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HomeMy WebLinkAbout020-1365-21-000 ST. CROIX COUNTY WISCONSIN ZONING OFFICE p IN oil I a - ...d ST. CROIX COUNTY GOVERNMENT CENTER \. 1101 Carmichael Road Hudson, WI 54016 -7710 (715) 386 -4680 Fax (715) 386 -4686 June 23, 2000 P.C. Collova Builders 705 County Road E Hudson, WI 54016 RE: Septic Inspection for P.C. Collova Builders located at 998 Scott Road, Riverpark Meadows (Lot 21), Hudson Township, St. Croix County, Wisconsin Dear P.C. Collova Builders: A septic inspection of the above referenced property was conducted on 12/06/1999. This property is located in the SE 1/4 SW 1/4 of Section 15, T29N R19W, Riverpark Meadows (Lot 21), Hudson Township, St. Croix County, Wisconsin. At the time of the inspection, this septic system was found to be code compliant for a three (3) bedroom home. If you have any questions regarding this, please contact our office at (715) 386 -4680. Sincerely, Kevin Grabau Zoning staff la' cc: file Wisconsin Department of Commerce Safety and Buildings Division PRIVATE SEWAGE SYSTEM Count y INSPECTION REPORT St. Croix GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No -: Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)). 353212 Permit Holder's Name: []City ❑ Village ❑ of: State Plan ID No.: Town of Hudson CST BM Elev.:- Insp. BM Elev.: BM Description: Parcel Tax No.: U a v 1 p endin g TANK INFORMATION ELEVATION DATA 0 — 13 - c ;? / -000 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic ,, �j� Benchmark , P {'�'!i c5 � ZOO Z. GOZ. y /00 D sing Alt. BM Aeration Bldg. Sewer vc� Holding <S / Ht Inlet z TANK SETBACK INFORMATION t Ht Outlet 3'; _ TANK TO P/ L WELL BLDG. vent to ROAD Air Intake Septic (� ©/ �� �� / NA D NA Header / Man. Aeratio NA Dist. Pipe L G - o olding Bot. System -r 3 PUMP / SIPHON INFORMATION Final Grade r errand St cover 1 Model Number PM TDH F riction Syste TDH Ft oss H ead Forcemain Length Dia. Dist. To well SOIL ABSORPTION SYSTEM BED / Width Length r No. Of Trenches pl No. Of Pits Inside Dia. Liquid Depth DIMEN z-- D IMEN I N SYSTEM TO P/L BLDG WELL LAKE /STREAM LEAC nuadurer: SETBACK CHA R INFORMATION Type O Mo m er. System: p� z5� M O NIT DISTRIBUTION SYSTEM Header/Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length _LIL Dia. T Length � Dia. Spacing Z Z 9 Z SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only S , o 8 Depth Over Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched Bed /Trench Center Bed/ Trench Edges Topsoil [] Yes ❑ No ❑ Yes E] No COMMENTS: (Include code discrepancies, persons present, etc.) Inspection #1: /Z/ J�Inspection #2: Location: 998 Scott Road, Hudson, WI (SE1 /4, SW1 /4, Section 10 T29N -R19W) - 10.29.19.___ 1.) Alt BM Description = S. } 3/�1S r /� i L G f y- t�✓ �p r��/� oQ f gd. , 2.) Bldg sewer length= z - amount of cover= .� rr divu�w"f' z ft, 1�e� ►1 fW S O / 9C�` !//�t s �Mc /�Ct ✓ Sy�t� (NlGV' ivy �O�re G} U. J r0J1 Plan revision required? ❑ Yes Use other side for additional information. SBD -6710 (R.3/97) Date Inspector's Signature Cert. No. ADDITIONAL COMMENTS AND SKETCH ' SANITARY PERMIT NUMBER: . l H . f f m m f 1 ; €gy m»«...- , «✓«.e. � ...�E ®m..,� � � � € � I € � � �. �_„�_..._ ...�. E 3 S ?.,....« . .......... ............�.. �.,. e.m....,e,....�a�....e.�...�.. .. w... r.--- n. ��. i..... Q. ...m.fl.e...._.«..,.- •--- _....»_ .«...». .m�....i ..,.... �.....,,. ...L..,......_- .n....,..�«.,... mm.�......... �.�...,«. —... Safety Bul Ings Division Vi scons i n SANITARY PE n 1N f Q RM AT IJW\ 'IQN 201 W. Washington Avenue �_.r..»: P O Box 7302 Department of Commerce In accord with Cdm. a Madison, WI 53707 -7302 • Attach complete plans (to the county copy only fort j; J t le§s: ounty than 8 112 x 11 inches in size. • See reverse side for instructions for completing this a(' S er ate Sanitary Permit Num x 'Z Personal information you provide may be used for secondary purposes y Check if revision to previous application [Privacy Law, s. 15.04 (1) (m OOF SCE , State Plan I.D_ Number I. APPLI ATION INFORMATION - PLEASE PRINT MAT Property Owner Name r ation t: t r rs✓"� f! 1/4, S L'D Tt? , N, Rd? E (or) W Propert Owner's Mailing Address Lot Number Block Number ;? City, State Zip Code Phone Number Subdivision Name o CSM Number �� 7 _S"-e Q" .'� 11. PE BUILDING: (check one) E] State Owned E] It� Nearest Road El Vil Public 1 or 2 Family Dwelling - No. of bedrooms Town OF .SGv tf III. BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) 1 ❑ Apartment/ Condo 0 ac — I 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant /Bar /Dining 4 ❑ Church/ School 8 ❑ Mobile Home Park 12 ❑ Service Station/ Car Wash 5 ❑ Hotel/ Motel 9 ❑ Office/Factory 13 ❑ Other: specify IV. TYPE OF PERMIT: (Check only one box on line A. Check box online B, if applicable) A) 1. Ek New 2. ❑ Replacement 3_ ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an ------ System ________System Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non - Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 []Holding Tank 12 ASeepage Trench 22 ❑ In- Ground Pressure 42 ❑ Pit Privy 13 ❑ Seepage Pit 1 1 43 C] Vault Privy 14 E] System-In-Fill � x V ABSOR SY STEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade `� Required (sq. ft.) Proposed (sq. ft.) (Gals/day /sq. ft.) (Min. /inch) Elevation ' c Feet rl 5;Z> Feet Cap acit y VII. FORMATION in gallons Total # of Manufacturer's Name Prefab. Con- Steel Fiber- Plastic Exper. New Existin Gallons Tanks concrete strutted glass App. Tanks Tanks Septic Tank or Holding Tank i i / fps' �°� ❑ ❑ ❑ ❑ 11 Lift Pump Tank /Siphon Chamber E] El ❑ 1:1 ❑ ❑ Villi. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewAge system shown on the attached plans. Plumber's Name: (Print) Plumber's Signatur (No Stamps) P PRSW t No.: Business Phone Number: o AV *, , ': 6_'- Plumber's Address (Street, City, State, Zip Cod ): l IX. COUNTY/ DEPARTMENT USE ONLY E] Disapproved Sanitary Permit Fee (includes Groundwater D ate Issued Issuin ge tSignatu (N Stamps) gtApproved ❑ Owner Given Initial Surcharge Fee) Adverse Determination �-- X. CONDITIONS OF APPROVAL/ REASONS FOR DISAPPROVAL: SBD -6398 (R. 4/99) DISTRIBUTION: Original to County, One copy To: Safety & Buildings Division, Owner, Plumber f / INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitary rmit'ma be renewed before the expiration date, and at a time of renewal any new criteria in the Yp Y Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer / Renewal Form (SBD -6399) to be submitted to the county prior to installation 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed whenever- necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety -and Buildings Division, 608 - 266 -3151: To be complete and accurate this sanitary permit application must include: I. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. It. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is public, check all appropriate boxes that apply. IV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested for numbers 1 through 7. VII. Tank information. Fill in the capacity of every new /or existing tank, list the total gallons, number of tanks and manufacturer's name, indicate prefab or site constructed and tank material. Complete for all septic, pump /siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc;), address and phone number. Plumber must sign application form. IX. County/ Department Use Only. X. County/ Department Use Only. Complete plans and specifications not smaller than 8 112 x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks, distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss, pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. ---------------------------------------------------------------------------------------------------- GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater contamination investigations and establishment of standards. r /f u .A -�. O to y o � � v r 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, Ws. 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 percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I. D. # APPLICANT INFORMATION - Please print all information. Rev ewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). ir- g Property Owner n C� IO Property Location 1f) a� Govt. Lot S 1/4 S t J 1/4,S f© T7-'f ,N,R l E (orS Property Owner's Mailing Address _ Lot # Block# Subd. Name or CSM# o s C a l City State Zip Code Phone Number ❑ City ❑ Villa g e [A Town Nearest Road c�5pn W ( S �/ ( 7 /S) , =S (' ` �� !2 ED New Construction Use: MResidential / Number of bedrooms Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Code derived daily flow `T ��- S ` Recommended design loading rate 17 bed, gpd/ft2_/19_�trench, gpd/ft Absorption area required l �beW ft Maximum design loading rate 7 bed, gpd /ft _ trench, gpd/ft Recommended infiltration surface elevation(s) y �� ft (as referred to site plan benchmark) Additional design /site considerations / L y elC ' go yv Parent material nL) W S kN Flood plain elevation, if applicable ft S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank U = Unsuitable for system ® s ❑ U 0 S ❑ U ® S ❑ U I ® S ❑ U I ❑ S ® U [Is 92 U SOIL DESCRIPTION REPORT Boring Horizon Depth Dominant Color Mottles Structure GPD /ft g in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed ,Trench t I b -Ip 10 31 z — Sl 1 zrr n *: C.5 1VF ° 6 •3 Sc6i I I ra5bk nor c 5 - Ground elev. Depth to limiting , factor I It in. Remarks: Boring # 1 p — Z IU r 31 Z I 2. m� � ! f L Z uo ip r 5 f$ S C5 �`D 3 ?N-2 4 I(P F S o (Y Ground L 4 5 IZI C I 5 Q W ' CS elev. " Depth to limiting j factor -Z -Lin. Remarks: CST Name (Please Print) ignature Telephone No. Address Date CST Number yezF e 6 C 2 ��"- ---.may "V` -'/ sGM � f� / Z- ,_ -5-y� ��--�r .'330 9 PROPERTY OWNER �S� r U UCk SOIL DESCRIPTION REPORT Page z- of PARCEL I.D.# Boring Horizon Depth Dominant Color Mottles Structure 2 g in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed Trench 3, - IZ IU r3) Z- — I r4 Ivy 5 Z IL- lU rK Sc6 1 I rnshk CYAC c 5 Z Vi Ground 3 -I! /0 v ( 916 rn I_ LS 1 0 elev. qWo t. Depth to limiting � � factor 111 in. ' Remarks: Boring # v - 8 ,3/2 I 2 C (� © r `I Z % -29 /0 vir 58 — 1 c — 3 29-11$ l6 Yr 0C _ mS L Ground elev. Depth to limiting factor j_in. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Boring # v r 3 N. -IZ 10 r yl Ground elev. 95`lzdc Depth to limiting factor 1Z•3 in. Remarks: Boring # 1 Ground elev. ft. ; Depth to limiting factor in. Remarks: SBD -8330 (R.9/98) -: - PAGE 3OF 3 NAME 0 f LOCI-O0 LOT # LEGAL DESCRIPTION SE� SGtJ r c�1 S CALE BM1 ELEV. DESCRIPTION - T01) OZ r co feet Pi pr BM2 ELEV. 7, Z U N. DESCRIPT'I'ON -r 0 O-C I%4 (- 2 SYSTEM ELEV. q Z,yQ ALT. ELEV. g o .qo CONTOUR ELEV. . )I U Y) 2 r L- Lr r � 30' �Z a5 d -N B3 �N 8M� J � e i I I r- r i • Aggregate SAS SYSTEM ELEVATION AND SIZING CALCULATIONS Below Grade Aggregate Soil Absorption Systems Permit Number 11/8/99 Date X ° X W Gravity Distribution only 1 Pressure Distribution 3 ft Suitable Soil 1 6 in Aggregate Depth 2 4 in Nominal Pipe Diameter 600 gpd Estimated Daily Peak Flow 0.80 gpd /ft Wastewater Infiltration Rate 750.0 ft Minimum SAS Size 92.40 Ift Proposed SAS Elevation Soil Surface Acceptable Finished Grade EL 3 (ft) Boring Grade Limitation SAS Elevation (ft) System Minimum Maximum Number Elevation (ft) Depth (in) Lowest Highest Elevation? 94.90 96.73 1 95.40 118 88.57 93.90 Yes 2 95.00 121 87.92 93.50 Yes 3 96.00 117 89.25 94.50 Yes 4 96.60 118 89.77 95.10 Yes 5 95.60 123 88.35 1 94.10 Yes 1. Depth of suitable soil required below the infiltrative surface for treatment. 2. Depth of aggregate below distribution pipe. 3. Based on chosen system elevation, and aggregate depth. The addition of fill for cover or the reduction of finished grade may be required to meet minimum or maximum code standards. Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. SBD- 10553 -E (R.05/98) ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer p. 1. t� oVA 61 A r1 S __'�'_w <-- Mailing Address - 7vf; `'e, - IC d E /lUQso -v (, v j_- Property Address V / UV N o '&) n✓ (Verification required from Planning Department for new construction) City /State gUA3UN T W T Parcel Identification Number ® �Z 0 - / O I U -1 U LEGAL DESCRIPTION Property Location SE V -5w' y Sec. ( y , T2_N -R -LLW, Town of l? o q ^/ Subdivision _ FL&i l t (Q l V 4�' A Y/k 1h S'4 Lot # Certified Survey Map # Volume , Page # Warranty Deed # S / Z S Z , Volume __L©` `�' . Page # Ga 6 Spec house yes 0 no Lot lines identifiable O no SYSTEM MAINTENANCE 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, journeyman plumber, restrictedplumber or a licensedpumper verifying that (1) the on -site wastewaterdisposal 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. 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. 916 NNUAb — F APPLICA 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 tescribed above, by virtue of a warranty deed recorded in Register of Deeds Office. ail ilk OF APP LICANT DATE « * * * «* Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. * * * * ** *« Include witlr 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 r 1 I STATE BAR OF WISCONSIN FORM 2 — 1982 ( 606267 W R +NTY DEED KATHLEEN H. WALSH l Y� 39 e 4 ( ST. CROIX CO., DE E D S DOCUMENT NO. Y. PAG_ J � , KKMM FOIL AEM ILA Marjorie Malernee, Frances August and Paul Katner 07-06 -1994 9s30 AN j as tenants in common a /k /a Francis I QED August WWAM conveys and warrants to P . C . C Builders, Inc., a I COPY FEES Wisconsin Corporation i TRANSFER FEES 1310.40 REMINS FEE: 2 .00 1 THIS SPACE RESER FOR R ECORr iNr3 DATA Elie following described real estate in St. Croix County, DAY O J. ES s BEEN State of Wisconsin: 304 Ll''la.1ST 3T. SE 1/4 SW 1/4 Sec. 10- T29N -R19W excepting therefrom Lot 1 HUDSON, WI W1 of Certified Survey Map recorded in Vol.7 of Certified Survey Maps, page 2089 as Doc. No. 447303, also excepting' 020 - 1010 -20 _ the railroad right of way. - 020 -1974= - -- 020- 1025 -90 i NE 1/4 NW 1/4 Sec. 15- T29N -R19W excepting therefrom Lot 1 PARCEL IDENTIFICATION NWBER j of Certified Survey Map recorded in Vol. 10 of Certified Survey Maps, page 2701 as Doc. No. 507728. NW 1/4 NE 1/4 Sec. 15- T29N -R19W I I+ iI i 1` it 'I I I� This is not homestead property. --(is)-- (is not) Exception to warranties: Dated this V day of June A _ 19 99 auwu jl (SEAL) t .troy. • Frances August a ugus ° ,•� ...(tt Paul Katner �: s _ csEAi ' I (SEAL) `3 • Mar orie Iernee � �j, AUTHENTICATION "' ACKNOWLEDGMENT ashi P ATTACHED! . Signature(s) State of V tsc IBIT "A" l i King County. i authenticated this day of 19_ Personally came before me this 20 th day of h June 19 99 the above named TITLE: MEMBER STATE BAR OF WISCCNSIN Frances August (if not, II authorized by 9706.06, Wis. Stats.) to me known to b to person - --- who executed the foregoing inst tan c wtedge sa THIS INSTRUMENT WAS DRAFTED BY _ Heywood & Cari, S.C. by Walter Hodynsky ( 204 Locust St., P.O. Box 125 Hudson, WI 54016 Notary Public, King County,— �lA (Signatures may be authenticated or acknowledged. Both are nor My commission is permanent. (if not, state expiration date: ;i n' necessa ) September 1, 2001 XN9 ) 11 - ! • Nun of pw erns signing in any �pa.,t should by ryp[d of printed below their signatures. t. , f es WARRAN rY !SEED STATE BAR OF WISCONSIN Waco w Legal BIaNc Co'. lict Form No, 2 — 1982 Milwaukee. ww t �� �`� ' � 6 S � � �',0� � R�' ��� � �, � 3 �� � `� Bz ti �ti gv g �� . �� � ti\ ��� �I ,IVisconsin Department of Commerce SOIL AND SITE EVALUATION Division of Safety and Buildings Page--L of 3 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 � . C rUl X percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I. D. # APPLICANT INFORMATION - Please print all information Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location P oll (� l i C, Govt. Lot s 1/4 s� 1 /4,S( O T Z ,:� ,N,R E (ork�D Property Owner's Mailing Address �} Lot # Block# Subd. Name or CSM# 1 5 C 1 l-_ 2- P t v ev PQ (k �'Yleod U_; S City State Zip Code Phone Number City Village F] Town Nearest Road ❑ ❑ �u_d cri I Loo 1l5 �5`t i� N LA J tie) ® New Construction Use: ® Residential/ Number of bedrooms Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Code derived daily flow gpd Recommended design loading rate bed, gpd/ft • ? trench, gpd/ft Absorption area required gi bed, ft 0 ranch, ft Maximum design loading rate • 1 bed, gpd /ft • $ trench, gpd/ft Recommended infiltration surface elevation(s) / , C) ft (as referred to site plan benchmark) Additional design /site considerations ✓-)G -I . •e (c u q Z , -Sn Parent material QU 45h Flood plain elevation, if applicable CIA ft S = Suitable for system Conventional Mound In- Ground Pressure I AT -Grade System in Fill Holding Tank U = Unsuitable for system (� S ❑ U ®S ❑ U S ❑ U ®S ❑ U ❑ S [@ U ❑ S [O U SOIL DESCRIPTION REPORT Boring Horizon Depth Dominant Color Mottles Structure GPD /ft g Texture Consistence Boundary Roots '•.......i�l�F' F, in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench lnYab n4c C 1 Ground 3 3 -I f U r `f ryl L 5 g elev. �jG, yU ft• , Depth to limiting factor Remarks: Boring # ` �;:: RE Z I6 lb r"y — S6 2►� bk f l S 3 2f� -Iii 10 ��e �nS OSc M cs 7 X Ground elev. I'! Depth to limiting y ` Y factor IZ► in. Remarks: CST Name (Please Print) Signature �f� TBlepho4r o. Address Date CST Number q& 8, Ce . -may �/ s / - -9 Z5 3,36 2 PROPERTY OWNER CCU < < o y C�- SOIL DESCRIPTION REPORT Page 2 of 3 , PARCEL 1.D.# Boring Horizon Depth Dominant Color Mottles Structure 2 9 Texture Consistence Boundary Roots in. Munsell Qu, Sz. Cont. Color Gr. Sz. Sh. Bed Trench . .3 _ i -,Z i5 lv� z 3 2 fz -z�I 10 S; t 2 k mA 0 - (o Ground 3 Z9 (b - Li kp rn ( el ev. q . (90ft Depth to limiting factor I2I in. Remarks: Boring # o-u i0v M 2 5 1v 2 3 y Z u -zz y I LI - 3 ZZ -1210 y U l C S Ground elev. Depth to limiting factor /Z(o in. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Boring # 5 2 �� -z� v �► ( Z 3 -4 -120 _ rm5 C5 - 1 Ground elev. Depth to limiting factor _ ILO in. Remarks: Boring # Ground elev. ft. Depth to limiting factor in. Remarks: SBD -8330 (R.9/98) PAGE OF i NAME CU (o v � LOT # Z LEGAL DESCRIPTION SW SCALE BM1 ELEV . DESCRIPTION -A,, �t�zkD� b,�n BM2 ELEV. q 7, DESCRIPTTON--A �W 6 SYSTEM ELEV. G f U ALT. ELEV. �lZ 30 CONTOUR ELEV. U -4 k 6 2 - R �S o (33 .0 ' lv 3/ e,r�