, ' CRa'R1laE N40Md I fYfff''WIER/CIIA►NER/TiIOE T/TLi l>D THAT IT 1iS NOT A LAND SURREY PLAT Ot! 1M1'ROvEMEft'I' SURVEY t'LAl' AND THAT IT It NOT TO SE RELIED UPON FOR THE ESTAt1LESiKEdi; OF FENCE. 14'vILU:NG OR OT'-i'tR FUTURE IMPROVEMENT ILINES.• I FURTHER CERTIFY TI(AI 111C IMPROVEMENTS ON THE ADOYIr t)ESCRIt3ED PARCEL ON TIiiS DATE, MOVEIYBQR it , 199:1, EXCEPT UTILITY CONNECTIONS, ,ARE, ENTIRELY WITHIN THE • DOUNOA1tiES OF THE PAR(.LL, t:%(:EPT AS INUICArfi) THAT THERE Attft,�.:E#qii�#ACjIt�iEWT.S..O.>;tM... THE DESCRIBED DESCRIBEDPREMISES flY" i'MPRI►VEIw1�ENT5 ©N*l1NY�AQJOININ '.. I.SES, £xCE6►; AS SHOWN'• AND THAT THERE IS N0 APPARENT EVIDENCE OR SIGN Off F AIt OSSING OR OtlRUENjN6 ANY PART OF: SAID i'Aft.t:l, EkCf I' T _ AS NOTED `' •� FAT �lt ��. Caic!?i^�� . DATE�4ffije^ t1Y � - NOTICE: ACCORDING lO Ct{I,OItAllp IRVI YOU MU51' COM%'i oh-� p ANY DEFECT IN TIIiS,� UItv1:Y WITHIN 111REE YEARS A>=tER`�t, +�i••� OVER sucEOUPON ..IN NO tiYENT, MAY ANY ACTION BASED UPON ANY DEFECT IN�' Y•'$I COMMENCED MORE THAN 7EN TEARS FROM T{IE DATE 01: THE CCItiIFICATIUN SHOWN iIEREON: • BACKLUND LAND SURVEYS 711IS PARCEL IS LOCATED •NIi11IIi 'FLOOD ,ZONE o , • 4 a.o. eox 614 ACCORDING TO COMMUNITY t'!titlEl. NO,, 08o401 wa c. FR15CO3 CO 80443 ' PIlON6 (303) 668.3730 COMMUNITY DEVLOPMENT DEPARTMENT (303) 328-8730 EAGLE COUNTY, COLORADO May 13, 1994 First Western Mortgage Carol Lacroix P.O. Box 1237 Vail, CO 81658 Dear Carol, 500 BROADWAY P.O. BOX 179 EAGLE, COLORADO 81631 FAX: (303) 328-7185 RE: Individual Sewage Disposal System (ISDS), and water well inspection for property located at: 0046 Little Dipper Rd., Lot 38, filing 2, Bellyache Sub., Tax Parcel #1941-352-02-018. All loan inspections are completed under the authority of the Eagle County Building Resolution, Section 3.09.03, B(6), adopted by the Eagle County Commissioners on October 8, 1985, amended June 23, 1992. A review of Eagle County records indicates that on 11/20/90, the ISDS was Finaled under Permit Number 1011. The system consists of a 1500 gallon septic tank, and 300 lineal ft. (SB2) leach field. This system is adequate to accommodate up to 3 bedrooms. On May 10, 1994, this department conducted a site inspection of the above referenced property. The inspection was requested by you for the purpose of evaluating the existing condition of the on -site ISDS and water well. The site visit conducted revealed no visible sign of ISDS failure. Obviously, this does not guarantee the continued satisfactory performance of the system. The water supply to this residence is from Bellyache Ridge Subdivision, a community water system. The community water system is inspected on a regular basis by the Colorado Department of Health and to the best of our knowledge complies with current drinking water standards. If you have any further questions concerning this inspection, please feel free to call me at 328-8755 or write. Sincerely, & .Tania Busch -Weak REHS Environmental Health Specialist cc: files INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT EAGLE COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH P.O. Box 179 - 550 Broadway • Eagle, Colorado 81631 Telephone: 328-7311 or 949-5257 or 927-3823 YELLOW COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. PERMIT NO. .10 1 1 Please call for final inspection before covering any portion of installed system. OWNER: Jeffery Thomas PHONE: 926-3449 MAILING ADDRESS: -P.O. Box 491, Edwards, CO 81632 AGENT: PHONE: SYSTEM LOCATION: Lot 38 Filing 2, Bellyache Ridge LICENSED INSTALLER: LICENSE NO. DESIGN ENGINEER OF SYSTEM: INSTALLATION IS HEREBY GRANTED FOR THE FOLLOWING: 1250 GALLON SEPTIC TANK OR GALLON AERATED TREATMENT UNIT. DISPERSAL AREA REQUIREMENTS: vo L� SQUARE FEET OF SEEPAGE BED SQU E F T OF TRENCH BOTTOM. SPECIAL REQUIREMENTS: 1 ft S62. I ctl a Portals at end of each line, �20 I r ►I ,C'� ENVIRONMENTAL HEALTH OFFICER: 3e�n v DATE: CONDITIONS: 1. ALL INSTALLATIONS MUST COMPLY WITH ALL REQUIREMENTS OF THE EAGLE 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 ZONING AND BUILDING 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 /it, 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: (TO BE COMPLETED BY INSPECTOR): NO SYSTEM SHALL BE DEEMED TO BE IN COMLIANCE WITH THE EAGLE COUNTY INDIVIDUAL SEWAGE DISPOSAL SYSTEM REGULATIONS UNTIL THE SYSTEM IS APPROVED PRIOR TO COVERING ANY PORTION OF THE SYSTEM. ` INSTALLED ABSORPTION OR DISPERSAL AREA: 5 00 1 ' SQUARE FEET. ,U I I 7 13 2 �} f� L INSTALLED SEPTIC TANK: I J GALLONS T 0 DEGREES / FEET SEPTIC TANK CLEANOUT TO WITHIN 8" OF FINAL GRADE, OR: PROPER MATERIALS AND ASSEMBLY YES NO COMPLIANCE WITH COUNTY/STATE REGULATION REQUIREMENTS: YES NO ANY ITEM CHECKED NO REQUIRES CORRECTION BEFORE FINAL APPROVAL //OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN WORK IS COMPLETED. COMMENTS: �T ENVIRONMENTAL HEALTH OFFICER: /��), t 7��,%i DATE: ENVIRONMENTAL HEALTH OFFICER: DATE: (RE -INSPECTION IF NECESSARY) RETAIN WITH RECEIPT RECORDS PERMIT APPLICANT/AGENT: OWNER: AMOUNT PAID: RECEIPT #: CHECK #: CASHIER: r APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY Number: P. 0. BOX 179 �P qj S/ EAGLE, COLORADO 81631 ice` 949-5257 Vail 328-7311 Eagle 927-3823 a� --_. PERMIT APPLICATION FEE $150.00 PERCOLATION) TEST FEE K125-00 NAME OF OWNER: �i�FFI?'ic Nam S' MAILING ADDRESS: cif i edaiAizA5 Cc, PHONE: NAME OF APPLICANT (If different from owner): ADDRESS: DESIGN ENGINEER OF SYSTEM (If applicable): ADDRESS: PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM: LICENSED INSTALLER: ( ) YES ( K) ADDRESS: i3r x 4lG 1 C—die>fl ''z1J5 ; ( c . 51613 PHONE: PHONE: N PHONE: yn-• g-j9 -73i'7 PERMIT APPLICATION IS FOR: (Do) NEW INSTALLATION ( ) ALTERATION ( ) REPAIR LOCATION OF PROPOSED INDIVIDUAL SEWAGE DI POSAL SYSTEM: Physical Address: Cyr •7L, X:G� c�/L" e Parcel Number: Lot Size: a I9Cj? C 5 Legal Description: Xar 39 Tlrl1,vY -f 1- BUILDING OR SERVICE TYPE (Check applicable category): ,k Residential - Single Family ( ) Residential - Fourplex ( ) Residential - Duplex ( ) Commercial (Type) ( ) Residential - Triplex NUMBER OF PERSONS: Z NUMBER OF BEDROOMS: WASTE TYPES Check applicable categories): Commercial or Institutional ( ) Dwelling ( ) Non -Domestic Wastes ( ) Transient Use ( ) Garbage Disposal (x) Dishwasher (Do ) Automatic Washer ( ) Spa Tub ( ) Other (Specify): TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: OCSeptic Tank-.34 z Composting Toilet ( ) Incineration Toilet ( ) Vault Privy ( ) Greywater ( ) Chemical Toilet ( ) Pit Privy ( ) Aeration Plant ( ) Recycling, Portable Use ( ) Other ( ) Recycling, Other Use WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE: ( ) YES ( K) NO IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY: ( ) YES ( ) NO WATER CONSERVATION PLAN: ( ) YES ( ) NO NOTE: The Environmental Health Office may reduce the required a sorption area upon tz� approval of .an adequate water conservation plan. SOURCE AND TYPE OF WATER SUPPLY: O( ) Well ( ) Spring ( ) Creek/Stream Give depth of all wells within 200 feet of system: If supplied by community water, give name of supplier: $CccV need "14 ! SIGNAT DATE: ,j I s Iq INFORMATION BELOW TO BE FILLED OUT BY ENVIRONMENTAL HEALTH OFFICER: GROUND CONDITIONS: Percent ground slope SOIL PERCOLATION Depth to Bedrock (Per 8' profile hole Depth to Groundwater table TEST RESULTS: Minutes per inch in Hole #1 Minutes per inch in Hole #2 Minutes per inch in Hole #3 FINAL DISPOSAL BY: (Absorption Trench, Bed or Pit ( ) Evapotranspiration Above Ground Dispersal ( ) Sand Filter ( ) Under Ground Dispersal ( ) Wastewater Pond ( ) Other AMOUNT PAID: �g2fZ RECEIPT NUMBER DATE: NOTE: SITE PLAN MUST BE ATTACHED TO APPLICATION. MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER". (Environmental Health Dept. - Rev. 4/88) 012 AU9. JU. I�U4 V y;;,iAA+I rALM LAVU to 0 1O.ius P.01 i�u. 000u fir. ci IT �,�T , BELL!'�C`A� R1 iIYiSA?N Iri6lN� IirriOt. � • EASLE C09*Vr7`, CQL08.400. 00446 Lirrt0 aeNPM* A6•0 . PpLor I? w saw LEW R �I!ktQD' i + i1CRs - qs.Q' ftim 40 + rn�►�r t�lIlpp9i�pp�-�• ,r I HERROT CERTIFY THAT THIS i1411 cOVEMCHT LOCATION CERTIFICATE VAs •PArpArtED FOR, 909MAW ATOMM 8 1p7w 4womw MEIN er 77?w m TRAT' IT IS NOT A Lim SURVEY PLAT OR IMPROVEMEfff SURVEY PLAT AND THAT IT It NOT TO SE KELIED UPON VOR THE ESTAULISIKENT Of FENCE, OUILUING OR OTFIER FUTURE IMPROVEMENT LINES.. I FURTHER CERTIFY THAT 111C IMPkOVEMENTS OM THE ABOVE DESCRIBED PAkEt ON T1013 UATE, AVVMWAT I1 , 1993 o EXCEPT UTILITY CON"ECT10"3, .ARE, ENTIRELY WITHIN TI{E 000AR1ES OF T11E PARGt;I,t EXVEPT AS,INDICATFUs THAT THEREteal. C ...,.,. THE DESCRIBED PREHi SES By" I'MPR0vWtHT% ON' PINY AbJOj"IN 6S, EXC��I�SH,SO-A�1WN AND THAT THERE IS NO APPARENT EVIDENCE OR SIGN or ©SSING OR BURDENING AiIT..P��iT OF SAID PARCEL, E CEK AS NOTED . �� _.. -�. UY '+P NOTICE: ACCORDING 10 CKURAW LAW YOU MUST C ,. ON MSED UPON ANY DEFECT IN TillSi UIIYEY 4I74IIN 111REE, YEARS AFTER 4II OVER SUCH DEFECT. IN NO EVENT, MAY ANY ACTION BASED UPOR ANY DEFECT IN T-' UE COMNCED MORE THAN TEN WAS FROM THE DATE 01: THE CERTIFICATION SHORN iIEREOII: BACKLUND LAND SURVEYS fills FARM IS LOCATED -VIIIIIA'FLOQU NE 0 P.O.box s» ACCORUIN6 DIO'R TO CMITT t'AK,l -M0. 0#0 0 am ce FRIVCO. GO 80443 P►son� (�D3) �ss•ar�� •. r •. • v YMo�Y .r-�i TOTAL P.01 ROUTE FORM EAGLE COUNTY ENVIRONMENTAL HEALTH OFFICE (Name) f //y�Da e R uted° 39e CC Application No. cation 00 �� r Please review .the attached Individual Sewage Disposal System Permit Application and return it with this completed form the the Environmental Health Office. PLANNING: Complies with - YES NO REVI ED BY DATE Subdivision Regulations: Zoning Regulations: / Recommend Approval: COMMENTS: BUILDING: Complies with - Building Permit Applied For: Building Permit Issued: Recommend Approval: COMMENTS: ENGINEER: Complies with - _ Roads: Grading: Drainage: Recommend Approval: COMMENTS: YES NO REVIEWED BY DATE YES NO REVIEWED BY DATE ENVIRONMENTAL HEALTH: Complies with -( YES NO REVIEWED.,$Y DATE Floodplain Permit Necessary: I.S.D.S. Regs. Compliance: i_f Recommend Approval: Application #, 1 tt PERCOLATION TEST EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT. OWNER: LEGAL DESCRIPTION: ko 7` MAILING ADDRESS: /? ®, f®cars air, TYPE OF DWELLING: ZB ! NUMBER OF BEDROOMS TEST HOLES PRE-SOAKED: YES_ NO TIME waTRR nrpTw TMr-WVC nV VATT nrMr- [. y TT/1TTT,. L L�Vi iLL 1 2 3 1 2 3 1 2 3 1 2 0' L j z 3/41 .icy61 tr 41 r d 71 4i 81 ..p LC 1 2 Time to drop last inch 15 l3- PERC RATE: fj MINIMUM SEPTIC TANK SIZE: MINIMUM LEACH FIELD SIZE• 2 6 ylG f A COMMENTS: 3 2 PERC TEST DONE BY: 'C, flk-" DATE: Env,`ronm6ntal Health officer l �} rev. 6/90ks pp I� �!-� 'G``� owl 1 C[o lzf2 ��oe YoPLG�%L7 4/uo -S�=e JA,I1�q f leIdv� C.1�= / 1JCJL %ZORA /^t Iir �-lclq _ �! c 0, _ -s4 z _ Ave ewc n 1 jai 'f6c; me ��' J+ �' M aN �� r�et3it � IYI-7397 AoOh X IS T mf A0,00bo �? t,�r 0 6e. a- l is y 4%i ?� , l /y/l Ad1C gov 4y11>lUC4., RECEIVED _ SEP 0 4 '199t1 EAGLE COUNTY COMMUNITY_ DEVELOPMEN - - fb _ r®; .L Jcl g /L° _ `IaGJUTf�. __�C�J/ZTMJU� Ti�C1017'1 P7't i74 fA G ?7� S s itm 40 Li+m" Al 07 _ _P'� %� v � Fell yrgc;E . RID e 106A_SOAJS _._1� Z AN'/( 1Ns77q[I _ eJ F/OS14 r6IC,fl Sa 3} ?}4rs f lg SAsorynenjC r L4 Op�z-,z Lx"E oar o;z F pse me r\-r ya, 3 �ECZTt-y 1J+✓�1�..�2Y U I= U J�PTVQI1+L TtVYAltit -Sr- cecb ?AiLROA4i TIE A)P)IS �2nSr0�/ InN!) /32A1JVgr-)1_' I�PIN�II� L{tl��ri�lLE TO °y 5h i�`l,3 [rev, �Hv.i ELEI� 17Ay�igh� ll IL�.4 H E LEU, pp Oar, Vial /� F: 1 T I�f)~]FIyCI ROOFOnpSELi-- 4-+. �ASemPn� �'loofL EIPVATIoti: R)h h�nTFl? liAlr--� L 13�.OELFJ. •�-2g-1 • 135.3 ELeV, 10,3 Dyop 1=rov 1^RONT 3Ack of li Us B-C Yine i ` Tewcai �.] ,L,L ,� �me I zy . (o 220 6 cu1 E_Leu, 2C.-�T EtRJ, 114.C'LHJ. IfOCT Ito.9 iIZ,3 Ecg1J. u't.z !Fs et-eu, 1 E NE -i / 112. 0 I�t. 1204T. 11 z �6�EV• , 5_4'c, Raoius I'10fT.ci 16Co T V/ �t l to BF1SE 12l FERg4GE �1� F1Tu 2 Ya L lf'yYf� t eat !L No FT \ E 5v u-r �t 7 Mks q \ira7-U,R A L7errca\ >J -IrltI r\e I Io°lo &MDE OOt,Y- ALI-I _ i 7t-Tpo""IAcr 1Uat\S Witi (fig ED WNERC NEEDED l�RluE1.oA,,, WIDTH 15 f I t �TRA SFORCi'1L COlTbYl�.t�ooi�s Svrfpn c) \ .J1=FF�lL< /1-1orna's 'e rr A 7r4 HE 0 3 a %1 L1. I'AJ Pg M.: 1425-94 - Parcel # 1941-352-02-018 JOB NAME Lot 38, Filing 2, Bellyache HELMERING 0046 Little Dipper Rd., Wolcott JOB NO. JOB LOCATION BILL TO DATE STARTED DATE COMPLETED DATE. BILLED A WZ . C r - JOB COST SUMMARY TOTAL SELLING PRICE .J / ..�✓ TOTAL MATERIAL �-- d TOTAL LABOR INSURANCE v _ SALES TAX MISC. COSTS TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS % OF SELLING PRICE NET PROFIT LIO/ J06 FOLDER Product 278 Qs NEW ENGLAND BUSINESS SERVICE, INC.. GROTON, MA 01471 JOB FOLDER Printed in U.S.A.