HomeMy WebLinkAbout032-2193-11-250it
7JAN
MC�D
U3 2023 \S ✓ ('S?-��a73' a� 3
S(] FVAI_l1ATION REPORT ao,,. i nu �S
• 1 4'V. 1AV1I %• Y• Y.r. 1++.•.v� M• .M • r w _� �-.._
DivisionDivision`3�'��'. V � {� 17L� �,
• in accordance wKh SP V'W , 7 � .1/s �.. 1, CAWe 3Y�
c,
County
Attach complete site plan on paper not less than 8112 x 11 inches in size. Plan must
indude, but not limited to. vet and horizontal reference point (BM), direction and P'&W l.D.?av+
percent slope, scale or dimenslons, north arrow, and location and distance to nearest road.
Please print all infonnadon. Reviewed by Date
Personal inWn%Uw you p vkle may be used for secondary purposes (Privacy Low, s. 16.04 (1) (m)).
VWL- -
Property C)%*~ Property Location
GoA Lot 1/4 /4 S T'__L, N R Af E (or W,
Property O�+vnees Meft Address Lot # Bkk)ck # Subd. Name or CSM#9
' ✓ _ r-f »-
f'
City Stais Zp Code Phone W*W 0 City OVIDage OTown Nearest Road
.Z;'7'e'C <-
''
15NewConsMiction Use; ResldentW I Nmber of bedrooms, ? - Code delved design flow rate `-�- T GPD
0 Rep4acernent 0 Pubtic or cxymmerdal - Describe:
Pare rnaerialAFlood Plain elevation if applicable ft-
General convToft
and recommendations:
Boxing #
Pit Groundsurface elev. ft.
r�
Depth to llmiflng factor in.
Bodw # 0 Boring
Pit Ground surface elev. ft. Depth to firnMng factor in.
Horizon Depth Dominant Color Redox Description Texture Structure tenoe
In. Mun,sell Qu. Sz. Cont. Colo" Gr. Sz.. Sh.
/ R
1 / "
- J f
E t #1 = BOD s 30 < 220 and TSS >30 < 150 nVIL
CST N P t� Sena rer:
Address
Sol# ication Rate
Roots GPD/ft x
• l *tff#2
saw
0 � WA
M�M'
:fffkjgt 92 ^ BOD 6 < 30 mg1L and TSS < 30 mglt.
CST Number
Datev cation Conducted Telephone Nurinber
L2 -.42 Z
SBD-8330 (RI ill it
?54
4 16
yowe► S7`2�'Y �Z& ion page �at
0 &AV
3BlorkV #
13 ph Gioiuid strfeoe elev. /r3Li _ R Depth to irYl4g factor 2/._ 1n- AW sm,w�w,.� a.�.
no, W-1i,
M
M40;*1
MON,
Me
MM
M,00P
• g #
1..�......�
Fm�]13(�" # [3 13oft
r�v f-*Imw M%A a* M#aO%ft MIAM't A r%A&%H% 49% UNVAffinn fmp&w in
SON Pift
Hortzon Depth DOr!'1il'wd Color Redox DBSCn Oft Textur6 Strtx:kwePRoots s
in. � Cau. Sz. CO * C,oior Gr. Sz Sh. 2
EMLw t #1 a BW > 301 M mg. end TSS >30 4c150 ffV& " Effluent #2 : WD 6 :5 3D rnVL end TSS 5 30 mil.
The Dept. of Safety and Professional Services is an equal opportunity service provider and employer. If you need assistance to
access services or need material in an alternate format, contact the department at 608-266-3151 or TTY trough Relay.
ssD-830ME 1ri 0
_Ij
f L
t
N"N
N,
\ --- If
c
j
n
NN__"
4'1
7k,
IN I
—4-
r
'jo r, (
7
r
6
6%ou C14'
-3 Z`302
_X� WM\\ I p. N 'V(P
tr 4t
dP \,a
IV\
I "K 'o,
f
t
z -4 1-- Is
Yf h N\, 4
r if .,
N
xf, 4 f 28
R
4t; I
alp
_j 'N (;,o
A
1 0
41r•
cj It ir N
I fly N, MM.T`
r
f I I Vf "(1I
kN
ram
k, f
C* r.N.
Irl 11 N,
j I
/I if N.
All W1 I' /, ;//! - - - - --
11 N_ Zb 0
/� lr // I/ I t/h I
"JIN/1 It"Iff,f III NN
I I x
it I I �l t,
Ilk x
lip,
if
_2 f 'If
NY
ol ';o/
26
If
0 T I CSM
I f I M Ill
c
'Ildil If ub 1 -1 N, ft� ,,
I , Ill -W I IVR\W1 (a lop, Le
I .111iii"Itill. ;,,, a 'o L_j
-
P'
/Pi ...... .. I . ;V% 11
t c;o
I f
VV i I If',' Ill I : I '. I ,, " / I, If - - - - - - N-,
I I ''Z1,1111,111"ll I I I _N, J,
ri 111C 1 1 95 1
If "IM/ Illf", j l/, ill k,
1Ill1
ELI
IN,
ir chr
14 r
it I f I
/I if I CN
1 -4,
9
gi
4 z ;41;�_�_
I /"Z2`1/(, a--
f _j
t I g(7 i 'n gf
r4ft '11, fill
If " I,-, ,
'v, f 14 -938'
77 1 -i---
EP 4.
*!=I- i SIP
I;r L
Z
1Z
to N.
TO
948
fe,
if
4�
N,
/I I /ZI If b
N A f,
11 1,l i/ii// / t ' 1 I�� 21//j/r/r / / / r:0 946
lu if
\12l"
1,71,1f I , 16 Go 11`� I /I 1W 1, - - IN
1110 Ifle I I I C# N? I ) % .1 11 1 , - r
f I `//k'/ r,/ I A." I-o" j
'co
,A arI
J I I , f Jt ♦ I , „' / I f i. ✓
'fit "if Ili flilillill),%J1 I I I, f
zI, 11 f
k It I I I I jlj1;IIIi;ji'jI Ill) I I I I Ile, Yf!) ,, It f
it "'i I I r I r I I IIIII
1 20 N
t4 t111411- I, , \ �,,, I k, // I \ Itt IjI/0WIlV1111 I/ - % i I lkk111\111 I I I ItN\\ �\IJl I I I ki
_NN. I\ 01)k,Z,- ,\\, p I, I II 1 14 if
kkk V\ll
N,
I it
N, 0 -934 1 w k N\ 19, . I 1 0
�p
1p k.
_cIr 16 $1,
k ILI—
v Nk 'fill
MMOINkn
X11 \1 - - - - - - f :,tb' Z�L mn 4 Iv it If I I -av N.
N,
If
"Ire :o
i z
lZ
fl. 'l;r, /�l t, I I I 1 1% \--/, k I
till''ltIX1,1111,11• I
I_NW,
'\N, N, NJ
%
lo f
0- 11
/ I I \1
It x N, N, f Nw,-, N -N j
Z�\rl - , , I I I- - ___- ll� GRADINGAREA AN N N- k ?JO
4�, N,
1\\ " J j;
_-N,w tNN
lilt\ k,
W,�
IV 7 MS,
z I INX6 N,
-z� N Ila\
'N IP-
N,
It
kx, \)Nk
N k
I W' N. \
Ill I(, 1\1 \N N\\ I t
\\)Ill N
k SEPTIC TEST LOCATION
4 11
Nv, f r
X, \ % e-
K, -,N\ kN
k tl *Mv /7 ]1 Lkk %N�
",�'N'NN\ -ok
ARE
..... I_z N, it \`N1
I k
'A"!
A71 N
N0ff1H
x
I
.,
kXII
C\N-NIt
\\\\L j .
"V\ N If I%
IPN\1IN\ 0 150 Juu k 11 �MI11 NlI It V k )ItVI l I \ k
N
l
-- J)IN
I F rI 'Rl- k I
NN *Xl
1"
11.
ItI ; " - , N ", P!%
AW