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HomeMy WebLinkAbout026-1141-19-000 Wisconsih Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Cr oix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 420490 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- 1141 -19 -111 CST BM Elev: Insp. BM Elev: BM Description: 70.x lz `�/ .�. �t CS?' 6 A TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark ISIS . D Dosing Alt. BM ` - za J ay -BS- Aeration Bldg. Sewer - `?•6 Holding St/Ht Inlet I Z l 0 St/Ht Outlet 1 TANK SETBACK INFORMATION ( b / D� TANK TO P/L WELL BLDG. VeLAir ke ROAD Dt Inlet Septic 7 `''t Dt Bottom Dosing Header /Man. Aeration Dist. Pipe Bot. System - A_ , PUMP /SIPHON INFORMATION Final Grade 7" Manufacturer Demand St Cover GPM 2.o 1M • O Mod tuber TDH Lift Fr' on Loss System Head TDH Ft Forcemain Length Dia. D' . to Well SOIL ABSORPTION SYSTEM( BEDITRENCH Width ILength, No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 3 2, ;, 6 , A ) L SETBACK SYSTEM TO P/L BLDO WELL LAKE /STREAM LEACHING MarV4acturrer s s INFORMATION CHAMBER OR 13 , 0 Type Of System: +/ �+ UNIT Model Number: Csr Z5 -a .V , " DISTRIBUTION SYSTEM ( ult. , 6^0 p G Header/ ani Distribution x Hole Size x Hole Spacin Vent to Air Intake Pipe(s) rZc' Length 1: 6ia Length Di Spacing SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over IDepth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center Bed/Trench Ed es To soil r - g p Yes ❑ No [� Yes No C. OMMENTS: Inclu + cg U e�J crepencies, persons present, etc.) Inspection #1�/ b1& 1 / ?� Inspection #2: ocation: 1188 121st Ave New ichmond, WI 54017 (SE 1!4 SE 1/4 33 T30N R18W) Duc of 19 P 0 .102 1.) Alt BM Description = S 2.) Bldg sewer length = s� �.� go , +( - amount of cover = " Plan revision Required? Ye tN0 (o Use other side for additio I a Date / nsepctor's Signature Cert. No. SBD -6710 (R.3197) `OIL C /'L PIA PLAN PROJECT P.C. Collova Bldrs. Inc �1 DDRESS P.O. Box 489 Somerset Wi 54025 SE 1/4 SE I /4S 33 /T 30 N 18 W TOWN Richmond COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 10/14/02 BEDROOM 3 CONVENTIONAL XXX IN -GROUN RESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .4 ABSORPTION AREA 1212 # of chambers 39 BENCHMARK V.R.P. ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE O WELL *H. R. P. Same as Benchmark SYSTEM ELEVAT 94.6/94.4/94.2 4' Below Grade Alt. BM Top of .5" pipe @ 100.5' Plans Designed Using Conventional Powts Property Line Manual Version 2.0 Vent >691 Standard Infiltrator of Cover Leaching Chamber B -3 with 3 1. 1 ft2 of Area Vents 90' 12" 3 6' Long 34" Grade at System Elevation Slope -1 *B.D 3 -3' X 82' Cells with >3' Spacing B -2 15' Vents 30' Alt. 80' n J 50' n Pro 3 Bedroom House a� 0 121st. Ave Safety and Buildings Division City { , 201 W. Washington Ave., P.O. Box 7162 -J �seonsin Madison, WI 53707 - 7162 Site Address Department of Commerce !d '7-Z z__ 3 of 7 4- 1 t ?F Sanitary Permit Application sanitar Permit Number D in accord with Comm 83.21, Wis. Adm. Code, personal information you provide � I ❑ Check ' Revision may be used for secondary purposes Privacy Law, s15. 04(I in I. Application Information - Please Print All Information State Plan I.D. Number Property Owner's Name Parcel Number Property is� Address Property Location C/ . 1� C � '� .5f !f S5 T N, R �E City, State Zip Code 7"o Lot N r Block Number Subdiy' ion Nam CSM Number �gT S'D 1' . ,® H. Type of BtW ' (check all that apply) ftv S 4- ❑City r 2 Family Dwelling - Number of Bedrooms ❑V' ge ❑ Pubtic /Commercial - Describe Use hip ❑ State Owned 1 Nearest R M. Type of Permit: (Check only one box on line A (numbering scheme for internal use). Complete line B if applicable) A New 2 ❑ Replacement System 3 ❑ Replacement of 6 ❑ Addition to For County use stem Tank Only Existing stem 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) - Pressurized In- Ground 210 Mound 47 ❑ Sand Filter 50 ❑ Constructed Wetland 20tre.'surized In -Ground 41 ❑ Holding Tank 48 ❑ Single Pass 5101) Lin —� 45 ❑ At -Grade 46 ❑ Aerobic Treatment Unit 49 ❑ Recirculating 3000 er V. Dispersal/Treatment Area Information: Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Percolation Rate System Elevation - final Grade Required Proposed Rate(Gals./Days/Sq.FQ (Min./Inch) j � / � Elevation VI. 'Tank Info Capacity in Total Number Manufacturer Prefab -Steel Fiber Plastic Gallons Gallons of Tanks Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank Dosing Chamber 1 VII. Responsibility Statement- I, the undersigne responsibility for installation of the POWTS shown on the attached plans. PI tier's Name (P ' Plumber' MP/MPRS Number Business P be ` V J Phrmber's Address (Street, City, State, Zip �� K z2��� VIII. Count /De artment Use Onl )Approved ❑ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Issuing ent Signature (No Stamps) surcharge Fee ❑ Owner Given Initial Adverse Determination r � 1X.. Conditions of Approval/Reasons Disapproval 't "'_ / cbo p✓ NA a t speCA 'uV SBD-6398 P VDR PROJECT P.C. Collova Bldrs. Inc O. Box 489 Somerset Wi 54025 SE 1/4 SE 1 /4s 33 /T 30 OWN Richmond COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 10/1 4/02 BEDROOM 3 CONVENTIONAL XXX IN-GROUNFWRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .4 ABSORPTION AREA 1212 # of chambers 39 , BENCHMARK V.R.P. —V ASSUME ELEVATION 00' Filter Zabel A - ❑ BOREHOLE O WELL *H.R.P. Same as Benchmark SYSTEM ELEVATION 94.6/94.4/94.2 4' Below Grade Alt. B Top of .5" pipe @ 100.5' Plans Designed Using Conventional Powts Property Line Manual Version 2.0 Vent >6 „ Standard Lifiltrator of Cover Leaching Chamber B -3_ 90' with 3 1. 1 ft2 of Area Vents 12" 3% 6' Long Slope 3419 Grade at System Elevation -1 B. TV 3 -3' X 82' Cells with >3' Spacing -9 20, 15' Vents 30' 15 , T 40' Alt .1V 5 ' Pro 3 Bedroom House a 0 121 St. Ave PL PLA PROJECT P.C. Collova Bldrs. Inc DRE P.O. Box 489 Somerset Wi 54025 SE 1/4 SE 1/4s 33 /T 30 1 W TOWN Richmond COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 10/14/02 BEDROOM 3 CONVENTIONAL XXX IN - GROUNYWRES SURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .4 ABSORPTION AREA 1212 # of chambers 39 Lt , BENCHMARK V.R.P. --V ASSUME ELEVATION (0D Filter Zabel A -100 ❑ BOREHOLE (DWELL *H.R.P. Same as Benchmark SYSTEM ELEVATION 94.6/94.4/94.2 4' Below Grade Alt. B Top of .5" pipe Qa 100.5' Plans Designed Using Conventional Powts Property Line Manual Version 2.0 Vent >6 " Standard Infiltrator of Cover Leaching Chamber B -3 _ with 31.1 ft2 of Area Vents 90' 12" 3% 6' Long Slope 34" Grade at System Elevation -1 B.N. 3 -3' X 82' Cells with >3' Spacing -P--L 20' 15' Vents 15' 30' T 40 Alt. .N 5 ' Pro 3 Bedroom House 0 121st. Ave I Z- Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Count Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must s, include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope scale ordimensions, north arrow, and location and distance to nearest road. /O - V - ?l Please print all information. R 'ewes by Date Personal information you provide maybe used for secondary purposes (Privacy law, s. M04 (1) (m)). C • . 2J, Property Owner ?L0 ocation R j i � � O-/ ECEIV ivt. Lot s� 1/4, j� 114 S T N R E ( ) Property s Mailing Addre # Block # S or CS State p Code Ph a Nuxrl ❑ City ❑ Village T wn Nea Road T. CROIX CO NTY New Construcdon Use. esidential ! Num ms roo Code derived design flow rate f GPD ❑ Replacement /�� ❑ ��Pub or - Describe: Parent material ( Flood Plain elevation if applicable General 5 e, l and recommendations: Boring # Boring Pit Ground surface ele , � ft. Depth to limiting factor ,4&— in. Sa'I Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDlff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 s -- / . Z- cvi- 9�f 6a' rs 4 t Z Ong # Boring Pit Ground surface elev. Depth to limiting factor in. Soil Application Rate Horizon Depth Dor Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 Z el �f .--�- s ✓ - °7 Z 1 43. 2 Aq - Z- • Effluent #1 = BOD > 30 < 220 nV& and TSS >30 ' Effluent #2 = BOD 130 mglL and TSS 1 30 mg1L CST (please fkAtiV print) ignature 2 ZTMa6l Address Date Evaluation Conducted Telephone Number t Property Owner Parcel ID # Page of F3-1 Boring # °Boring n it Ground surface elev. �/� U ft. Depth to limiting factor in. Sod ica8on Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. /j •Eff#1 I `Eff#2 2 Z� • - (/ l 12- 43.z .Z a Boring # Boring C) C) 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/ff In. Munseli Qu. Sz. Cont. Color Gr. Sz. Sh •Eff#1 'Eff#2 F Boring # E) Boring 11 Pit Ground surface elev. i<. Depth to limiting factor in. " Sal Application Rate Horizon Depth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD/ff in. Munsefl Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 I •Eff#2 Effluent #1 = BOD > 30 1220 mglL and TSS >30 1150 mgA- • Effluent #2 = BOD < 30 ffV& and TSS < 30 mg1L 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- 2648777. ssD- 8330(86/00) Soil Test Plot Plan Project Name P.C. Collova Bldrs. Inc. Shaun Address P.O. Box 489 Somerset Wi 54025 #226900 Lot 1 9 Subdivision Duck Pond Date 10/10/02 SE 1/4 SE 1/4S 33 T 30 N /1318 W Township Richmond Boring () Well PL Property Line County ST. CROIX BM or VRP Assume Elevatio 100 ft Top of 1" Pipe g,,r I S ste levation 94.6/94.4/94.2 *HRpSame as Benchmark Alt. BM Top of .5" pipe @ 100.5' Property Line - 90' 3% Slope 30' 40' -1 98' 40' 3 99' t. 15, M. Pro 3 Bedroom House i~ 0 121st. Ave Maintenance and Contingency Plan for a Septic System Maintenance Plan 1. Septic Tank is to be pumped once every 3 years. 2. Eff luent 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 filter. 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 I I cVA 6 1 tt S Mailing Address '1' V. 6 6, 1 x Pro perty Address ` T I Y t"K�— L/ (Verification required from Planning Department for new construction) City/Stat ),�7 u�� Parcel Identification Number LEGAL DESCRIPTION Property Locatiotaf — W ;!, t! ,, Sec. t�, T]2N -R I W, Town of N Y Subdivision L Lot it . Certified Sur Map it V0111I11C Page it Warranty Deed it 1 �"l Volunic . PatzC 'r ( �S Spec house ❑ yes lio Lot lines iticntiliabie yes no SYS'T'EM MAINTENANCE Improper use and maintenancc of your septic system could result in its premature failure to lianule wastes. P roper maintenance consists of pumping out the septic tank every three years or sooner, if uccdcd by a liccased 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 Dcpartincnt a cc:tification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a liccased pumper verifying ibat (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requiremcats and agree to maintain the private sewage disposal system with the standards sct 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 c car expiration date. A/v"' 1 1 g7Q Z S1 NATURE OF APPLICANT DATE OWNF,R CE=RTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (arc) the ovmcr(s) of the described abov , by virtue of a warranty decd recorded in Register of Decds Officc. d / d?- C,e i — NMMOF APPLICANT DATE Any information that is niis- represented may result in the sanitary permit being revoked by the Zoning Department. *' Include with this applicatiou: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty decd r.:5 FROM P C COLLOUA BURS, INC PHONE NO. : 715 549 5911 Nov. 16 2001 09:32AM Pi 51'A T E R A K CF W I SCUNSI N 1"JKM 1. 1948 Srf1 Z 13 9 WARRANTY DEED REGISTER OF DEEPS r ST. Imm CO., IdI ThI3 Deed, made between Kenneth L. Brown a Kath"Cen B. AQUA) FOR MM Brown, 11mband and WKe 04•18-20 9:45 AM Yt ANTY DE ED Grantor, and P. C Collovs Builders, Inc, yr E)tEW D CERE.CODT FE E! - - COPY FE =I 1M6;jj FEE- 820.00 REC060I!16 FECt 10.00 � .,r.M... lIOGEg —. I Grates. Grantor, for a valuable comideration, conveys and warms to Grmtee the following dmribcd real cstato in St. Croix u 1 1 County, Stak of Wisconsin: } tecoMb Arts Namc end Mature Address That Pert orSa 114 SW 114 and SW 1/4 SH 1/ 4 Soo. 33- TVW -RtSW described 041 s as follows: Lots 1, 2 and 3 of Certified Stwm7 Map TmorJed in VOL 13 of Hudson, WI 34016 Carolled Survey TAaps, Page 3698 as Doe, Na. 607591. St. Croix County U h? 07o- 1nve•00-ow.ua6r;0961ua ur. U&IC96.70-000 rarest Wendacatian Nunba (IM This is W holnesl¢Id property, (lsi (is not) Encittiorls to warreaties: Exiating highways, easements rigats of way of Ward. Dotcd Chit L ; day of April _ 2001 a . Kenneth L. Browlt a Katbteca B. Brown AUTHWTICATION ACKNOWLEDGMENT STATE OF Wisconsin ) SItltlaturs(I) )" 3t. C1 . 01A County-) Personally came betwe me this 1� dsy or sutheatleated thin day of April ' 2001 2001 the ab named enneth I.. Brow nad KAW"n B. Browa 71 U&;'om R 04T W13CONSIN eowa ets to be the pon(s) wbo ex.eused the rotesoing C71L and acknowledge the same. Wis. Brits.) WAS DW rED nY Aft avid J. Wreen 304 54016 Notary I'ohfie, State of Wisconsin (SlIplat usloaay be motbantlwt-k at aeknowie ft" Both are not My Commicaca is pan s no s c expl'f,'ti " ?al=as — Tam natxsleey.) ,) Name of pineal lied+* Is any Capacity should be typal of prinlad %.6w that? alerts ►ey wMUlAeri spin ATATt BAR Or WIRMILIN tk7Y1 Mw 7 • me INFORMATION MV 10TONALI COM P ANY rOwa OV LAC, w W06all•7M f PSE M� N �� . 4 .. O I O I (n 99gZ. O ` D� C O N 6� O n t V I I 1--A 1 I _-6 l£ J I I — — o_oo s ._- -- 1NIOr I I I v L4 P-3 CD 3 --- w-- X2'39"- W, NJ r ,%i �.� 00 A w / / ,A� N O I a J c co Ln Q / `" o / /C� N N w '< / = m ) 1 I C0r m I I I o I .a A C-3 o r � I I, u U' y I v D( t a to �• N CO co x I `i I C� t I I cw y I y z I — — < z ° � 00 � — � bT� - - - - -- m- _ 0— \ �00 4h, I W w 1 N r I Ln C) 1NIOr i I Nv Q K: o r N y I oz N ( N I I n c� m n i - - - -_. �' ' - /w // V I J I Wisconsin Department of commerce SOIL EVALUATION REPORT Page of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County S . C I'OI Attach complete site plan on paper not less than 8 112 x 11 inches in size. Plan mutt include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and locations I to nearest road. f Reviewed by Date Please print all information.' < Personal information you provide may be used for secondary "parposes (@racy aw, a. (m)). Property Owner , Pro prr�rty ovation �Q t l /UVQ vt.' 1145 F 1/4 23 T 3 a N R / b( E (or)� Property Owner's Mailing Address ' t of # lock # Subd. Name or CSM# `7 J�d , 5 c�X S City Stale Zip Code Ph6ne Number� , QFF I El village [9 own Nearest Road flu�� 4J l 5`i 01 ' 7 - e 4 E ® New Construction Use: R Residential / Number of bedro8tn4 Code derived design flow rate q 5 - 0 / G 0 0 GPD ❑ Replacement El Public or commercial - Describe: I Parent material : I Flood Plain elevation if applicable .v / % General comments Sx 7 o le o. '?& and recommendations: Q�, ele V • 9'5 o a Boring # Boring -7 Z pit Ground surface elev. �$. lob ft. Depth to limiting factor in. Soil Applicatio n Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ff in. Munsell Qu. Sz. Cont. Color I Gr. Sz. Sh. *Eff#1 *Eff#2 6 -14 IU 3JZ st I 2 bk In �' c5 I .5 .8 Z 14 -Z4 10 y 13 Sid k m fr c s - y 3 24 -4S 1b (- 4 L5 I mS m r c- – 1 1. Z 1b 3 (V S L 1 2-n -- )SbK ( — - • 5 9 Boring # Boring © pit Ground surface elev. 9 ZO ft. Depth to limiting factor 1 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /fg in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 "Eff#2 1 0 -u 10 Z 2-aybk. -'r J .5 •3 - Z 1 -2 (o I y I 3 _' • I Zrr"cb -Cr c S _ 3 2(v-54 I `I y — LS I rn S -fi c s - I • Z. y 54 1 7 10 Zmsb rn -f _ S . ' 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 Name (Please Print) Sin ure CST Number eaq r✓\, Sc k -- fit. s - �5 : ' - 3 ':� Address Date Evaluation Conducted Telephone Number it a S Sot" -� �, /, S �azs C� -zz-a( ��S- z5'�-yG�� Property Owner Parcel ID # Page 2 . of 3 a Boring # ❑ Boring ? ® pit Ground surface elev. Q7 . �lJ ft. Depth to limiting factor �_ in. Soil Application Rate Fond Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /if in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 'Eff#1 "Eff#2 -5 1 Z ff LS Iv .5 IZ -24 IO `f�3 iu' �S Ao F-1 Boring # ❑ Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in. Soi! Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 *Eff#2 F-1 F1 Boring Boring # Ground surface elev. ft. Depth to limiting factor in. 1:1 pit Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDlfF 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) r PAGE 3 OF NAME C n I 10 yr, LOW LEGAL DESCRIPTIONS E ', 4 S33T 3QN,R $ E (o r)6,)_ SCALE: 1 "= yo' BM I ELEVATION /00 O BM I DESCRIPTION - 10 O� Z �DJ�- D�'�_ BM 2 ELEVATION q 9.35 Sc c , 3 3 BM 2 DESCRIPTION - �op a Z ,o JC Dl10g 1 SYSTEM ELEVATION ` 61 O U _ -{— ALTERNATE ELEVATION 9�, Z Q K CONTOUR ELEVATION T5.00 , Q q,06 M �q a o d-3 O r N k P � SI ` " � .___.__ DATE �rp o ed