HomeMy WebLinkAbout018-2019-79-000 (8)PRIVATE SEWAGE SYSTEM
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snM1.m e�lUno°ave.
INSPECTION REPORT
GENERAL INFORMATION (ATTACH TO PERMIT)
630302
millon
..low.
,vxmwry[v,m.s lar,.sy L.W .lsa l�xmll
city va'sl
in9 HIIIS Fann ASS'N Inc I TOWN OF HAMMOND
PollSTIONS 018-201979-000
aMFw
li
IN,IN"om.
sm rte.uwM.Ngw
29.29.171279
TANK INFORMATION ELEVATION DATA
T E
MANUFACTURER
GPACnV
STATION
55
NI
FS
ELEV
Septo
BeMmoM1
Pe,eUl"
El
BI{ Sew,
HONi,p
SYXnnIeU
TANK SETBACK INFORMATION
III PLAN
TANK TO
PAL
WELL
BLD
'A,Inli,
ROAD
gIi
Sc%c
gBollwn
A,PomMan
NOT Syman
PUMPISIPHON INFORMATION
Ei Owe
Manus a,
Demand
GPM
Sl co.e,
mi Nome..
Film Los,
System Hm]
LEE Ft
e1e1
ewa
VIA
Vill Nweu
EM
SYSTEM
poi
SOIL COVER I pimmmm III Only xx MounOq AlLntlaSm Unly
ci
mm e.e
�L
Una
PRapt �,
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III
II
v., I_'..
n
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COMMENTS: Imnom Done mw°pei pe,mee mlii mol loepernm xl Imp 92
Lomi Ed
I I AL am ceamapllm9 pVe1leole
21 ME9loser mi
ni of cover �
s Nwl,nlmmm,m I l i
r_ 5Ar.1-i — 3a5
AtSt Croix
l5assay
am Buildings omalon
201 W WaMRgkn Aw F O BF 718t
w RmnxumnlmMmly IN ev I.i
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*ESEP17 2020
Maama. V4 Sa]w-71az
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diet nil Application
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a. bablaN l 1. Na didneInis!
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Rolling Hills Farm Owners Asaxiatlon Inc X
018-201479-000
Pisa rdT,. d.aaa.a..:, -Is...
d9.a .
3135 LaEore Rd Ste 150
5 --Sw a9
not ea. r.a r
rvem
Va mass HNpMs. Mn
R bki
x
n rrr•armw I.vin..Y.li re.r.pvyl 1�
Ib
'
m
7 _ _"
®ia„r.ma.o.alm.ra.d.,, 31-24
�m�fi
(ala
p xx
Rdling Hills Farm
❑v.dmramm..•�n IA.ur u.
O car ar
❑M,DAax rt>,rli<
❑vnl.yar
rv.aam
-
—_
�.awem Kemlaand
IR.rYRalai ltnxkoaiy ... a.Mail A r mi has Irdism Lnhkl
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❑ Its .m.m y.d...
❑ram.a x,.,...a
❑I,..n..aull.uaa.e*.^a"Isidaeamil
❑ misandiwn.{. n. r...sw^yrm bei
Ny
❑va,auabi
❑arr.ararau.r
Oma.arrewee
r.Si o`I'�" CovY ov✓
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IV
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❑rvm�,m.,..ma..a...°ao a..._,m la+a...d ❑...a.. Abu I oa,a..a-,.a w�r�
_•_9eNINN..
❑xaawlm ❑Iu.. u,a.a.....a-aa .arwwrnon wo mras now
—_stavardyal
V n.vr,nr...r An.hNNINNI
a �-rwr yeaspAa Ayinual K
art
aa.
Ismary ,or,...�arm
2400 159 S . 0
1506 'xiye
3
W32 303&i
1045 oN 101452
r..Y r.r.
2 Snrla fiXers./
u
rW
r..,
ie
a°
12M
1
11250
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IX t=d "'T Prvr M.�.x.6al�rymv.1.5\ C__ r.Tax
SYSTEM OWNER l 1by_�(p-T,Ij, y.a� •Ir �raC}
i Saptic 4
4 t}C. �1MY �Z �ta
aemust aeAnntl
callw5 PJ
aiwersaanagemnt
pen P1011/maiaume.b
bMf+�4W��'�
elks. management adibea eyplained 4)A1 1 U it 1. l-.. ..�0 el �
ael ea maintained
aacersbaucaeleuAekkill 091
svRb)Po fK ll,lp � � O /t�$e CIaSIT+N IR�MCG
Sanitary Sate Plan
For. Tyme Prope os UC
Rolling Hills Farm Otatlot 2
Pa ojthe S 112-SW114
Sec. 29 T29N-Rl7W
Hammond Dup. -St. Cmis County
OVTLTLOF�owMo
1E5 .9 TSFM.%M.Y
SHEET I
M.w.l. 1038.e m ,�1 1M
BTOMMWATER e{.pp��
MgNgGEMENT ziy- qy�®\ `' �p°' Ay tom!
ARF
yuryy,�'
u'vlslorl OF
xa2331 ANLUISlP.
GREFAY"
parent lay
NV ld%wm•a'w�
wwWalp Ev i
court M uay
Sep,mbel"_.2020
( ONOn'mnwuPPROV AL
PLAY APPROV 41. EXPIRP'C. 'O'NALO!
Plan Revile: PU TY0420 1911{
APPROVED
uumoxomeuzdilt'l
Khllll I SIGNER
u
23210 Woodaeek Rd
Sim, IS e197'
SITE Rolling Hills Farm Lots 21-24
IE^':nd .bo 11, n,...
Town of HAMMOND
St (nmCouury
Taltl Amount: S4IX11N
Pmscmn Ilumbulion Comrynml Manual— Var ! 0,
SLID 107m p 1A 0101 R IO 12I
Mound l umpmmm Manual Ver 20. SELL 1069 1P
(NO 1101. R IN 12)
Mfrn un SIW 4PU IlM1BeJimms—Rnrnnvn—ew(urtnrvmunl
Mmmrnnnaa Ellis
be mbrnntnl duzenbod abort Lar brrn mwwed &r ewfmmunm wom ID baabla Winona, Adm,md m,.(udes
and Wuwnsm Salutes. I he submittal has ban( VNOITION ALL I APPROVED this system is to be
'I'd and 11i In wNan With the oldi aPP�red plan and%in ugly aompmz uallr)
refcrmi vr,, The oxntle us dcfimA m ahepur 101 O100) A sc,mm SUM.., n...pnnz.Id, (m emendable
USE all We plunderer
No persm may engage III,,, work et pluebeg'n or sore unless li omeed to do m by the Departmrnt per s 145 06
TTz IFlluwmg condwon,shall be mm during omormt ... on..m1b rim and poor tousup unpo wa
I he deMtt rreye ring oe {of the de uvet not, ton p,xlual lb es aluue till
open and mmph, o SPIN`83 Ae llluem 0oallty woo
• Ar%ldm mL rm is ",red for he lilt or then Amp)ofWm oalw antyo
son ruz multbesnirsould to thecuny town
11111111e of in' IRIALAWY cermll by the peter Ili agent
• Proem dlmpenalarem prior and during u+ coon to ,veil motorboats, ImlingUllso No,, of themb
• Ntlhn end,d an to aaovata not pump In the dou tank anal the tanks mr
pumped m r 1, home. net occupmr,
• remMaul Reg bred loanrs rlaa gIfei.. la gad ds and or shO
pmAcivshall not be JoR,dednm the dru¢ dolhargm5 to the opr onzne w,meoater garment} re
OW Q'IIII Arad, gawlW dhall be totally dnpnzed nfa-rneoff sit,
A Am, fit firmest leave and xhrvlra shall be ra dolm and nmovW gouda h wl the mrfnw for muelUm, to
prevou mxmng u,do, he Imperial urex All loom nrpvmr mnenvl to be tumbled from NW I IAepvsvl
Anx
Oom •,Karl haler ham all Not IS Arms
• Prior to construction of the dupnal are,, chl the mil.. motor of the and W a depth of B inches
ump and wmpurtmg of drw,I ,It milt, coda[ or the Implication capacity ofd,ecard Pmpor II
he dtlnN h5 rolling a coil vunplu hi Ou humdx If I mils Into a V1 ouire, inch w
fill end [I III t mels rnm
to prtpme II n wmbles. site prepnumn con Proceed It the Site Is too wel W prepare do not
pmwW onlll donee
• 91 pupom hall mnfibrin mbill, l 111, 184101 and lens l in, IS4 30.5
• lommehoming meet he, led I) fro per \%;e. mlu xm
• Nell wilmb to mmt do 1R 811&81'
• 1link usual in follow all manuhuure s redo or mendmnrm
• Vemrr, Property Ill pr ... r To l itAlown
Pump Plouu W M wt and small per approved plan Any [benRea may reau1110 Pump indi to meet
TUII and IAN Spm,f[ahnm.
• Arestho copied x uh,,h lie mpS and Mo Will, ledvm me om olwd
11,11 Irma .awhra d,ln 1, Ithlbold•1 ,fine m,md nlxt hm uH
11 1111 nWlnelp 111lnn.u.nusmasvhcnall nfIn, mol I[,.n,hm.n„n mw"I'ldlm pmwd[
,ab.,wl nrmtult.e a;ex
fMner Rexpinslbtltlles
• The w and each wbi.. mul inc copy of this letter including m rtlaung
bpi old m of thew meVwnnahull red copy of We vppmpnal Spam and
uvl la lour m a ual Povh[SMM Is de¢nbed in this apprwl 5ore305NIJ.
• In the ev nteali, wit mi,i ,ni or any of,n [nm WnenI pun muff u.court n as to maail, heard,
habit Ih, pngem-aces or mud Ask,, the wnnngcnpglad as ill In IM1c appmvM plans
copy ^f the nppnvl plum speu0muom of this loner xIli h ml dunng wnYlntlWn and open to
inspection by audronmd replesenletles of the fromil en4 whmh may m[Ile local nsp¢tors All goons
regmred by, On rule or the Iroa1 mummpnbty hall he nbtvmed prior W [,mm,m m to of
wnsWtlmn muldia, nbpembon
In granting 0u appmsal the thmemanof lnduM Pen es the nor tomlchang� or eddm ns dhnuld
door.... an,, mi Ocm nu¢mry for "I mmpial %I pm Stem slam 101 IEQI school in the revue
whall rebevuhe des,an... I the rtspmo.him for re,R , m, bmmm8r itrvtlun.m mm Wnem
Irgmn mg thew ..fil s nay b, mad[to turns the telephone former listed belle mat th, address
on thmcletterhead
The dome let milmi hall or,,0... op, .r Jle houral the POW IS management plan to me owner ma any
others nM art impossible for mutilation opmdon or maintenance of We mu Is,
Thongs
Iirb
POW TS Par, Re.,ewn— Nesrevaor Spm,.b9
Ueparlbarely & pnbSmnel]erm¢s Owson of Ili Semces
lored
Coll 608-sl6ttl d
Index and Title Sheet
Pm)¢t Name Rolling Hill, Farm Shaped Sannary Svxmm for Lou 21241E mrn47)
Property Owner Rolling Hills I= Residential Nopcmits, ners Association Inc
Address. CuOlynml'mtanes
34351eMrc Rd STE I50 APPROVED
VeMau IleigM1u h 55110 w" 6
1<gal DesuURmn SI'2,SW Y. pO6bw•-e�
Stanch 29 D9N$19W
Township Hammond Count St Crotx ¢®�
Subdwumn Name Rolling Hills Fermi 2 Lom Samlary Sysmm Sming Lots21-24
Comp p/Puccl ID 018-1019-99400
CONTENIS
Page I Plao Nam
Page Plot Plan
Page ha+b Mound Plan Vuw and L'mss Section
Page. 41zmnl ovom aypman
Pegs 5 Coeavc Mound Cakulmlow
he, 6 Wm CbnmMr Cmss-Section
Page 7 PumpCurvc
Page a e+b Nplex Pump Panel Sle'llicalmns
Page 91hoot Svsmms H-WOA Trunk Slsaes and Hoot Serum and Inspection Farm
Page 10 Management and Contingency Plan
Attachments Soil aM Bi¢ Lveluetion Regn�u Sampk Rill Seeing Apeenient a� hlua
S"ItmsILCP MIAp lalwMmatmcwnmrtuimmemr
Mound CompwrntMwwl llsed=Version 20 SHD-10691 P(NOOUIR ID12)
1'mswm Dim Wtic)nCmmlnnentMmml Vcm,m2USHD'1n7O&P(NOIMIR 10112)
Tougher KeM L Sla odOvmwp..
Lnmue a Daugoer 157 No
Mgnelurt 'jpRy 8.13-2020 Man; 0(715) 653-2324
�1 /// Pax]tlo
SanitarySite Plan
��� aw a-
FarTymePropertiesLLC 1 en, wroPuo�
Rolling Hills Farm Ou lot 2 -
Part ojthe S l/2-SWI/4 Pmgm]WIMa W250JMF
Sec 29 729N-Rl7W o�pm MWI=xwiSMsdI
SrFlaa Emuem rml.
HammoM7Yup.-St. Croix County
Ol1/ProPo..orea
.z 7
1AMM ACHES \/ P FM%
1 MM SOR
E&
SHEET 7
MANgOEMENT 11no
AREq
Cross Section of a Mound System Using p.ye 3e orio
Two Cells for the Absorption Area
A 6 5'
a F 9'
C 4' G
D
UeRn�(m un
Funded Grade
®® Wp9 Haul A. A.hak
M)LIIOoaf✓ a, ,, OL�
Mound Cross Section View for the Upslope Cell
Anymane Dulacml Am
�� 3C4Lu
u
rrr
11:FLL
SM1udin4 Key Denul of
rYpiul Dhpeml Cell
® Iopmd Cap GOOMM11e 4abne
® snMnn Cap } cave.
131=ASI'M C33 Sand 5 IY
® TillM Laye+ d
® Adineme
Note Prepare Mound Site per Component Manuel
Cun9uclinn P dun.+
Page of 10
Lateral Layout Typical of Both Cells
End Connection Lateral Layout Diagram
usa v astSennanmt.e.sweos
Lien , aenleral sore the A&B dimension
Number or Laterals
Lateral Diameter
l a¢ral Length lPl
Lateral spwmg 61
introit Ito, Rate
I ell l low Rate
Sy+tern Flow Rate
2
Orr Diameter
Orifice Slumng lXl
Il Orifices per Latmvl
0 OnfiaeIhmvh
Length
bTm Mn adnld lei
glnn Manifold Diamner
Total IIeaJ
gpm Dynamic
156'5116"
in
a.
uxb
20in
2W
IMW
40
trs
943
p
in
R
1969
J 25'
4120
20
960
U01634-DN
1623
Lateral Turn -up Detail
Fimsbed Unsaid Thmdd C leamml Plug or Ban
6- to a- diameter Lawn Steridly BP; I,..J FaM1v
0=0
or Two Bends Same
Note latevl on& at fail entire where variable
length to cleanoul 6egms
Cell Dimensions
A=650 R.
B-1=116.Pi R.
B-2 =116 00 R.
C=4W
K-95Vft
1= 7 70 R
I=646'
L-I=133.91 ft
L-2=133.14 R
W = 31.16'
Page 5 of 10
Modified Mound Plan View Due to Concave Slope
L-1
Percem La lemon = (L)hPeonon /Ef cline dismbuhon cell length/ x 100
Percent Lkpection = (3 W$ / 116 ff ) x 100 =2 50%
Actual Licariburion Cell Length =[(% ofdeflecnon x 0 W265)+IIxeff nve dtsnibution cell length
Actual Distribution Cell Length =[ (3 50 x 0 00265) � I ]x 116 ft
1006625 x 116f1 =116 77ft
116 77'is the Actual Dunibunon Cell Length
Duplex Pump DoseTank Component Cross Section
Appmvm MuMnm ( ovm With Wommy LMIr
as Looking Device 4" Man Alwee Fina111rMc
4- Sch 40 Vau
Is 12
Above final OrNe
Nall Vr Rhambos Trel22Doplex
(Ecoca W Dov)
Top of met W (Set by murder)
Pas 6 of10
WeaJtR Proof lunation Box
Home pn NI'C 300 an SPS
316012 WAC
�y
Al@maR Outim l.ocMPo
W/APMwW 4-Movie
forte Main Than = 2
Note Pumpswt¢bundabmntoPu
A
Duplex You Mans
wined to service urcmu
1035 33'
—B
Pump OR blcv
WLPI250-MR Callon
l
Duplex Penalty
TnnkMh WiesenuaaRYe
I)
IXnaTurks 1Icy 10345V
Vmu'al DBfv+ence llaween Pump Or and Dombunon Pipe -101T 969'
Minimum Rnmiul Supply Preset¢ I
- 455 455
IT N Falso Main 310 Fmunn fanelim T.
- 112' 149'
_14
Note' Maximum all per Prernure Loss Thrnuyb I tour.
- SO 50'
PM or@ cell equals 240 get, l aul Dynamic HulW -.
- 1634' Dpslope I623' Down
Min dose per L C w11-18689 µall.
alone
IDuplcx
NomMroflMa - 595 per Dav ('at Per Day140f
Dasus-40152 Gal PumpsAluavoog
7A Gal bawanupslopc
tolue of fiesta,
en
-
-T09 BM1 Gal
Total Now Volume.
cell; )
Pump Took ('specify 125316 Gallon, Damenstom
Inches Gallnnr
Pump fork Valunu 4320Got WR A
Is 62658 No¢Tankm have
B
2 6962 wuomleb
Pump Mtr OouldN C
6 268R6 Note Pow main for
Pomp Model EP05 D
10 148111 the down slope all is
Mmiinum Do-Imme Rate- 4320(.PM per pump
11'Iengerapplytng-
- 179 gals more m0r
Niamabllr S3ERhombus less
x6W 12il16 upstopecell
Nano Model Tank Vert 1
Dal Tank per MS 383 45(5)
Anchor I nflk ar nacmury m negnw buoyant fort, Per SAPS 3834318H I
Wastewater
Fla" 7al
METERS FEE
10
— -- T s�
p 35l—
is
— IRON
IRPM
5��.
° ,° m ID a° 50 GM
CAVALRY
MODELIMMI MATIOH
all
will
Ellk
f
20
�
i
Goulds Water Technology
FEATURES
EP041or Thermopleshc satin open tlefyn
mth piump out vans (or merldoce•seal p mcc
ton
EPOS Impeller Thermopla[Ucendoxed tlmgn for
mpmved perbrmana
Gnny and Baze.P getl ihermoplaruc deziyn
peaces superior to,nilt, and.onus... rears
Mom"Hom.ng Coss nforeR.nemheattmn Mr
strength tried ... Indent
APPLICATIONS
SpecA..allydeugned for the ldlom.q uses
•Fmnem aynems
H.mes
Farms
• Heavy duty sump
• Water tender
• oewat ,mg
SKE lF TM s
• Salida hantlLng oPebihy k' maximum
•Garonne; uP to 60 GPM
•Total beads up to 31 par
• Di¢hnrye we. I N' NET
• Mecban ral ,at carbon r tarylcerame atae...on
BUN6N elaslomer,
•Tempnamre.
104-F(40-q Grpmoru:
140"F(60"Clmtermmore
• Clazx B In;uletmn
• Plaintiff 3W sea as namui Aeel
• Capable of ronn,g dry w.Mom dan.age to
comp.nen6
Motor Cooer' Ibermoplaxt.. mvm wnh integral
handle and Omuw.Wt arrachme,t pain,
Power Cable Severe duy mind oil and .eter oog
Beatings Upper and lower heavy dory ball bearmq
AGENCY LISTINGS
\A... SoCovFaki as[a marrxwan na.a.
Molw:
• EP04 Lngle phase 04 HP I15 or230 V 60 Ha 1550
RPM, bmh m weAoad aid automatic reset
• EMS Single phase 0 5 HE 115 V or 330V, 60 Hz,
1550 RPM, date overload nth atn.mau[ reset
•Powmmrd IOl.m mndartl length, 161391W
wnh three prong Rounding plug Optional N foot
Iong.h, 16J3 SJTW with+101 prong grounding plug
(standard on Feud
• M1ally x,bmeyed .n high grade tulene al fear
lubn[Tmn and ePluenl heat 4ansler
Available br automatic and Released "Real
AummaN[ models Induce MRehalind File Seiie[h
rumbles rM Prpl at Ure factory.
PERFORMANCE MTINGS
dealt
If
62
da
SW)spM1 W. pule,
Page 8 only of 10
T WON it]wnpq pyW ereagre] m elbmepH control Mo 130, 209 d 340 VAC Wrgk(Mn Wmq rn WN, BW mago
abuaum, con erbmaene abWiyNU4aw5 vnv'rrtdr In elamm ro me arlgreonp vunv con(ml, Itrn anmm vmmtreamentle
Mttpnp lal X,n eWrn rotlNm pnln ,n abrm,mtrJr at9nbs Uv euloNnual aWm syemn Cvnmm
ROMrwroa mrrowanv wmxs ,Wry Wmv arm impamn ay.YnW anp msYpw
1
En (2HFMP0%)ul)l524m)IaEtivM
WI®o1NMMSUMRiea0lb iDX81 eM
>rrm ��
menwYarcwn�la
w�rroA.,wwreer:.a
layout
W
0,
WAS Yams Anobing Fina
S
On urelMn.sl
Mndpyn,rRmmmtllmanYR MownI
e
CORNM[M
CiMft alwd
Gmeen uMp RunORNpIonMRWmaantro�umd on Nal
dean pump Run NlYteW LbybN
6
0
pnourMmarnraln,rnl
CIUXBrwbmlmMrap govEz pmp aevnunem Wwfrawn
mound
1
noon Lage
e
I
mn YAW,P III Oloweoem)
a
OLVNm(mcuMmon
aunmeonowapoam)
cmdamnoConva"
1a
C(nnwINdCatyr
n
nu.MYn AYrmcam.tt mlmc(marrnWp an omw Mad)
aE-l
More
1
Rp4YIm Bueon poMa l&I'wuel Ni4deunn mglm
Y, 1,m=aolaa,a cow AOW mrrewmwd. ENRON
13 oung) prmweR s�Jo.emvR ul aYmrmerum lWWssdopal MppN $In.�r f}AIYl1pXAA
OR _
NORNEW
Allen HYue nmalHmWnbd aussennI fW bn
3 vd Men 10M bIVI In In eWm 0,040, Mmm aulanm49MNO,matW
adnm anmmn W Cowen H�1.ar,an Ce /
la Nom SIYnn WNY(m...RE,n nmun Martl) USES
morE obw glen, WWI,
/ En�mrmd ryamml Wrcl aMa kh,$)1 U1, LsW to ml anow
en rn u,"caWN camams
/ oualR " taMWm M MR Ended & Ram Canw
SYmoN paum01mw0a RO , 3n slF SR,yIV anx annual
,ewe.
/ cwaplRW eam papp.Wprmmsm,n rn.wmwe
• Frcrear lennae.arrarlH C
Rh✓ us
PO 1Ben MnX Lycra WN DE
31880]1SFIv 317
T1111
SEE BNCNSIOE FOR COAA'LETE LISTING OF MVARABLE OPTMJNS erred aemmermmu®yaM Mwn
SEE PME BOOM FOR LET PRICE WNII.t♦tl�0/06C!/
EMODE,�z 4 TT
L 12'
E
B, -, �m.w... �.W w x �wn, an
W,k� i
® h
0 MLUAITAWpB
i z-n u
n -mxFu
mu
FLWi SWITCH AFWLCAlgN
�n-noAmo PIlpnTvITl ai pump wy v ,•*mWel
.1 cxCwsuxeu �mnvvBMf°"im.w wm-n �+wswm wwo..gno,
if Rb
tA
MIMETIC,
In
nTmlIn,T�
,,wTTf6,n,r.mw,W,
o«
nonwom
oa
Inw
OCC,arm
O .17AIn
�sarv�.e.,Wvv�e�em
O • wtl xe�.am ...�
p
..�...�a.e
m mm,,umc
b,
jcEI
IM
iv
,,��o
;'M"p
:ems
o
®.,em.�..,..w�m.�......�..,sa...�
gyp.
.I�IM
. vw.......1. I..,W ....e.....m.,
I wic9 0 a N 6a Bac Va
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8'
CAS
Ili—jII �—J(
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I III
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TOP NEW
Et SET PEAS ('DA)
ON DIED (IMAT Bg PNE0E SYSTEM
H-600 A
TANK SPECIFICATIONS
DIMENSIONS,
MALL S
BORW ]'
MANNHQ • I]' h 24' 0 PUSIIC PISEA
NEICIR ro' 00.
LENGTTH iAl ON D
SOL" INIP/DSY 0 D
uW D I£KL $r
MEIwT 1Ij3S Ix
INUT AND DIVIDED
I RED
SEA, (CAS) HINT pt EWAI
TANNK Mix oADEL mai M (sl.uirk l
p9TWrzm TANS.
PM asTg1 TANKS CIANACT YAESEA CMCAETE
FOR APP
W.
Hoot Service and Inspection Form
This testing and reporting shall be completed, signed and dated after each impaction. OM
copy Shan be retained by the maintenance company. The second copy Is sent to thil local
permitgng authority and the third copy is sent to the system owner along with an Invoice for
services by the maintenance company.
1 Actual Date or Visit
3. System Inspection of Owner
Address _.—
city, St, Zip
Inspected Items Operational Inoperative Not Applicable
Aerator -
'-
AerationPlumbing. I'C
Air Fitter. 0
Effluent Pump (if applicable) C
Chlorinator L' 0 ��
OK System Lght.
Alemr
D-Boa
Air Filter must be cleared each service vod Operation of effluent disposal system must be made
each vistt (if pumped) A system with greater than 70% Settleable Solids in the scratch chamber
must be ponced to avoid solids leaving the tank for the dnmfmlE
3. Repairs to system (list all components mpleced)'
4 Tests Required and Results
Test
Required
BOD (Grab)
0
TSS (Grab)
0
Facet Collfomi
l
5 Comnente
Results Teat Riddled
Signature of Inspector Installer 11 or NM/ Lkp
I he elm, wok hhall be mmntmmd he an avoided mifN to service More Tads under sec
18148, Suits the nnnentofIle optic tank shall M1e disposed of in aanNaTse wills NR 113,
W n Auto ( We (Servicing Sees or Holding Ian is, Pumping Chambers, Grease Intwcepo0.
Seepage HWs, handle Pit, Seepage l reaches, Pnvta, or Products R<Nnnmsl
IM1e operating condition of the Tne lank and mnlel filler still be assessed at least rose everf3
yews F. mspw.tion I lip outlet lilmr.hull hee4aneJ as necessary m ensure proper operation
Pie filter tMndg( dwild not removed on less draviseeP Are made to mum solids in the sank
that may slougM1oR No filter onto met from its racketeer If the fiber is equipped with an
Tonplane, e Inner a hall lw re woiced IfTheis aommecl coal .... ady Inhoormhul film almms
niq muscle surge tlows m an paramourµ inummon, almm IM1e repot tank Shull have it
contents mrsoed, hen the v,Iwm of Taunt and sludge in He ails esrmlr 10 the liquid volume
ofthelmk Ifthe miens ofthe ankare not removed at the time ofan assessment maintenance
personshall advise the owneref when the near service newremained mu t m be remned to maintain
than uncom on scam and sludaccumulation in The tank
I he pump chamber also sq..ingn ny erthree Teats rThe u of problem
complaint or failure Impaction should include envelop; The don tam, volume and frequency
Welding: Ili time chamber pace rill due to flaw continuing during Pump malfunction or Wwer
outages Oma purge den when me poxm comes on or when the pump Is rel+nd may uuu tM1e
control] system to have problem. In this indoor, the pump chamber should be pumped by a
nnsei pumper house pump cueing of.... n. mhe, measures still be used to dose the
rml rot with only the proper amount ul Induced Tosmaymcludemnnudmeranonofthe
pump umtrok until such Time the pump chamber M1ss ruched its normal level
Nate: A Simteeh ST F-1 gg effluent filter will he Installed In the does mak for each
farce roam to provide the fsltermak of the effluent to the dispersal Tell,
Septic Tank and Pump chamber neon access rivers and coven Should be m.Pmtd for ones
tightness and summit... Awcm openings used for xrv¢e and assessment hall be ormad
eTernghlupmfloe campinoon nlmse Anyaptmgmmnedunsmd Jefd,c,ormbl w
fm-del Kaneff"ucetl king h-a�e to present accTeualor B-ineM1esm J ntryt the Tank
xxared Kan effe0.rve IrwAmg Joim la present accidenml art uneWM1nnxJ entry to IM1e Tank
Womin. Nome shuuldenterauinfic bohuNxnt oT huNling inn\fin any rtuo without
being mfiill umTpl.... south OSHA STaMeMarnrutmngaccnfinedspue Peatmospbere
within the write m other Treatment or holding tank may condom Icfbal gnus, and rescu, old
W mn fiom the rotator ofthe lank nay M1c d,Mcull ar impcssrble
Tank aantlonment atoll be awmdince nob SPS 30 33, Wta AJm Code when the lank is no
longer used as a POW I S component
Page 10 of 10 a, b 4o
Solli�then tort=nt
I he cod Advirelum component xmng has ameturt Is des arms to accept domeau waa4waler
tromanzWenealfis iry Mci,mnzofop ll,nafMe mponentms,,wnlniabk2
1 he longcnp of a so I Nmrpam enme mcnt depnJ, greatly on proper eM umc 11 mamlen mai
mN syncwithin ur bm,, the limits of re hale open) n CnM water containmentpractice, by all scuparni and the installation of ni conserving plumbing hands are km,
betrothed extending the useful Ise of Ibis cnmponem
I he sea abserpbm minponcal z spend... most ba asa.ed M Inspection W ItW wax every 3
years Liberal turn up, are promdW at Friends ofJe lmenls for the purrow of llushmgthe lines
ulanysultls Flushing these lines abould be done trap 18 houtho the mspeauan shall surface
evodmaof g levnerrbowfpdolnadM1mn&rgrIli from
Ithe
the courtroom
mIllyepIam pal)ndelsmppmie&l aotscpyxmuemawfafe omem
shmMeidedMmtotowrforrepan thesxhageofdonaneystic
wastewater or%cwsecthold me )teinis pmM1bltetl add considered , Fumsn
health M1vsN
I nffe around m cost the sent c,emposident should we avoided particulars, during
wlnmrmmntha IM1ecumpadmn otrcmovel ofmow enverttm the wmpnnmil may lend to
M1)drmbc fallun hw foresee IM1n is pre of Ldore is uumlli, tempuarv, but is mi or
armse a to rtpmnmul sedi cnndmons'mpm" In gcnenl, cod a mutation over 0ts
nmpunenl will ndloe diffrom of oxygen Into the wet atul deposal cell. which min lead to
more Intense and another, clogging of the sell
Planting of dap «wM Imes and shnito dueah ore or vah , In tem of the cmmMnent should
h avoided most novel "union Into IM1n mmfoont mg) nMnutl vasMwne-flaw
Contingents Plan
In dw case of Vie of dose lank component barrel n sMll M taken to repair or replace
the mkstothen original openungcondsom Pmbkmawh the mmuremmem unit zhoold be
addressed to the POW rs Mmmnner Bi rum W annml unpxlroa should parent an) complete
failure should f nfun of Net dim(Luoon all wmponrm happent the oilers shall M Impeoetl to
determine the taus. of failure, uf0uenl quell) testing and %wor,mer Ilnws Steps Wren to repeat
or reposes, me di,fai tell inn) Imnhe rM1e romuvel afro M1tumut *hdch would rtquue clearing
r repbtemem ofthe dntnbunan network as well as repfaang the aggregate orders and dogged
portion ofthe hand fill
Comument Ovi Contacts is
K nldeson
CouZomr�
Wlescr Cnnerde PttNlucls
s Ore r _
Pul drrk Alti Ma
fi51 4]0.1 37
(]13))tllr46tl0
1600))3fi-3J 16
Minden Rock Wl
ewers SmtWtan_
— —
(7419 N-5]38
(K8A]_X]X-0nfifl
F�\tC'mltt
YYYLVID SYSIPMS I L(__�fiWA
Page 10 of 10 a. b It
SOIL EVALUATION REPORT —�U 0910
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AEROBIC TREATMENT UNIT IATUT
SERVICING AGREEMENT All
IFupmmus mnto pw,mi IS 5p5IDdI1M[I I9 x'u Amn tvk
/.pm,ealve Pmxl \umle
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wpNYa,l�o
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LFIGGISIS, Wa ' ae ALGOL HI$)aw LIX T,, tin" Hml H 600 A
w bL[l'wumy of it Cro nwniury OF fmv MW l5 MolppW wM mend[ uwmem unit un ban eNr[
e.,.mmrnm.mr wxaPmmdlNfolkwonµm
t to,worn, GLWLmnfaml mall Whall, mlmrtnanunF(l SON 3 M. Wm. ALL, (a nl.nna to m,[!,[ uumnn anal Jv
rG..... .mllnn.. m, mo pmp,mu rows(en.amonmu: wmmwmm irommm�arm.wlI«nlminp.
N.LunwJ nlwn Mmmmlanr me Fk nrm[,rmmn. TN1VwIl Mmolmrr«..nl
Mfwm pn�Wl.' nrfanm,noK mflnM,xn« m rgvlrtJ q uY mmufinummu 14ctr{ammt mnnema nmlw l,miui �o tw pkxn
'NI I. tJ mnnnl,. to �m,[rpF"L,w,l«Ip[J[rP HI[m imp«lion:anI, mammmN [Yana mnnJmurtn. omt two Y[an
m«,.man Wd'WI,L
ile,m uv IN IF II Mmnwm lmnICI OF MY^mlfunGmn Ifale lmnmml unit eM m"kno" lF[ unnvn
to mI ma, a Fnmw wI Lvak as Jncrb mm33459, IL
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W,II«I, nawwmn«
,Gm MJIe ngmnmrnl Far .,n Jnum.y[m v,mm II«baur mn kom IF[ Jan ol,r,rpwwn
n fNr apmmml wll lemwn In Libya, only u,nI U. I no a III ,,,,,k fu now npmlmm of vnm[ wall' wool vmnr mYmmt
n,pmO IMI sa„d to AemMl[ nm went Wf In bay ymmm, man hrm,¢IIM by
LLand w,Nmapv^JanILOII,n on mf... u to In, g.norn�m mrt mannnv OF Nwall form In, exlm,m of Mc
un, fx W on by M1[ ,merman by emmm[ m qe Gabon,
y Tnlsealmmm�NmlNplmiry,mm�ne wnv uY uxnflM1.uxm.unJ av,pl,o nllM ox,n HvowmilWlwFmM1Nn epvaen
W INK@.Morluea,mn by rbfi,, m[m,n, WOOL Sky,u Jan Regmce ofCe[Je in ammnv, wnloF wall pnmP lLeexnLL+,c[ ofM
ap�minmt w n[ Jmm�mm g lefvm[[ n, Jr proRnY vhrt Jle aemM, m-mL unn n IneN4Q
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IMMMCi IlYle1RYCFR•1CK
y __ Owwmr6sIIMM Will e.ee.ewtWr
May 10, 2010
HOOT SYSTE115, LLC
RON SIICHECK
28851NW 14E
(ARE CHMLES IA 7=7
Re. peecllpllm SEWFOE TNEATMENT MPPRATMS
Manufacturer
ROOT SYSTEMS LLC
NWucl Name'
manna M3 7649) HSEHIES HOOT
FWbl Normal
H5 A(MM W+FSW GP07
Product fik No
201901M
Ther to be in
WT emotionsSPS M Real 384s andfor hear lor hWbcaleh Mmreemay, C afeM�compliance
aapkro 14shod W 1W Wisconsin
SMIKA&S
The ppYlrtlTtt hereby Wuee an agxovel res00n the Wlgzruhr Sneaker and the WI✓a'wln AdminiaVaAve
Cale. Treaao•elMvaYO"e wdolM 2023.
This pprwel supeMae Ins seasonal sever on MnM 12. 2013 uni pWuct fib number 20121*99
This IOpa+al le arranged upin cnaplMiv WN ING folks Ma1PrYllonla)
• This rank must be he wmeteM the preseuse W Which It will W sugxlN
• The man discover must Yaev at lb manufacturing plans a M of plane and epaaleatrons bmal dte
aevanmenra orfee arevaaf TM alw Yb apatinralbna mY9l be opw to lnapwlion or•^.utnoraa]
repraawtaave of deaartmmem
• This prig l my not mane bacxwssh discharge man a wNer wall Wader edfewer backwash
CkoNga raw an Gachargw In mara r evetbf WsepMbM b dw. SPS 382 are 333(Mmaly CanmR
fine N). Wlc /dmn. Coda
TM msvnum daffy wastewat'i wmrn mar dlvAarle mraph thY pmdua, Is eW a=eons oar EaY.
• INMn Nis filarial rewrvea wawewaterlmm w/MMMs it vnll borax an effluent quality Won a marirwni
mdltl0y overseas value for HOM of Nee Nan oreYtul1030 soil, TI SNMee Nan a aawlb 30 all T59
W F0G of em NanJ evil ban R l consul 01 than or ea used N 10.000 dObeen.
• Plan rMaw V Mesubdlaron of NN pMuof must be sawhorse norm the repayment In eandeae Vans SPS
3 20(1) 0" War Adm (:Me
• TlF pmrW muwhweine[aYererapedmenlepporad aMueM lM uyade alMMpperXCes W Ins
M M are or Meer
a lry Mthem fe rot tenvmdx
NM Syalaru LLC
Nry tU, A10
Paaeg dt
PrtEud FM No 3018013e
Tede l M8lnlOmr lft eCaal
PRO I YaEW
Y
H3'A
InI11W5Wu In ec4oN MeinRnnn
3 mkfsemenW
bl�us Rabe Ylssenysis�
Ongdrg PumpVp 4Ytle PUWIX Bee�em/dv
BeG-WnllG cb
WA
Effluent Psrbrrrwry lawb
N9FJ8CIvee(
W05G ft Fa OomM DIBNWbaf Me
Yk3
Fecal 6mall Fa mmucNon IN veN915eliantlon_
bel5onal Cmmenb
YES
• Pine faun slash W flXM all beking gramme comes in accordance MtlI v. 5PS W8 T(7)(h)W1e AM4
CMe The mai wv« i an he aeorrea to the labor using s«ewa'MM an ml rtmMeN or PhY'rys Mtl
to us cwnb«ae an eX Uw rucking deNca
Tlron tanb yuY tearveming laheleSP5 3Ba.35 (8)
The tan is nm recommended to Im Inatauea where sawnW nil«sananel high ground welmteWm ere
'mdvatn between the Whom of me lank and the gnouM f
BE(IWNC. 3-Inches of conummaJ budding Shall be glorileE The b4blrq oWenl MOR be (To n Y
bang restrtul, or bearear s %diamoter, m tla against dMMmhn.
BNCNFILLING' muM be mrrrysdad also irch bbrvW BecFfill MWrwl and W hisi-r"uhni Wgavel
a a rrnea In numGaegt this rgwt aanemm
The department is In no war armwng the pi a any nsedYirg she Is not reeP«mible M any ektsW whW
mry reau0lrcm me use
W 9cM1lshict ammeter
PWmng Pr Of Si P GINI r
Oe{e.Nnnld Safely YM ProbeaicNl SLvbJ
Birebn M Terri Wlace
Beau 01 T401 Phone
$HryCG
(608)267-1a01 Phone
(60B)P8ueteri w
glen 3Mlaeter®wt gov E-mYl
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ill
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Wisconsin SOIL EVALUATION REPORT 01910
Department of Commerce in•r,ormnm with Comm 85, wa. Pam Code ape t_of 3
Gmibo Of satinm aRWldlnps—sb.r•soy SII
Arbon m*pbn me plan on piper nor And than $'b. ll rnd.f in sum mind mug°ainry
s cmor
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moment fired 'me rdron�a mworrmirwrom,l,n n°weoor l enie'Ind Ion
nurture ton nu w roPlwo
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Nan Cw um Um Rnvbmal,Nummrd Mrmmi _• Co]emmNdeyn Mnnb 600
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Rvlammenl PUNxwcrinn l Ge•abe n
Pennlmmrlal am ewlrmenl and under red9aN Andy loam In Floolganele Tlon, If applluele na q
Gawvl mnrrama At Grade or Act paerpn Recent Ebvfor M GrN 101(11 for MmM 101 M m Cn OMleur
add remmnbMNni hire elevation 10J 5511 Mmlmuum 6 lows RS1M C-M mWM 6aM
�rex nhp Gmumeunvueb._ 10J]5
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Mansell Ou So CmCab, Gr $z Sh s
I 0.10 tI IWr3/1 sit 3msb6 k mfv rid .6 .0
2 10on 10/n♦/♦ roc xl 3mraM mir re� ♦ 6
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cs.N,rmlPleaaw Pnnn /�J wla csr Nrerow
GwidJ steel ` y Mace
bfmn Cbal'e Soll Semm Dab Eutlutlbn Conceded Rangoon Nummr
NOM w1w003
3 of
David J. Steel
CST-POWTSM
Lie 4248956
STEEL'S SOIL SERVICE
994200'" St
nd LLC
Than an I evorest ar was conducted to satisfy a mnin8 requirement it mayor may nor be suitable for your use
The location of this test mayor may rim be as shown, as permanent lot lines were not esrablishW at the
time fee wtl rest was conducted
LLesson! IN
I"-40'
♦ -Benchmark Bin 10000it
Top of 3W par pipe
•
- Alt BencNnark Ele 10100k Top of3/4'pvc pipe
0 -Borings
Rolling Hills Of Hammo
S W I/4g W I!4,K9j2SbvR I7 W
from of Hammond. fit Croix Ca
End Hills Farm t 21
a '6
Beldxnry WI54002
Direct ]IS-060-0349
Fax ]IS-684-3449
Boring Elevations
BI- 100 ]Sk
B]- IN ]Sk
Bl- S985k
B4- OOOk
v �BCOJISJf►
6epaNnmt of Commexe
Dmipn otseMy,m en�m�ne:
SOIL EVALUATION REPORT
in e¢ommx with Comm Bs Was AEm CWe
P�tn �—I 0f3 3
Brcera Sou Benin
Alb¢inclW6 WMPWe Sllee seen an ph notbwtnan B%e 11 mctxslBMlxn Plenmuat
parent slope amle or tlenemlonSe but ad anded to remw I n o�M1 mox nds a bgLonoanOEl¢lanto neelesi metl
Vluse pi ell rn/OrmaOOn
wn,ove m„ ad e�m�nda lPnry mlll<mn
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L0122 ROIt,ng Xllla
Cly nYlege' Total Nerazl Road
Hammon 160Th 8t
Slale ZpCWe po
WI B40i3Ti CRp)1
Made Conflmtlmn tlu 811 Numbem fithadi 4 Grand Media Mon, Nox read 600 GPG
Rom emal Is sediment and puneetlpng radical Sandy loam 0ll EleW plgneleveom,it¢adrande na It
Gamin commends AtGadeorMwnd Owagn SpWm Elavabonbr At GradelW206tor MouM10020Xbas onmm rr
rewmmendson¢ line elwatlw 89 96N MImmuum6mMea A5TM C 33 mound sane
111B n,* Golan
on Ground III side 9890 N Depth to him Gterlar 100 Sollgpq'wnbn Ran
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CST Name lPlmee PnM1 SI CRT Number
Ground Steel 24SOM
AddableSWI'a 5od5ervrte Oab Evaluation ConduI TelepM1une Number
894200N51 Betlrvm W15W02 6I12I2006 715-080.0.347
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STEEL'S SOIL SERVICE sets
David J. Steel Rolling Hills OfHanuncnd LLC 994200m St
CST-MWTSM NWI/45WI!4s29XMNRI7W Baldwin, WI 54002
Lm.%248956 town Ottertail st core co Direct 715-]60-034]
Rolling Hills Penn Lot 23 Fax]I5-684-3449
This all oaluntmn Was conduged to satisfy n r mny requirement, it may or muy not be stumble for your use.
The mention of this teat may or may not be u shown, as permanent lot Imes were not mtesrated at the
time the soil test was conducted
Legend
r40'
♦ - benchmark fie fall W it
tap of 3 a-forpipe
e -All Bercw iuk tic I 1511
Top of L4" pvc Ppe
- points
Boring Elevations
111 99 85 it
B2- 9985fl
B3 - 9955 ft
IW- 000ft
^/DOO/Ii%/I SOIL EVALUATION REPORT
4paManlolfnmmxrw 11 avumenu mri Gomm aS wn>nm Code
GLlewn of 6a" ad fidalMa
p A 1 ll H1913
�94 1 or 3
SIelossoil6ervim
Ant"' al 5110 Plan on pPdi101 an than Bab. 111nc ,elm Phan muet
CnnoN $t Con"
fleuds dOnnotwlw
lad and horizontal lenu ml Wdi and
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and lymbonan een®mneeml
II �
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merU
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m.+a
u
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nepammeve Consem
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remmrarul
sery aedunem and uMedl'lnIiill nal Sam 6n FIUE plain Nerstion a appfude ral
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9l
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eslluw
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z6
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2 2M135
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3 35i8
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-Efli 01- BOO e> W 1220 wl a nn T55>30<150 19L 'EmI It A2-SOD, 130'1 and M5 30 al
CST Nnre(Pleeee Print) C owl �J- LSiNl
M GendJ 51% - 2Hg69
Atoms Smera Sou Sams �— `beam 01% EnivaMn CwnlgN ietlpna NurMr
at Stain at lawal 11151M2 N1 WODS 71S7180O347
STEEL'S SOIL SERVICE
David J Steel Rolling Hills Of Hammond LLC 994200ei St
CST-POWTSM SW 1 14 SW 14,S29,T18N.RI]W Baldwin, W154002
Lie 4248956 town of Hammond, St Coos Co Direct 915-760-0347
Rolling 1[ills Farm Lot 24 Fax]15-684-3449
This wit evaluation was conducted to omos, azoning romooment it now m may nd 4 smtffik for your
The basin of Nis Im may or may mm be as s o r,, at, permanent W tines were too esubbsM1M is the
time me ma imt xss emiduned
Legend
1-40'
• - Bemlimah Ele 1 W 00 a
T p of 3,4"
pvc pipe
e -Alt BencM1maAEle 100 20 R
Top of 3/4"pvc
pipe
o =Borings
Bmug Elevations
BI-
"Wit
B2-
9990a
B3-
99 so
B4-
Own
7- 5_ �'
3of3