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Home My WebLink About026-1141-22-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 420392 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)J. Permit Holder's Name: City Village X Township Parcel Tax No: e� �// �/ — 4 ,00 V P.C. Collova Builders, Inc. Richmond Townshi CST BM Elev: S In6p�M � BM Description � av ' TANK INFORMATION � y L L / f//j/ /yy', ELEVATION C. -ATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic n ! Benchmark I 7 1 Dosing Alt. BNJ,%, k& *t-6 10 7 j,�� O Aeration Bldg. Sewer 1.75 Holding St/Ht Inlet TANK SETBACK INFORMATION St/Ht Outlet S TANK TO P ZL W LL BLDG. Vent to Air Intake ROAD Dt Inlet C/) r �- Septic /e.f/ Ir' Dt Bottom 2 Dosing Header /Man. � Aeration - Dist. Pipe Z l 0S Holding Bot. S em + PUMP /SIPHON INFORMATION Final Grade O ( S Manufacturer Demand St Cover Model Nu to ; TDH Lift Friction Loss System Head TDH Ft Forcemain, Length Dia. Dist to well SOIL ABSORPTION SYSTEM BEDITRENCH Width ength No Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 3 / 'T L L y / / SETBACK SYSTEM TO P/L W JBLDG IWELL LAKE /STREAM HAMBER LEACHING Aanufacturer: INFORMATION OR Type X System: '^ 1 6 ( � � / UNIT Model Number: DISTRIBUTION SYSTEM All 06se . �,QS Header /Manifold Distribution ( x Hole Size x Hole Spacing rti Air IntakeP Pipe(s) Q { �7� Length Dia Length Dia �� Spacing (� S OIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth of eded /Sodded 7No Mulched xx Se d Bed/Trench Center k �— Bed/Trench Edges Topsoil — �t°�;] Yes C �_'� Yes '`J No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: 1 0 / b / o Inspection #2: / / ROL Location: 1172 121st Avenue New Richmond, WI 54017 (SE 1/4 SE 114 33 T30N R18W) Duck Pond Escape Lot 22 Parcel No: 33.30.18.1026 1.) Alt BM Description = T OP b „• U N C( Mc �+Wna-Q C (,cx Lt ".LOW _7 V ,914 e 2.) Bldg sewer length / _ - amount of cover - r Plan revision Required? Yes No ` Use other side for additional Information. G�'� SBD -6710 (R.3/97) Date Insepctor's Signa re Cert. No. i _ Safety and Buildings Division t County /1 \*is AN 201 W. Washington Ave., P.O. Box 7162 1 consin Madison, WI 53707 - 7162 Site Address Department of Commerce Q �LY -02 ODL — $ I 2 21 Av6 -- Sanitary Permit Application Sanitar Permit Number In accord with Comm 83.21, Wis. Adm. Code, personal information you provide 120 392— ❑Check if Revision may be used for secondary purposes Privacy Law, sly. 1 m I. Application Information - Please Print All Information State Plan I.D. Number Property Owner's Name Parcel Number ooz o2�— n� l -zi -tom . i Propehy Owner's Mailing Address Property Location 01 SG/N. E City, Sfift Zip Code Phone Number L T mber Block Number Z— Subdivision Name CSM Number U. Type of Building (check all that apply) DCiry Family Dwelling - Number of Bedrooms DVity ❑ Public/Commercial - Describe Use owns p ❑ State Owned t Nearest Road M. Type of Permit- (Check only one box on line A (numbening scheme for int&M us . omplete line B if applicable) A. 1 ew 2 D Replacement System 3 D Replacement of 6 D Addition to 1 77! use Sy stem Tank Onl Eris ' stem B. D Check if Sanitary Permit Previously Issued Permit Number Date Issued IV. Pfe of Permit: (Check all that apply)(numbering scheme is for internal use) h---W ec on - Pressurized In- Ground 2111 Mound 47 D Sand Filter 50 D Constructed Wetland 22 D Pressurized In- Ground 4111 Holding Tank 48 D Single Pass 51 Dri r 45 D At -Grade 46 D Aerobic Treatment Unit 49 D Recirculating 30 O t Y Z - s V. Disperulffreatment Area Information: Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Percolation Rate System Elevation Final e Reganred fld r Proposed 1212, Rate(Gals./DayslSq.Ft.) (Min.11wh) t{ 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 anL7 Dosing Chamber VII. Responsibility Statement - I, the undersigned, asp6me respoqgbft for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's MP/MPRS Number Business Phone Number Plumber's Address (Street, City, State e) VIII. Un /De artment Use Onl Approved ❑Disapproved Sanitary Permit Fee (includes Groundwater ZDate ssued Is Agent Signature (No Stamps) Sure Fee) D Owner Given Initial Adverse Determinat ion �i-� " IX. Conditions of Approval/Reasons for 'Ipprol,. (} n _ _ . L_ _ _ Yet \A�0�) No ( /� w`,cs] bL �r I I _ ' " > dU14/�t�la�Q P.cC:( C.ulllA( Attach complete plans (to the County only) for the system on paper not less than SW x 11 teches in size SBD -6398 (R. 05101) PLOT PLAN PROJECT P.C. Collova Bldrs. Inc. A DRESS P.O. Box 489 Somerset Wi 54025 SE 1 1 4 SE 1/4s 33 /T 30 N 18 OWN Richmond COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 9/3/02 BEDROOM 3 CONVENTIONAL XXX IN-GFXND PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallon LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .4 ABSORPTION AREA 1212 # of chambers 39 BENCHMARK V.R.P. Top of 2 Pipe Af (.=ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE O WELL *H.R.P. Same as Benc ma SYSTEM ELEVATION 97.1/96.8/96.5' 2.5' Below Grade 218' Property Line Vent >6 „ Standard Infiltrator of Cover Leaching Chamber with 31.1 ft2 of Area Plans Designed Using 12" Conventiot►al Powts 6' Long Manual Version 2.0 34" Grade at System Elevation 3 -3' X 82' Cells with >3' Spacing Vents 185' B3 �wt 2 - - ` Z w Pvc p ie .M.# 0 , ' 70' 30' � ' B.M. #1 Vents30 T Pro 3 Bedroom House 0 v M 121st. Ave r PLOT PLAN PROJECT P.C. CaAova Bldrs. Inc. A DRESS P.O. Box 489 Somerset Wi 54025 SE 1/4 SE 1/4s 33 /T 30 N 18 OWN Richmond COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 9/3/02 BEDROOM 3 CONVENTIONAL )00( IN -G ND PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallon LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .4 ABSORPTION AREA 1212 # of chambers 39 IL BENCHMARK V.R.P. Top of 2" Pipe W '* (= ASSUME �EVTION 100' Filter Zabel A -100 ❑ BOREHOLE O WELL *H.R.P. Same as Benchma SYSTEM ELEVATION 97.1/96.8/96.5'2.5' Below Grade 218' Property Line Vent >6 „ Standard Infiltrator of Cover Leaching Chamber with 31.1 ft2 of Area Plans Designed Using 12" Conventional Powts 6' Long Manual Version 2.0 34" Grade at System Elevation 3 -3' X 82' Cells with >3' Spacing P g zzi - Vents 4�l � 185' s. u i 2- Z PVC - B -3 w�. � 99 Y� B.M.# 20' ' 70' 30' - 25' B.M. #1 Vents 30 T Pro 3 - - - Bedroom House t~ I � i o M I � 121st. Ave I r Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must � include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow,Andlk id. � Y distance to nearest road. Please print,all , information X AAA40," e wed by Date Personal information you provide may be us¢d<fors600ndary�►po (Privy s. 15.04 (1) (m)). Property Owner Property Location oni vt. Lot C 114 SF 1/4 S 3,3 T} N R jf E (or IV Property Owner's Malting Address " _ of # Block # Subd. Name or CCSM# City State Zip Code , ', Phon ❑ City ❑ Village 2LTown Nearest Road ® New Construction Use: ® Residential / Number ms 3 Code derived design flow rate y S� /G e el GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material x Z" t f ( Flood Plain elevation if applicable , el 1 F 6.5 0 ft General comments 5 $> t/ C u • /6.5 and recommendations: �L G (cu • Q �o ��, Q- �Q ❑ Boring # Boring [Z• Pi{ Ground surface elev. � • � _ ft. Depth to limiting factor � � in. Soil lication 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 0, 1 Z '—' S'I 2m s g 1 V r 5 $ Z fz -ZCp l I S e-1 Z rn . 32, `. # F Boring t E] Boring 9y e t J Pit Ground surface elev. /'7. 46 ft. Depth to limiting factor o in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ff in. Munseil Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 i a -io /d 3la — Si J r s I vc 5 8 z m- 3-4 �� -- 51 C-1 2 Fr" 3 y - �v ► y1� ms — — • 7 Z * 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) Signature CST Number Address Date Evaluation Conducted Telephone Number Property Owner C O I l0 V ':1 Parcel ID # Page L of 3 a Boring # E] 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 /fP- in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 - 0 2 C z I �- ID S ick c `A - to ❑ 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 /W in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 I *Eff#2 F -1 E] Boring Boring # Ground surface elev. ft. Depth to limiting factor in. Pit Soil 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 * 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 (W07/00) w � I • PAGE — of 3 NAME ('p LOT# Z Z LEGAL DESCRIPTI )NSE ' /4SE'�< S N,R !S E (or)� SCALE: 1 "= y0 BM I ELEVATION /UO • U BM 1 DESCRIPTION {v(h Pc k 9 2 LEVATION 9`(• `�� s cC , BM 2 DESCRIPTIO � c SYSTEM ELEVATION 9 &• ^ -f- x ALTERNATE ELEVATION 3n t ow+� r 4�.� l CONTOUR ELEVATION �}va,.t 1.•o i- SKQ P s�4 td, pro o � ti a M t� J $ Z ■ S�L GN TURF DATE I a I i 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 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. I Rep ace 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/Buycr C• l U oVA g tt S AJ <-- Mailing Address Y o. 6yX Property Address (Verification required from Planning Department for new construction) City /State k,'3 �'Owwnk Parcel Identification Numlicr LEGAI. DESCRIPTION 7 � � c Property Location !;,em Sec. W, Town of I Sulidivision Va RUC &SCE, Lot It . Certified Survey Map l (' 3- 1 Volume Pagc 4 t GR . Warrauty Deed It _ tQ °�� Volume li' . PZLC 4 '� Spec liou �%es ❑ no Lot lines idcntifiaui ;es no SYSTEM MAINTENANCE Improper use and maintcaancc of your septic system could result in its premature failure to handle wastes. Proper niaintcaancc consists of pumping out the septic tank every tire.- years or sooner, if needed by a liccased pumper. Wltat 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 cc:tification farm, sigucd by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumncr verifying that (1) the on -site wastewatcrdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is Icss than 1/3 full of sludge. Uwe, the undersigned have read the above requiremcuts and agrc.- 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 rctumcd to the St. Croix County Zoning Office within 30 days he ea year expiration date. MG ATURE OF APPLICANT DATE OWNER CERTIrICA.TION I (we) certify that all statements on this form are true to the best of my (our) }mowlcdge. I (we) am (are) the owncr(s) of the pro erty descri above, by virtue of a warranty deed recorded in Register of Deeds Office. ?� S16NATURE OF APPLICANT DATE • * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. '• 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 decd FROM P C COLLOUR BURS, INC PHONE NO. : 715 549 5911 Nov. 16 2061 09:3kA P1 STAI1- 3ARCF W13Ct7NSiN FORM 2. 19.18 C 139 WARRANTY DEED ONLEEA 11. U11L311 REMSTER OF DEEDS a r SI. .RVTX Co., Wi Thls Detd, made ktween Kenneth L. Brown And Kathla+l B. AMA) FOR RECORD Brown, iiusbrad end Wife - -r�� 01 -18 -29 1:43 M YA MTY X Grantor. and P. C. Coilova Builders. Inc. y EWV. T f EWE -cMT FEE: COPY Mf 'w Mil FEE: 628. REMUG F•ct:t 19.x1 �nntn. Grantor, for a valuable consideration, conveys and IMI Mtltt to Grantee Iho following dwrihcd teal cstnto in 54- Croix (f,L, n i ts s CA County, %1c of `N'ucansin; le=1ia Aces Vn,ne end Itewn Add"n David 1. F-Amen '(bat part of SE 114 SW 114 end SW 1/4 SE 1/4 Soo, 33- 730K -7IS N dmv -ribed 104 Locznrt St. as follows: Lots t, 2 and 3 of Certified Survey id. Q racc,c W in Vol. 13 Of iludton. :9i ;40 tb CcrttGed Survey Maps, page 3698 u !)Oe. No. 607591. U ID+J t? $L t_Iolx Cottony, Wiaconaitt O :G•fV96•a�•000. U :(rIOYG- ut7 -ZUC. 026.1 C96.71)•000 r =tit IdetNiAtuion Nuntnx i ri:t) This not holne:tazd property, T. (is not) Execptiara to t mraies: Existing highways, easements R rights of acv of record. D ehcd this day of April 1001 - . Kenneth L. Bromi t Katkiken B. Bm". AUTHENTICATION kC%710 W LXDGM EMT STA -L- Of Wisconsin ) Sie ) " 3r• Croix Cooney. ) Personally came hertxe me this day of auteeaketed NO _ do) air April 0 2001 the shove raamd eaneth I- Breen and Knrkksn B. Brown TITLE: ..16K Of WISCONSIN to tto vr, to be the persa+(t) wbp az.evt.d the foregoing � I ,t;rtl sad uktx,wft:oRC the same. � G ao. Wit, Vat$.) WAS OILY TED HY Aft I� Avid J.lrstreen 304 Lots .: l U0116 WI 54016 MMM Puhtie, State of Wkcwtatts (Sighuturatunry be satttmtlalee or peke wiedted. 3oth are sot Mr Commission is panaaftat m s; c exp, mate: �taY•) ,) .Nunes of sasses sprains in am cavacky should be typed or printed Ualeer dtrlr tdetraarr WAMAMTY nab nATa aAa er Ot==Stw MUM n. - tare mnnatdntlou thraMMONAt.s comrMY rOwc, w t,Ac. w reo.asS -Un r T -U POND ESCA LOCATED IN PART OF THE SOUTHEAST 1/4 OF THE SOUTHEAST 1/4 AND IN PA 1/4 OF THE SOUTHEAST 1/4 OF SECTION 33, TOWNSHIP 30 NORTH, RANGE 18 RICHMOND, ST. CROIX COUNTY, WISCONSIN; BEING LOTS 1, 2, AND 3 OF CERTIFI RECORDED IN VOLUME 13 PAGE 3698. U L AN D S S 8952'17 E 2048.98' N 228.44' I 184.27' 218.76' 246.87' - - r - r LOT 2 4 S 8 4 W 25' 53" 115 54'- W I v tp�s. pa , s. !3� _ 5 91,9 � o i N �s S e s # � E ° ° I" •LOT 22 I LOT 21 Z 0 �o DRAINAGE - - F W I p %: Sq. Ft. 78495 Sq. Ft. 146. 72' 70.80' n '��. I • 2.10 Ac. ` oq 1.80 Ac. 5 89'02'19" E 217.52 TN � <� cv 76886 Sq. Ft.' /2 1.77 Ac. 1 LOT 2 3 •�4 �88�8 90394 Sq. Ft. s/' 2.08 A c 6 io O — e6 ' - --- A -i \ — - 25.25' S 00'46'17" W A W ry 42 47' ` PL T PLAN PROJECT P.C. Collova Bldrs. Inc. DRESS P.O. Box 489 Somerset Wi 54025 SE 1/4 SE 1 /4S 33 /T 30 18 W TOWN Richmond COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 1 0/7/02 BEDROOM 3 CONVENTIONAL )00C IN- GROUND ESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallon 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 2" Pipe ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE O WELL IH.R.P. Same as Benchmark SYSTEM ELEVATION 96.0/96.3'4' Below Grade 218' Property Line Vent > 6» Standard Infiltrator of Cover Leaching Chamber with 3 1. 1 ft2 of Area Plans Designed Using 12" Conventional Powts 6' Long Manual Version 2.0 34 99 Grade at System Elevation F ' j, T - " v L 2 -3' X 94' Cells with >3' Spacing B -1 Vents B -4 185' B -3 B.M. #2 0 , 5' 70' 1 B- 30' 25' B.M. # S 20' Vents 10' 30' Pro 3 a Bedroom House a 0 M 121st. Ave V Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of Division of Safety and Buildings In accordance with Comm 85, Wis. Adm. Code county Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.O. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. eviewed Date Personal information you provide may be used for secondary purposes (Privacy Law. s. 15.04 (1) (m)). Property OwW, Property Location /1. Govt. Lot 5 j 1/45 1/4 S� T N R E ( W Property Owner's Mailing Address Lot # Block # or CS 9 01 Bvx. Y?3 2 2 I .= ° ,—,, a z My State Zip Code Phone Number ❑ City ❑ v ge own Nearest Road ( ) gJAm Construction Use Residential / Number of bedrooms Code derived design flow rate 5! S GPD ❑ Replacement ❑ Public or mercial - Describe: Parent material O�� . Flood Plain elevation if applicable /✓/ ft. General comments and recommendations: < / - D I S Y Boring FL71 # Boring s- 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/fP In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 I 'Eff#2 Z / S - i F-1 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil lication Rate Horizon Depth Dominant Cola Redox Description Texture Structure Consistence Boundary Roots GPDM In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 - Eff#2 Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 11 ' Effluent #2 = 8013 < 30 mg/L and TSS < 30 ng/L 0ease CST NIXTIber Address Date Evaluation Conducted Telephone Number y v Property Owner Parcel ID # Page of J F-1 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDtfF in. Munsell Ou. 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 GPDM In. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 I 'Ef1#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 GPDM in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 Effluent #1 = BOD > 30 < 220 mg1L and TSS >30 < 150 mgA- • Effluent #2 = SOD, 130 mg& and TSS 130 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 -264 -8777. SBD4330 M6=)