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HomeMy WebLinkAbout020-1353-42-000 ~ C) v 0 r / I � ) i � § I � W � \ o z t z i \ � « � $ i z / k z z ® E $ / � , k / k \ \ \ ± g E 2 E � o � �\ ) 3 o k k \ z NI § . , f ) 2 C { � 3 Q ■ _\ _ . k ® 0 - t 'I a a 2 \ o B 0 E E 2 � � u � 2 f 2 "k-4 a R § § a § d j . \ E > J )2 #ƒ6 / \ E 0 co o E ° c a 4) § g C'4 @ R 8 { G _ � Q a @ 7 $ $ ) / � \ - § k 1: \ \ o z / k ) \ 2� .. ® — ; m - � . a (L E \ / / \ L: , c k 0 o 2) o 3 J ST. CROIX COUNTY ZONING DEPARTME $ AS BUILT SANITARY REPORT r C}IV Owner ; L f, Property Address L �� rty p ,., City/State o �� '..... Legal Description: Lot 70C Blockjjm Subdivision/CSM # —, 4 � '/4 ZW Sec. 3 T 2 N -R W, Town of /- a,02 sd ev PIN # Q,2 ® =/ll� 9 - 70 • - 000 SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION: Tank manufacturer IIS L--= & - A - 3 Size ST/PC / Uo/ — Setback from: House _ Well P/L Pump manufacturer A I j Model Alann location (HOLDING TANKS ONLY) . Ser vice road fresh air intake Water Line Meter location At= a on SOIL ABSORPTION SYSTEM Type of system: Width 3 Length Number of Trenches Setback from: House ,/� L Well P/L 1 Vent to fresh air intake Z O -74' ELEVATIONS Description of benchmark � `� Elevation O �� �` _l� D i /J � _ � Description of alternate benchmark i � � — Elevation 9B. y t� Building Sewer 10 ST/HT Inlet ST Outlet 2 PC Inlet PC Bottom A M Header/Manifold 6. Z2 Top of ST/PC Manhole Cover I Distribution Lines (1) 21113 (2) `/,• -3 3 ( ) Bottom of System (/) 06 (Z) f -5 � O D ( ) Final Grade Q f D d, 00 (1) /'G 07 � I Date of installation/,I / Permit number _ 3 31 9_ State plan number 11 Plumber's signature icense number ;4Z f ) // -Date/ 1 l Inspector Complete plot plan � NOTICE Please provide the following: • A plan view sketch showing everything within 100 feet of the system. • Two horizontal reference points to center of septic tank manhole cover. • Show alternate benchmark, if applicable. PLAN VIEW 19'0/ 001 f/ t 7 a -3 7S` x 7 5- T2 s+ ry 2 /YS ' Tit FA-t 1Y =S X41 �" INDICATE NORTH ARROW r *Wisconsk) Department of Commerce PRIVATE SEWAGE SYSTEM Count y Safety and Buildings Division 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)1• 353169 Permit Holder's Name: ❑ City ❑ Village ❑,Town of: State Plan ID No.: I Town of Hudson C TOM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: l ej tae TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic 4100 Benchmark U UCI Alt. BM •l to Aeratio Bldg. Sewer Z• o ding ;9 Ht Inlet 7 Z TANK SETBACK INFORMATION t Ht outlet TANK TO P / L WELL BLDG. Air I to ntake ROAD D Air Septic > Z / �t > r NA om D NA Header/ Man. P. z 5r' 9 L, y3 Aerati NA Dist. Pipe T N` , tv -y L� p 2 0 0 -y 9 L L Holding Bot. System L � � I /' -� PUMP I SIPHON INFORMATION Final Grade ,G Manu er Demand St cover O n to/ Model Num TDH ift Friction S stem TDH Ft L oss F rcemain Length Dia. SOIL ABSORPTION SYSTEM BED IXRENW Width J Len th No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIME `Z-- DIMENSION SYSTEM TO P/ L BLDG WELL LAKE / STREAM G Man fac r r: SETBACK HA BER r INFORMATION Type Of / Moe Num er: System: (,O y� 7t a Iu t c. DISTRIBUTION SYSTEM Header /Manifold � Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length Dia. Length / Dia. Spacing /If 7 SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS (Include code discrepancies, persons present, etc.) Inspection #1: /Z 12 / 9f'Inspection #2: / I Location: 864 Alex Lane, Hudson, WI (SW1 /4, NWI /4, Section 36 T29N -R19W) - 36.29.19.436 Aj 4,1a 1k arc - f Go ✓� � -/ �> s y srr�rr el-,V. , f � L✓er, K, .r. s Cr jo v�--s (s c �t�lc 5 0 iG Plan revision required? ❑ Yes ❑ No Use other side for additional information. (L 1 Z kq f SBD -6710 (R.3/97) Datk Inspector's S ature Cert . No ADDITIONAL COMMENTS AND SKETCH I SANITARY PERMIT NUMBER: m _ f ......„z. ,... ei we h ... .. .<A. e.. ..�.g ... P t F 5 5 E } J FT Wf � 1 4 t € dd F € € € I ! % 1 _ ------ . 3 � � ( 33 d I I � 3 �� Safety and Buildings Division Ifisconsin SANITARY PERMIT APPLICATION 2 1 B W shington Avenue Department of Commerce In accord with Comm 5 Blip• d Madison, WI 53707 - 7302 r • Attach complete plans (to the county copy only) fort `y em, oaper ria. tes� count ` than 812 x 11 inches in size. - REC • See reverse side for instructions for completing thi ikpo lication �',= z state anitary Permit Number Personal information you provide may be used for secondary purposes., - ❑ Check if revision to previous application [Privacy Law, s. 15.04 (1) (m)). I .. ST CROIX 1 „�a State Plan I.D. Number - COUNTY I. APPLICATION INFORMATION - PLEASE PRINK livellaltm [Cp0 Property Owner Name ). Prop tion ]%. 1/4, S 36 T , N, R E (or)/ Property Owner's Mail” g Address er Block Number a City, tae Zip Code Phone Number Subdivision Name or CSM Number - - e (Gsl) Co 11. TYPE ILDING: (check one) ❑ State Owned Vil Itr Nearest Road Public 1 or 2 Family Dwelling - No. of bedrooms � P Town OF phi! III BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) -nQ n . 1 ❑ Apartment/ Condo dZ# - 1%9) ^ 4-2�--Jrn 1 1 am 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 on line B, if applicable) A) 1. ;' New 2. ❑ Replacement 3_ ❑ Replacement of 4_ I] Reconnection of 5. ❑ Repair of an System TkOl E Exi sting S ------ sn� ------------- -------------- q System - ------- -------- --- -----y stem 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 (,Seepage Trench 22 ❑ In- Ground Pressure 42 ❑ Pit Privy 13 ❑ Seepage Pit / 43 C] Vault Privy 14 E] System -In -Fill " VI. ABSORPTION SYSTEM 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/da /sq_ ft.) (Min. /inch) Elevation DO 5 9S• dO Feet Feet VII. TANK Cap acit in gallo s Total # of Prefab. Site Fiber- Exper. New INFORMATION Tanks Gallons Tanks Manufacturers Name Concrete con Steel glass Plastic App Existin Tank Septic Tank or Holding Tank 91 11 strutted El ❑ ❑ Lift Pump Tank /Siphon Chamber ❑ ❑ ❑ El 11 ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name: (Print) P m er's Signature: (No Stamp M Sw No.: Business Phone Number: Plumber's Address (Street, City, State, Zip Code): O IX. COUNTY/ DEPARTMENT USE ONLY ❑ Disapproved Sap itary Permit Fee (includes Groundwater ate ssue Issuing gent Signa re iNO Stamps) roved 'EP Surcharge Fee) pp ❑ Owner Given Initial !224-- ��� Adverse Determination X. CONDI IONS�OF APPROVAL / EASONS FOR DISAPPROVA y� ii r SBD -6398 (R. 4199) DISTRIBUTION: original to County, One copy To: Safety & Buildings Divisi , Owner, Plumber INSTRUCTIONS ° 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at a time of renewal any new criteria in the 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 pumpef 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 Buil4ings- DiA4op, 668. 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' II. 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 1/2 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; arid 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. t t f c i r r —�-- f #---- t- -- } - • — i -- --- ,fi �—, —� LL I i i I A 7m2 _ t GU ! r_ 1 ! i � r t � ~ AF — r ;r i r r t Ya- �Qr2�x -- ` r t 1 - _ -- t r ii ! r t L( J� V7 W I } !! — 9 I ; , i t _ l I i , e . r 3 „ • i I kk i i I i , } t , 1 , i t r i - -- - I• t � r , - i t i ? i ! a — , ? f � • i g i 4 i i 1 4 i i ! - - -. - - - S -- — Wisconsin Department of Commerce SOIL AND SITE EVALUATION ^� Division of Safety and Buildings Page of `J Bureau of Integrated Services in accordance with S. ILHB -83-0$ Wis. Adm. Code r I Parcel C oAty Attach complete site plan on paper not less than 8 1/2 x 11 inches in size, must include, but not limited to: vertical and horizontal reference point (BM), �re6t16n and� r -tip ` (fro percent slope, scale or dimensions, north arrow, and location and dist4rice,to nearer& F l. . # f CJ: — 7 0— OW APPLICANT INFORMATION - Please print all information. R evieweq by Date ST t (l i1, Personal information you provide may be used for secondary purposes (Privacy law, s: 15.04 Property Owner P it (�aLV 5 iA Goyt. Lot „ 1! , 0X W '14,S�� T Ur N,R f 9P �r)� Property Owner's Mailing Address A q I iE�ubd. Name or CSM# City State ity Village e Zip Code Phone Number Nearest Road C/Gt e AW .1+9 � �) 7_? - 09 ❑ ❑ a� n 6 Tf T dr• ru X1 New Construction Use: Residential / Number of bedrooms Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Code derived daily flow vD gpd Recommended design loading rate bed, gpd /fF d � ©© trench, gpd /ft Absorption area required bed, ft ft 2 Maximum design loading rate bed, gpd /ft gpd /ft Recommended infiltration surface elevation(s) r� �� ft (as referred to site plan benchmark) Additional design /site considerations -/ 4 1 / / , 7 ► d d �/� y� Parent material ®li�L/e? s L, Flood plain elevation, if applicable / Y /`f" ft S = Suitable for system Conventional Mound In- Ground Pressure I AT -Grade System in Fill Holding Tank U = Unsuitable for system I CJ's ❑ U IRS ❑ u [R ❑ u pi's ❑ u ❑ s ®'u ❑ S a t) SOIL DESCRIPTION REPORT Boring Horizon Depth Dominant Color Mottles Structure GPD /ft g Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench / o-// 1 6ge 5 '4, Zmsif Ground el v. /c_� Depth to limiting F 5 ' s �ut ch w.�{ in. cr9 -�w�n w r a4. -� r . w� GB+'t. 46.V6­0 &+_ Remarks: Boring # c h 16,1,e ow Ground etev. � ft. / 5 _e'�• Depth to limiting fa t �,in. Remarks: CST Name (Please Print) Signature ` Telephone No. Address Date CST Number SFW L. l emu, / ,- 5 " n, q - 0 -1,3--9 9 .202W (� ��- SOIL DESCRIPTION REPORT PROPERTY OWNER S G rn i Page of PARCEL I.D.# ' Boris # Horizon Depth Dominant Color Mottles Structure 2 Boring Texture Consistence Boundary Roots in. Munsell Cu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench or Ground 3 ® G 4! 6 /� Depth to 2Z limiting 36 • ���2 factor — Remarks: Bonng # Ground ��, Q elev. ` ft. Depth to limiting actor ly�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 # D - ,� �. �vNSd l� C �✓ c��l •� . 3 3 0 ie � / ---"� Gs / �✓ 7 Ground / o ft. Depth to limiting factor i71-5--in. Remarks: Boring # Ground elev. ft. ' Depth to limiting factor in. Remarks: SBD -8330 (R. 07/96) , I ' I_ II I, I I J I I 1. I ' I ' ----- - - -- - AA 8m yf r - -� I l i I , I .. I I I I i I I 1 , t j r - — - -'- -- — — _ — ! - AIwb S.?6 T a�v�i - T j 7i't�h - f I, I I I I I I L I 1 t:7 1 kd 4 i I I 1 , I 1 ; I ( I I ' I 1 I I : I I ' I , [ 0-7 t i I ,. i I r - - 4 I ! I I i I , , 1 I , I � I , , r • i I 1 I I i j 1 I I I K , I , ! I , r : I ; i + I ( 1 I , i h I , ; I , , � I I , I i L I I ! I I I _- ' , I , I I i 1 , I , , r ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer 1rr A fO k4 clC,&M IQ 2 Mailing Address 12 Ma Ro Al. QA1rD/11-1-;7 /' -/,4e S 5 / g Property Address �A E)' LAI (Verification required from Planning Department for new construction) City /State AU/1_so At GUf Parcel Identification Number 09 - 0 — 1 10,8 - 70 - 60 LEGAL DESCRIPTION Property Location SW '/4, AfL 1 /4, Sec. ,3 6 • T,kf N -R _Z�LW, Town of 114140.5,IAl Subdivision /- 077 - ,& ffSy a o D R f 0 G-e , Lot # _ Certified Survey Map # . Volume 7 , Page # I/ 5 Warranty Deed # 4414,4 8 . Volume //Z / , Page # y� Spec house ❑ yes C9 o Lot lines identifiable Dyes ❑ 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 master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (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. Itwe, 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. j0 / /Z/ 9� SIGNA OF APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owners) of the property described Qabove, ,byy virtue of a warranty deed recorded in Register of Deeds Office. SIGNAI&IR 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 deed , V O L 1461 PAGL 418 r� STATE BAR OF WISCONSIN FORM 2 - 1998 Es 1. 1.6CGA8 WARRANTY DEED KATHLEEN H . WALSH REGISTER OF DEEDS Document Number ST. CROIX CO., WI RECEIVED FOR RECORD This Deed, made between 10-06 -1999 8:30 pM RICHARD O STOUT and JANET P STOUT husband and wife WARRANTY DEED Grantor, EXEMPT # _ — CERT COPY FEE: and GARY RR S( HM1nrP and LINDA .T SCHMI COPY FEE h 1 Ghand and wi ; f TRANSFER FEE: 158.70 RECORDING FEE: 10.00 PAGES: 1 Grantee. Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate in St Croix County, State of Wisconsin: Lot 42, Plat of Cottonwood Ridge, Town of Recording Area Hudson, St. Croix County, Wisconsin. Name and Return Address EAGLE VALLEY BANK, N.A. 1301 Coulee Rd Unit 2 Hudson, WI 54016 020 - 1108 -70 -000 Parcel Identification Number (PIN) This is not homestead property. (is) (is not) Exceptions to warranties: easements, restrictions, rights -of -way and covenants of record. Dated this 1 at day of oCtober 1 . 9 9 9 ( Richard 0 S tout (SEAL) Janet P Stout (SEAL) (SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature(s) State of Wisconsin, ss. St. Croix County. authenticated this day of Personally came before me this ] g t day of (lctnher 1 999 , the above named Richard n Stout and Janet P Stout TITLE: MEMBER STATE BAR OF WISCONSIN to (If not, me known to be the person S executed the foregoing authorized by §706.06, Wis. Stats.) instrument and ac the same. THIS INSTRUMENT WAS DRAFTED MARLENE K. LINN — / 2 Qom. Votary Public -State of WisconSht Janet P. Stout 3/I a a00) * MCkr At n-Q � n n — 13 53 ���l,�_!+ dW Gnmrnissinn Ex res Hudson, Wl . 5401 6 otary Public, State of Wisconsin My commission is permanent. (If not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not 6 ) necessary.) ' Names of persons signing in any capacity must be typed or printed below their signature. STATE BAR OF WISCONSIN Wisconsin Legal Blank Go., Ir WARRANTY DEED FORM No. 2 - 1998 Milwaukee, W 3..LZ.91r.00N Jli W- 7 1 I j cu M _ � I L- -- -- -- -- — ,1:0'969 M,01rAP .ION I I —� r 1 1 W cn �gu M ^� Of r v u j C4 v�l jI Of •-- •-- •-- •-- •- -• - -•— .S8'SZS 3,.LZ.9b.00N• -- - -• -- -- -- : - -• —� � ! Of it ! /' Of y CV C OR N ,! b n� rt, ! 509:� i I m '96 "S£b -- __ � i co Q• '° �._— . r195.00r 1. �Cy Of OD / I N CO ••• ! • !/ i I o �!: W cu O Of OM NGo i / �i W co co t •I �.� CD ��. • .... �� I Iy o451r Wisconsin Department of Commerce SOIL AND S l T � EVALUATION Division of Safety and Buildings - ,. `t~- --,_ Page of Bureau of Integrated Services in accordance fl -s`. )LHR '$3: , Wis. Adm. Code Attach comp lete p yh lete site Ian on p aper a er not less than 8 1/2 x 11 in es ifi size. 1a rest County include, but not limited to: vertical and horizontal reference pbihrt AM), di4ctllo i arch ? j �rQ 1 percent slope, scale or dimensions, north arrow, and locatiod and distar}pe to nearest road. parcel I.D. # APPLICANT INFORMATION - Please print all i�>FOKmatao ►„ ` `'k =Reviewed b Date Personal information you provide may be used for secondary purposes 'rivac 1_6a i' m ✓ Property Owner Property 40c, ' n Goyd.'� W 1/4 �/W 1/4,S ,6 T Z R ,N,R 1 C( E (or) � Property Owner's Mailing Address 'Co-t I Block# Subd. Name or CSM# 13� P4�6' e 7 -- -A? -- Q M= - l - n wo(xj R e- City State Zip Code Phone Number - tc�SC�n El City El Village �- Town Nearest Road � 6 L t Ut (F ( - 1 15 )6 -(p�61 rt vict&.tr. -(slew Construction Use: ®-Residential / Number of bedrooms 3- ' q Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: rf Code derived daily flow (X00 gpd Recommended design loading rate 7 bed, gpd /fi b trench, gpd /ft Absorption area required s,5 bed, ft -5 trench, ft2 Maximum design loading rate • 7 bed, gpd /fi trench, gpd /ft Recommended infiltration surface elevation(s) C12-• &C ft (as referred to site plan benchmark) Additional design /site considerations ! 3 70 Parent material la r_ of fip t - 4) Flood plain elevation, if applicable S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank u= unsuitable for system ® S ❑ U ®S ❑ u ®S ❑ U O S ❑ u ❑ s fB u ❑ S l R u SOIL DESCRIPTION REPORT Boris # Horizon Depth Dominant Color Mottles Structure GPD /ft Boring Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed ,Trench Ground -I ( elev. KJ 0 ft. Depth to limiting fact r in. Remarks: Boring # z lu fy i , Ground elev. 9 Z6 ft. Depth to limiting factor in. Remarks: CST Name (Please Print) Signature / Telephone No. /9c1am Schu ct er — C�rS) Z`t ��vv Address Date CST Number Loos Ceelet- :s4, Soriner 6"J1 `l -15-59 2s3 3v-1 r PROPERTY OWNER g v SOIL DESCRIPTION REPORT Pag 2 - ' of 3 � PARCEL I.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 Ground 3 Z3 ` 'l Y1f1� 5 1 elev. Depth to limiting factor II in. Remarks: Boring # 213-1 rLl to - vn5 0sq ml C- Ground elev. Depth to limiting factor 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 # I v-{p 10 r 3 j l ' rnoj - n1-Cr- C3 1 r C. _ 2s a l0 r u m S C6C Ground elev. 4y s i ft. Depth to limiting factor J-(3 in. Remarks: Boring # Ground elev. ft. Depth to limiting factor in. Remarks: SBD -8330 (R. 07/96) 5-bof- t- z n R e K rr� Z I-CU. (oo. a syskvtieleJ• QZ> fSy 3. 76 &r4-K L..� > aw is 3 �e9 mz r � amZ • 3M � I