HomeMy WebLinkAbout026-1135-23-000 Wisconsin Department of Oomme.5 ^e PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division
INSPECTION REPORT Sanitary Permit No: 420531 0
GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No:
Personal information you provide may be used for secondary purposes [Privacy Law, s.15,04 (1)(m)).
Permit Holder's Name: City Village X Township Parcel Tax No:
P.C. Collova Builders, Inc, I Richmond Township 026 - 1135 -23 -000
CST BM Elev: Insp. BM Elev: BM Description:
loo- D iDv d -� S-.r a p
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic / Benchmark 75 D
Dosing Alt. BM
/7..
Aeration Bldg. Sewer q J b
Holding f St/Ht Inlet
I
St/Ht Outlet
TANK SETBACK INFORMATION Cf �/-
TANK TO L WEL BLDG. Vent to Air Intake ROAD Dt Inlet
J ~_
Septic 3 6' : t i Dt Bottom
Dosing Header /Man. sr
Aeration Dist. Pipe op c I -
z y 3 4
Holding Bot. System 1 t
` - -- - -
Final Grade
PUMP /SIPHON INFORMATION 193
Manufacturer Demand St Cover
GPM LOP ' yyS -3.0 /OD , 7 S
Model Numb !�e A4_
TD H Lift ion Loss System Head TDH Ft
Forcemain Length Dist. to Well
SOIL ABSORPTION SYSTEM /S
BED /TRENCH Width Lengt No. Of Tren s PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS f /� -
SETBACK SYSTEM TO P/L&j JBLDG WELL /D6 r LAKE /STREAM LEACHING appfacture
INFORMATION CHAMBER OR Imo° /D J d'ol.
Typ �Of System: UNIT
� Model Number:
DISTRIBUTION SYSTEM
Header /Manifold utio r x Hole Size x Hol cing Vent to Air IInta 7
P
Length L(J Dia `/ Length Dia � pacing ✓✓
SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only
Depth Over Depth Over xx Depth of xx Seeded /Sodded 7 x Mulched
Bed/Trench Center 1{�''� Bed/Trench Edges Topsoil I , Yes Yes I [ ]
COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1: l Inspection #2:
Location: 1416 143rd St New Richmond, WI 54017 (SE 1l4 SW 1/4 24 T30N R18W) Evergreen OverloolF Lot 23 Parcel No: 24.30.18.953
1.) Alt BM Description = C 1 2 �( b.� 3 1 r(_ a�
2.) Bldg sewer length
- amount of cover =
Ad
Plan revision Required? jt] Yes L ZNo
Use other side for additional information. i ��_ _
SBD -6710 (R.3/97) atD a Insepctor's Si nature Cert. No
Safety and Buildings Division Co /�
201 W. Washington Ave., P.O. Box 7162 , C ry
N *iseonsln Madison, W1 53707 - 7162 Site Address
De artment of Commerce f -f 2 -t) z F + 14f 1q3 5'C .
Sanitary Permit Applic - Sanitary Permit Number
In accord with Comm 83.21, Wis. Adm. Code, personal info n y 94,0 s " )
`fzv - 3�
may be used for purposes Privacy Law, s 1 m
9 *` .a A.. Check if Revision
I. Application Information - Please Print All Information ktate Plan I.D. Number
Property Owner's am P arce l Number
Property Owner's Mailing Address (� - � Perty Location 2
` S u Su/ -A, S T J0 N, R E
City, State Zip Code Phone Number Lot Number Block Number
Subdivision Nam CS11 Number
S 6 s'
II. Type of Building (check all that apply) ❑City
or 2 Family Dwelling - Number of Bedrooms ❑Village
1 7 D Public/Commercial - Describe Use
❑ State Owned ��nn P
3 3 t (�2 •S`o � Nearest Road
SQ
III. Type of Permit: (Check only one box on line A (numbering scheme for internal use). Complete line B if applicable)
A. 1 New 2 ❑ Replacement System 3 ❑ Replacement of 6 ❑ Addition to For County use
ste m Tank Only Existing System
B. ❑ Check if Sanitary Permit Previously Issued Permit Number Date Issued
IV. Type of Permit: (Check all that apply)(numbering scheme is for internal use)
44 n - Pressurized In -Ground 21 ❑ Mound ound 47 ❑Sand Filter 50 ❑ constructed Wetland
J
22 ❑ Pressurized hi -Ground 41 ❑ Holding Tank 48 ❑ Single Pass 51 ❑ Drip Line
45 ❑ At -Grade 46 ❑ Aerobic Treatment Unit 49 ❑ Recirculating 30 ❑ Other
V. Dispersalfrreatment Area Information:
Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Percolation Rate System ]FASYadon Final Grade
Required Proposed Rate(Gals./Days/Sq.Ft.) (Min.JInch) Elevation
VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic
Gallons Gallons of Tanks Concrete Constructed Glass
New Existing
Tanks Tanks
Septic or Hokli� Tank
Dosing Chamber
VII. Responsibility Statement - I, the undersigned, responsibility for installation of the POWTS shown on the attached plans.
Plumber's Name Plumber's Si 11RS N ber Business Phone Number
Plumber's Address (Street, City, State, Zip
VIII. Coun me artment Use Onl
Approved ❑ Disapproved Sanitary Permit Fee (includes Groundwater Date Lssued Issuing Agent Signature (No Stamps)
e Fee)
❑ Owner Given huitial Adverse /
Determination Z
IX. �Conditioas for Disapproval �+-�, - 1�6�,�C BLS v�►a� � ��t�C c� ��.tT
LUX-
Atta aomp)ete phm (to C ) ror �j +7 oa paper not ku than SM z 11 hither in dze
SBD -6398 .051 1 v
(R )
PLOT PLAN
PROJECT P.C. Collova Bldrs. Inc. DDRE P.O. Box 489 Somerset Wi 54025
SW 1/4 SE 1/4s 24 /T 30 / 18 W TOWN Richmond COUNTY ST. CROIX
MPRS Shaun Bird 226900 DATE 10/28/02 BEDROOM 3
CONVENTIONAL XXX IN- GROUND ESSURE CONVENTIONAL LIFT HOLDING TANK
MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 933 # of chain ers
BENCHMARK V.R.P. Top of Steel Fence Post ASSUME ELEVATION 100' Fi er Zabel A -100
❑ BOREHOLE O WELL H. R. P Same as Benchmark X 200
SYSTEM ELEVATION 94.3/93.7/93.2 5 ' b ow Sr. O�X COUM -y
FF I CE
* Alt
B.M. B.M. 143rd St. Alt. BM Top of Power Box @ 100.3'
Vents
2,0' 5 B -1
45 Lwith
>6 Standard Infilt
3% of Co Leaching Chamber
B- Slope 31.1 ft2 of Area
5' 30' 34 Grade at System Elevation
2 -3' X 94' Cells with >3' spacing
B -2 Plans Designed Using
Conventional Powts
35 Manual Version 2.0
a Vents
Pro 3
0 10' 10' Bedroom
PO
10' T House
N
N
P VDD RES
PROJECT P.C. Collova Bldrs. Inc. . Box 489 Some rset Wi 54025
SW 1/4 SE 1 /4S 24 /T 30 OWN Richmond COUNTY ST. CROIX
MPRS Shaun Bird 226900 DATE 10/28/02 BEDROOM 3
CONVENTIONAL XXX IN -GROU PRESSURE CONVENTIONAL LIFT HOLDING TANK
MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 933 # of chambers 30
BENCHMARK V.R.P. Top of Steel Fence Post ASSUME ELEVATION 100 Fitter Zabel A -100
❑ BOREHOLE (DWELL - H.R.P. Same as Benchmark
SYSTEM ELEVATION 94.3/93.7/93.2 5' below grade
* (� Alt Alt. BM Top of Power Box @ 100.3'
B.M. NI, 143rd St.
20 ' Vents B -1
Vent
>6 „ Standard Infiltrator
3% of Cover Leaching Chamber
B- Slope with 31.1 ft2 of Area
5' 12"
6' Long
Grade at System Elevation
30' 34"
B -2 3 -3' X 63' Cells with >3' spacing plans Designed Using
Conventional Powts
a Manual Version 2.0
is
v 41P �a
20'
N
N Pro 3
- Bedroom
House
I
VD
PROJECT P.C. Collova Bldrs. Inc. . Box 489 Somerse t Wi 54025
SW 1/4 SE 1/45 24 /T 30 OWN Richmond COUNTY ST. CROIX
MPRS Shaun Bird 226900 DATE 10/28/02 BEDROOM 3
CONVENTIONAL )00C IN -GROU PRESSURE CONVENTIONAL LIFT HOLDING TANK
MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 933 # of chambers 30
IL BENCHMARK V.R.P. Top of Steel Fence Post ASSUME ELEVATION 100' Filter Zabel A -100
❑ BOREHOLE (DWELL *H.R.P. Same as Benchmark
SYSTEM ELEVATION 94.3/93.7/93.2 5' below grade
* ^ Alt' Alt. BM Top of Power Box @ 100.3'
B.M. L�B .M. 143rd St.
20 Vents B -1
5 Vent
>6 „ Standard Infiltrator
3% of Cover Leaching Chamber
B -3 Slope with 31.1 ft2 of Area
5 12
6' Long
34" Grade at System Elevation
30
3 -3' X 63' Cells with >3' spacing
B -2 Plans Designed Using
Conventional Powts
Manual Version 2.0
a Vents
10' ST
20'
N
N Pro 3
Bedroom
House
pd 2
V Department of Commerce SOIL EVA ATFOU,REPORT Page of
Divisir of Safety and Buildings
in accordance with Comm Adm. Code
County a /
Attach complete site plan on paper not less than 81/2 x 11 in � ize. �l�r{i o J L
include, but not limited to: vertical and horizontal reference poi ), dir P®rpel I.D.
percent slope, scale or dimensions, north arrow, and location istance to nearest road.
Please print all information. _ i} ?002 Revie ed by Date
Personal information you provide may be used for secondary purpose ' cy Law, s.4 )). �, / f 11 I O2-
Property Owne P n -
E Qpvt. Lot ;1%4� x,,/3 S T N R f E (o F4
Property Owner's Mailing Address A Bto Subd. Name or M#
a [� - a
City ftate Zip Code Phone Number ❑ City ❑ Village ;9,Towh Nearest Road
Of
ew Construction UscResidential I Number of bedrooms Code derived design flow rate y.S GPD
❑ Replacement ❑ Public or commercial - Describe:
Parent material � CeA49 Flood Plain elevation if applicable
General comments
and recommendations: —5< .
Boring # Boring l
it Ground surface eley i
ft. Depth to limiting factor Ot� in.
jRootsG lication Rate
ai
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary PD /ftz
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#2
2 fi " s
Fz-1 Boring # Boring y�
Pit Ground surface elev 4`121-1 ft. Depth to limiting factor �� in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
' Effluent #1 BOD > 30 < 220 mg/L and TSS >30 _< 150 mg /L ' Effluent #2 = BOD < 30 mg /L and TSS < 30 mg/L
CST Na a (Please Print) i nature CST Number
Z e 9 60
Address Date Evaluation Conducted Telephone Number
SBD -8330 (R07 /00)
Property Owner Parcel ID # Page of
IM Boring # Boring
Pit Ground surface elev. 9933 ft. Depth to limiting factor in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft
In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
Boring # ❑ Boring
❑ pit Ground surface elev. ft. Depth to limiting factor in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
❑ Boring # ❑ Boring
❑ Pit Ground surface elev. ft. Depth to limiting factor in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
' Effluent #1 = BOD > 30 < 220 mg /L and TSS >30 < 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L
The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or
need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608 -264 -8777.
SBD -8330 (R.07 /00)
Soil Test Plot Plan
project Name P.C. Collova Builders Inc. Sha 'rd
Address 507 Cty Rd E
Hudson Wi 54016 M #226900
Lot 23 Subdivision Evergreen pa� 1 /31 /02
SE 114 S W 1/4S 24 T 30 N/R 1 8 W Township Richmond
F1 Boring () Well PL Property Line County S T. CROIX
BM or VRP Assume Elevatio �To of Steel Fence Pos
System Elevation 93.2/93.7/94.3 *HRpSame as Benchmark
Alt. Alt. B To of Power Box 10
B. M. 143rd St. — - -
20' 4 �
5' '
3%
Slope
5 '
30'
B -2
3 '
> b 98'
a 30'
0
N 99'
Pro 3
N
Bedroom
House
Maintenance and Contingency Plan for a Septic System
Maintenance Plan
1. Septic Tank is to be pumped once every 3 years.
2. Effluent filter is to be cleaned once a year. Please note: a larger filter is being installed in
order to extend the maintenance interval of the fitter.
3. Once every 3 years, cells are to be inspected via the inspections pipes at the ends of
the cells.
4. Owner agrees to limit greases, garbage, and water conditioner discharge into the system.
5. The owner agrees to save this plan.
6. Do not plant trees nor park nor drive over system.
7. Watershed is to be diverted away from system.
8. Discharge into system is not exceed those required as per Comm. 83
Contingency Plan
1. If system fails, determine cause of failure, use alternate area and install new system or
install system at a lower elevation.
2. Replace any other failing components as needed.
Plumber: Shaun Bird 715-246 -4516
St. Croix County Zoning 715- 386 -4680
Pumper Tom Mondor 715 - 246 -5148
Shaun Bird #226900\
ST CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
Owner/Buyer P. C. Collova Builders, Inc.
Mailing Address
P O Box 489 Somerset, W154025
Property Address �`3� ,
(Verification required from Planning Department for new construction)
City/State U[,W Parcel Identification Number
LEGAL DESCRIPTION
Property Location SW ' /,, C- %,, Sec.—% TELN -RAW, Town of &6\016 C �
Subdivision E AaLmad2s 0414A Lot # " .
Certified Survey Map # Volume , Page #
Warranty Deed # Volume Page # 2
Spec house ❑ yes*no Lot lines identifiable 0 --yes ❑ no
SYSTEM A AINTENANCE
Improper use and maintenance of your septic system could result in its premature-failure to handle wastes. Proper maintenance
consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system
can affect the function of the septic tank as a treatment stage in the waste disposal system.
The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a
masterplumber, journeymanplumber , restrictedplumber or a licensed pumper verifying that (1) the on -site wastewaterdisposal system
is in proper operating condition and/or (2) after inspection and in if necessary), septic
tank is less than 1/
PAP g ( �Y)� ep 3 full of sludge.
I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards
set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification
stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30
days of the three year expiration date.
GNATURE OF APPLICANT DATE
OWNER CERTIFICATION
I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of
the described above, by virtue of a warranty deed recorded in Register of Deeds Office.
S GNA OF APPLICANT DATE
* * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. * * * * **
r' •
** Include with this application: a stamped warranty deed from the Register of Deeds office
a copy of the certified survey map if reference is made in the warranty deed
FROM P C COLLOVA BURS, INC PHONE NO. : 715 549 5911 Jul. 21 2001 01 :54PM P1
090 TUE 12:33 FAA 719 388 4687 MISTER OF DEEDS Q1101
ix i5iZPAU242
treTT aK or anseall sD►ooraa ;•. tivr
QaosrtpLLHamct
WAAXADrrY DIED
V6 Dcv4, made k%mtn IMMU 1wrki }
ka
j Ortatar. and P cams smiktm, I"., w Nkskowl Carpp.nilua ! �.
".r ('60
OraaeR aranmr, kT 6 �tlinabk coot)desdoAti toawyt iv flsaatoa tiff.
faftwhi 4embed ead tum iz 8L Ctoh
swt df whroasht of mam 3mu it acalod„pinwr swab addeatdospJ `
Rsomet p Mes -
Nm ►am p
ThC Satstltiins QttReltr of tht 8uu:ptreu Qenrter ME 1 4 e! LW 1 .1 if 3.miaa iL `�
2euwinulmofdwri 'A ot3avmz5,M 4WOMMYof14D*AVWU 0p y 'ti 4-,
ALL In Ttywsoty AK Range 11 W#A S� Q& Cmmy, WteipnpK 8r 0 00
N�
ixcv f Poet of N k of Sttt = 23 'docra id 6t fallewu cmamoing U14 44r * 4 `/
w asitcrr of et6d goetJw x31 thiaa Hors, !B ee�fa ei atlatllor Weoo< o»
xoteq ilat of u}d $uttsn 1Si 6q fief, shtttael Seude a 1 drgtk 23 talouta
Wait 1353 �{1lIMr6!'r0Ogld�dYYjIW dd atlfLW la+t 1296 (Yig QMtltA �6.1071dOdY)f!!t k�1O73T4•i[0
disrwu 04 Mb=as Woo im 3 d N�Ent 637 foot to %wo off ft6glas. 8SL reA & =a cNai NateoK RMi MOPM.
Crabs Coanb, Wlt4ctwt6 Oil RI in
E=mplonp to wetrsaieu P:Iear,�eala, ecattiodora end �glw„fway oEtvoCSSi, linty.
Damd thL i , at, UY or buv
PAM
AUTff f XTICAT) ON ACXN GWL>iDGMZ.MT
SipaawNsl sesu.r J. porrlta STATE OF VISCONSIN
w.r... cmAty I
xYLIL."".^ wr Ft.*,-' owl berm me d>V day at
� the eeava eu n:i
, tcsVx�ast9e4usd �••. ...
TITLE' MESRtdTeA STATE AAR 01? WISCCYNEW she w ta• kii..a to bi Ibo yyufaKt} woo atstaraw[ w rsoing
(1f eat taitrelReta Md s thq GeSteO LL» Naa
r+We.b.si by 1 70s,66, Wis. Rnu.)
%119 U47RUMARr WAtD )L'Yrriltnv
�s:�r'p'R'"' `R iYtsaty P6OlSC 3trto of wreaat,n
my clmn 16ft u PVV4" s , of ao4 t me exogid r. Our.
4�3�� �''N awrn -:in1 or rctw.u.a6ed, 9fA A not afaetel,} )
•fA G roearm ntaftm 1"048* mask yytnu wtuw how* dot dison. wanrw Grn+r.»
WAMRANTY atm) SfATTU11Ot<W190O,rtbin
Pam X�2.
v _
0 •- Cf Ih C� j Q Z Q \ \
CO N N C) `� OD V) I \ \ \
Z A
uj
mMcn' \ \
)0'L9l ,00'O9l 00'091 00'091
-- ,60'£19 3„9V,MOON --
• .D
� cn b w � s
Li m ci in W ci
U� S
O cn W N W N wLn
O C r` ax �, (o c ix w 0�0
O — . V) Q m
CO o r- N Q co -j p �
n
�j f r7 r.. �M
�W �sy�� i �� -- g —�MO -- .tip
ci (n ,, 9
(n Q / N
O 't X
d
.f6'1e l 3.6Z,O l .00N 'M m � i � � `... i
-� -
1332i1S
d2!£
.f6'L l 3.6Z.0 l -OON 7) \°e
N
L /
3 \ O i N
n� o
of
D Q m N
4 �Q x
LJ 4. riW N ci w N NV N NQ ��
_ Q 00 Q N f" ^ n
(f) Ln p co � o E- �— a -j� o z J N
J pQ :t p �� 04 ^
F- N In It � � 00 J d �
O o It v Vf
OD
LO '- 2
d
,ti9'9f
.09'SSZ ,04'ti9l ,ZO ,86'01rt I AV all
,50'6 lC l M,BZ LOOS
I Z N01103S */ lMS -t l3S 3NIl 1S3M
0 UNPLATTED LANDS
7
Wisconsin Department of Commerce SOIL AND SITE EVALUATION
Division of Safety and Buildings Page _L of
Bureau of Integrated Services in accordance with Comm 83.09, Wis. Adm. Code
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County
include, but not limited to: vertical and horizontal reference point (BM), direction and - Cf &I
percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. #
APPLICANT INFORMATION - Please print afQrMe Reviewed by Date
Personal information you provide may be used for secondary pGrR`�d;(Pnvacy Law, s. 15.44 (m)).
Property Owner r ' �`r�rr5,rf1 Prood Location ,
Govt: t S 1 /4SGV 1/4,S Z Y T ,N,R / E (or)0
Property Owner's Mailing Address j Lot # Block# Subd. Name or CSM#
City `` II State Zip Code Phone NumbOJDUNTY El ' City ❑ Village Town Nearest Road
` Q 1) > ,� Gt v✓l�� a r � Co u >�
i
[ New Construction Use: UResidential / Number- f d ' Addition to existing building
Replacement 0 Public or commercial - Describe:
Code derived daily flow 60 cj gpd Recommended design loading rate / bed, gpd/ft � � trench, gpd/f1
Absorption area required 1ZQ0 bed, ft /�1Qr trench, ft Maximum design loading rate bed, gpd/ft 62 trench, gpd/ft
Recommended infiltration surface elevation(s) • e�s ft (as referred to site plan benchmark)
Additional design /site considerations C cJ ✓ Orr u 9 C (, 9
Parent material Q u+t,u G-5 �2 Flood plain elevation, if applicable ti ft
S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding I Tank '
U = unsuitable for system ❑ S U C0's El ❑ S U ❑ S El �U El an
SOIL DESCRIPTION REPORT
Boring Horizon Depth Dominant Color Mottles Structure GPD
g in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed Trench
U,
Z I l5 q o w 3 r 5 i V m olok S S
Ground
3 3q -P- I j r y 13 CZ . _ `��ln ZS Zm L.S
elev.
C C57 ft.
Depth to
limiting
factor
3q in.
Remarks:
Boring #
;O ,... .
E W -35
CZP_1 In r 111 (0 L s 2 C ,Y,--� , s 7'
Ground
elev.
� •OS ft. ,
Depth to
limiting
factor
3 Remarks:
CST Name (Please Print) gnature Telephone No.
m h) 5)Z41
Address Date CST Number
21 �a S� . �2r � w "4� -1 - C)o 2 5 3 30S
SOIL DESCRIPTION REPORT
PROPERTY OWNER Page 2— of
PARCEL I.D.# k5' Z3
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots 2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed .Trench
k c5 1 V�
ZMGbk m C5 —
Ground Lam' j� f CZP T 5 `1 I(D
elev.
9y .gs - ft .
Depth to
limiting
factg� '
L d in.
Remarks:
Boring #
Ground
elev.
ft. '
Depth to
limiting
factor
in.
Remarks:
Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots PD/ft2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench
Boring #
" ffl
0....
Ground
elev.
ft. '
Depth to
limiting ;
factor
in. Remarks:
Boring #
M.
'�. � yea
Ground
elev.
ft.
Depth to
limiting
factor
in. Remarks:
SBD -8330 (R.9/98)
PAGE,OF_3_
NAME CO ( 10VCk- LOT# Z 3 LEGAL DESCRIPTIONS F '/4W/,, T 3o ,N,R1 8 E (or)eQ_
SCALE: 1 "= C1 W
BM 1 ELEVATION - 163 - U
BM 1 DESCRIPTION a l rL �*—e a
BM 2 ELEVATION T ? c
BM 2 DESCRIPTION +opy� (Z P!� L411a,F l�
1
SYSTEM ELEVATION l00 - 5r
ALTERNATE ELEVATION /% /
CONTOUR ELEVATION Y fSS 1
0 1 5 1 -41
Dori 'r, e
0
a �2 .p y .a ti
SIGNATURE DATE