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HomeMy WebLinkAbout020-1166-24-000 (2) Wisconsin Department ofComme(:.e PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 556309 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)]. Permit Holder's Name: City Village X Township Parcel Tax No: Kelley, Patricia Hudson, Town of 020-1166-24-000 CST BM Elev: Insp. BM Elev/: B Description: Section/Town/Range/Map No: /A 21 .6 o 2 17.29.19.1022 TANK INFORMATION EL OVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Be ch r /000 mg Alt. BM Aeration Bldg. Sewer Holding St/Ht Inlet TANK SETBACK INFORMATION St/Ht Outlet 2 TANK TO P/L WELL BLDG. Vent Air Intake ROAD Dt qj, -7 N/ A Septic 16D tiC 4 g,4 13~-90-ttom Jf y q'7, 3 g Ir ek 11 +ilFad Z~ Aeration VQ, Dist. Pipe C SS ~(i' o r~ Holding l Bot. System PUMP/SIPHON INFORMATION Final Gra ~ / d' k'`r` 74j0 /Oo Manufacturer Demand t C ver GPM r 3.3 too, Model Number mCvlrt," 3 Ca rte-(-e TDH Lift Friction Loss I 1 10 44 System Head TDH Ft / H CKi 04,'-V- n X, CCU-124 Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM f S CW BEDITRENCH Wj Length No. Of Trenches IT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS {/2 f"(f SETBACK SYSTEM TO P/L~ ( WELL LAKE/STREAM LEACHIN Marju4Cturer r% INFORMATION T e Of System- f I I CHA BER 5 O Model Number Z6 >S' M WAS DI IBUTION SYSTEM Std ~t4lg, 417' - d C IL i~(B KD AA/ ead anifp~ Distrib / 2 _ Hole Size x Hole Spacing Vent to Air Intake 1Pipe(s)utionL leiti~ S ✓ 01 Length 7 Dia Length Dia Spacing ` ix SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over I Depth Over xx Depth of r Seeded/Sodded xx Mulched Bed/rrench Center Bedlrrench Edges Topsoil Yes No 0 Yes k No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / Le~l Inspection #2: Location: 944 Wert Road Hudso 154401/6 (NE 1/4 SW 1/4 17 T29N R1 9W) Park View Estates IV of Parcel No: 17.29.19.1022 1.) Alt BM Description 2.) Bldg sewer length = • - amount of cover = 0/ Plan revision Required? ❑ Yes /No U~s4 i~ se other side for additional information. SBD-6710 (R.3/97) Date Insepctor's Signature Cert. No. v~*"T County Safety and Buildings Division St. Croix 201 W. Washington Ave., P.O. Box 716JU, Sanitary Permit Number (to be filled in by Co.) T P S ° • ""R' Madison, WI 5370 T-. - 55 63 O ct AL r Sanitary Permit Application State Transaction Number AA In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropnatfi ` o`v is required prior to obtaining a sanitary permit. Note: Application forms for state-owned I e's`tl6mitted to Project Address (if different than mailing ad ) the Department of Safety and Professional Services. Personal information you provide may be used for secondary purposes in accordance with the Privac Law, s. 15.04 1) m , Slats. Same f 7-1 1. Application Information - Please Print All Information Property Owner's Nam Parcel # Patricia Kelley 0 020-1166-24-000 ee*,' xdzz\ Property Owner's Mailing Address Property Location J 944 Wert Road Govt. Lot City, State Zip Code Phone Number NE SW '/4, Section 17 Hudson, WI 54016 (715) 386-7662 (circle one) T 29 N; R 19 E or W II. Type of Building (check all that apply) ❑ 1 or 2 Family Dwelling -Number of Bedrooms 3 105 Subdivision Name Block # Park View Estates IV ❑ Public/Commercial - Describe Use 10 A Na ❑ City of ❑ State Owned - Describe Use CSM Number ❑ Village of Na ❑ Town of Hudson III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. ❑ New System Re lacement System El Treatment/Holdin Tank Replacement Only 0 Other Modification to Existing System stem P g Y g Y (explain) List Previous Permit Number and Date Issued B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New Before Expiration Owner IV. a of POWTS System/Component/Device: Check all that a 1 on-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade ❑ Mound ? 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component explain) ❑ Pretreatment Device (explain) V. Dispersal/Treatment Area Information 33 fil for "Q-4 Plus" standard chambers & endca s, Wieser filter canister w/ Pol Lok PL-525 effluent filter Design Flow (gpd) Design Soil Application RBI~4 I Dispersal Area Required (st) Dispersal a Proposed (sf) ystem ev 1 n 450 Gpd 0.70 Gpd/Sq. Ft. 642.86 sq. ft. 69 . Sq. Ft. ~91 95.50' VI. Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units V. o b New Tanks Existing Tanks S o d t I U iii ti ~ w C7 P. Septic or Holding Tank Filter canister 1,000 ST 1,000 1 & 1 Wieser Concrete X Dosing Chamber VII. Responsibility Statement- I, the and rsigned, assn a responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber' Sig;~- MP/MPRS Number Business Phone Number James K. Thompson MPRS 30021 (715) 248-7767 Plumber's Address (Street, City, State, Zip Code 340 Pau lson Lake Lane, Osceola, WI 54020 VIH,,Countv/Depar-tment Use Only Approved 9=7.!~R,asonfb, Permit Fee Date Issue Issui Agent Signature , .40 nial $ q 7 g 7 /L IIt. Condi 'fi i11QEeasons for Disapproval 1. '$eptia tank, effluent filter find dispersal cell must all be services I maintaw as per managemerA plan provided by'plurnbst, 2 711 suck re rttents must.be rnakltairfdd as psr gpp>)t"code I ordhwi Attach to complete plans for the system and submit to the County only on paper not less than 812 a 11 inches in size SBD-6398 (R 11/11) ♦ Exl5&nq e/eJa on S r~/•e ~ / v 0' Paf~/G~ s, x c //cy f~~alsarr, c.J/. ss~o/G O DoE/oS lJ,q~K1l.'e.~,~ Es `~--~ts~ nE'y~SwyJ sec./7, T24/1~ 7-a - Or- W4- :56 • Coo i x C, M c./ 4' az0 -riGG-~s~ 57 el' 1 r s(o/~c,~- V ' 1)¢ur L'Mw4A ..77 d~s~elSt/ CSI/, y' 1 L---n =9s bb' m f 5ydt m ~ 1 ed c, a 300.cio' i h Cftu.rraGer~~Gi ~'2nc~ .n'/flczUC I 'v 5u. r•~ cP ~ (.act ~ be ~S'. SO. ~ I ~ c' Cif Conventional POWTS Index & Tilte Sheet Project Name: Kelley 3 bedroom Replacement Conventional POWTS Owners Name: Patricia Kelley Owner's adress: 944 Wert Road, Hudson, WI 54016 Site address: Same Project Location: Subdivision: Lot 105, Park View Estates IV Legal Description: NEI/4 SW1/4, Sec. 17, T.29N., R. 19W., Town of Hudson, St. Croix Co., WI. Parcel ID 020-1166-24-000 Page 1 Index and Title Sheet Page 2 Site Plan Page 3 Dispersal Cell Sizing Calcualtions Page 4 System Cross Section Page 5 System Management Plan Page 6 Filter Specifications Page 7 Filter Tank Cross Section Page 8 Parcel map Page 9 Certification for Utilization of existing septic tank Attachments: Soil Evaluaiton Report Mater Pl ber Res ted Service: James K. Thom son, Dept. of Comm. Credential #30021 Z Date:. ~P o20/oZ Signature: Page 1 of 9 Design pursuant to In-Ground Soil Absorption Component Manual for POWTS, version 2.0 SBD-10705-P (N.01/01) • ✓a'-;,,-ca:,uo • Eris tai ng e/e Ja F~`o.~ fS19'JA)e~-e -604-d f/~c_dsa~, cJI. s5~o/6 O DoE/aS ~OQrKrI,•ew Es~,~ssT1 nEy~SwYd, 5ec./7, T..zfl~ 4194,)j Ta. of~udscrr, :56 Croix 4 cJ! roc / rl 022 0 - //66 -,2 axe belny z/ji aces w 9 i Ops 4 ,V c.~t ll i o t 44i e4- top C* ti Y(o s3 bedrev , 23 A /Y 7' o Co,~ ere~r 5,~ e s; d a,~ee divu% j ~ClS,T disc/ Ct.//, yb i i__-- /OnopOStd U), s~r~ r~er" i Sy6Eem ¢~=9S, fA7' i ed t. 3cx~. ov ' ~ ~rdaos~~' ai.51rsa/ Cell: 7XI-ee(, 1~~' .udus l c~ 5/7 "W C ~ia..H hers ~~i f~'e.,~, •~n fi-a I've ~ ~ 5u.rl4tce eleo 6c SS. sG,' s,( Cp b c~ o DISPERSAL CELL SIZING CALCULATIONS 1. (3 bedrooms)(100 gallons estimated flow)(1.5 design factor) = 450.00 Gpd design flow 2. Infiltrative capacity of native soil = 0.7 gpd/sq_ ft. 3. Absorption area required: 642.86 sq. ft. 4. Absorption area as proposed: 677.40 sq. ft. (33 chambers total) Infiltrator "Quick 4" = 20.00 s ft. per chamber, Infiltrator "Quick 4" end cap (pair) ='~Iksq.ft, EISA 642.86 sq. ft. - (3 pair endcaps)( . = 625.46 sq. ft. t0 Z up 625.46 sq. 1/20.00 = 3 8 chambers required Number of trenches: (@ 11 chambers per trench Trench width: 2.83' Trench length: 46.00' Trench spacing: 6.00' on center Total system area w/ 5' trench spacing: 15.00'x 46.00' Pg. 3 of 9 Soil Absorption System Cross Section t /0j'60 ft 4" Schedule 40 Final Grade PVC Vent Pipe With Vent Cap ~ ft Leaching ~ Chamber ft System Elevation 1 • 6?;?, ft 9.60 ft 3.60 ft Soil Absorption System Plan View ft 03 ft 3xy ft Leaching Trench 1 Chambers 4" Dia. Trench 2 Header Vent Or Observation Pipe Trench 3 Leaching Chamber Specifications Manufacturer And Model _-Tn- 74116/a-$e~ 4'Q- Sz A ctS i EISA Rating .20.6 sq ft per chamber Soil Application Rate ©.70 gpd/sq ft y(jd.0 gpd Design Flow 0.7 Soil Application Rate W.0 EISA = 3.47./5-Chambers 3 rows of chambers each. Page `7 of Conventional Septic System Management Plan Pursuant to SPS 383.54, Wis. Adm. Code General The conventional septic system shall be operated in accordance with SPS 382-384 Wis. Adm. Code, and shall be maintained in accordance with component manual SBD-10705-P (N.01/01). All local and/or state rules pertaining to system maintenance and maintenance reporting shall be complied with. Septic Tank Septic tank servicing mechanics comply with SPS 383.54(1)(e). Septic tank to be located within 150' of service pad, with bottom of tank to be 15' below service pad elevation. The operating condition of the septic tank and outlet filter shall be assessed at least once every two years by inspection. The septic tank contents shall be removed when the sludge and scum in the tank exceed 1 /3 the liquid volume of the tank. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code, by an individual certified to service septic tanks under s. 281.48, Stats. If the contents of the tank are not removed at the time of a biannual assessment, maintenance personnel shall advise the owner of when service will be needed to maintain less than 1/3 scum and sludge accumulation in the tank. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated. Septic tank manholes risers, access risers, and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8 inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into the tank. No individual should ever enter the septic tank as dangerous gases may be present that could cause death. Septic tank abandonment shall be in accordance with Comm83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. The addition of biological or chemical additives to enhance septic tank performance is generally not required. If such products are used they shall be approved for septic tank use by the Department of Commerce, Safety and Buildings Division. Soil Absorption Cell Trees or shrubs should not be planted directly on the soil absorption system. The area above and around the system should be seeded and mulched as necessary to prevent erosion and provide some degree of frost protection. Traffic (other than for vegetative maintenance) over the system is to be avoided. Soil compaction may hinder aeration of the infiltrative surface within and above the system and will promote frost penetration during cold weather months. Cold weather installations (October-March) dictate that the system be heavily mulched for frost protection. Influent quality into the system may not exceed 220mg/L BOD5, 150 MG/L TSS, and 30 mg/L FOG. Influent flow may not exceed maximum design flow specified in the permit for the installation. Observation pipes within the dispersal cell shall be checked for effluent Ponding. Ponding levels shall be reported to the owner. Levels above 4 inches indicate an impending hydraulic failure requiring additional, more frequent monitoring. Effluent flow shall be alternated between dispersal cells on a two-year schedule by use of diversion valve. Effluent to be diverted from new dispersal cell to old cell at 4 year anniversary of new system installation. Old cell to be utilized for a 1 year period. Afterwards, effluent dispersal to be alternated between cells to allow use of each cell for a two year period. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. Excessive ponding within the dispersal cell will be eliminated by installing a new soil absorption cell to bring the system into proper operating condition. Questions on the operation or maintenance of the system should be directed to the installing plumber, Jim Thompson at (715) 248-7767 or the St Croix County Zoning Department at (715) 3864680. Pg. 5 of 9 i C, Filters PL-525 EFFLUENT FILTER OMMER IAL) Polylok, Inc is pleased to add its new commercial filter to its existing line of quality effluent filters. The PL-525 is rated for over 10,000 GPD alarm (gallons per day) making it one of accessibility Accepts PVC the largest commercial filters in its extension handle class. It has 525 linear feet of 1/16" filtration slots. Like the Polylok PL-122, the new Polylok PL-525 has an automatic shut off ball installed 525 linear feet with every filter. When the filter is of 1/16^ . removed for cleaning, the ball will filtration slots Rated for over 10,000 GPD float up and temporarily shut off the system so the effluent won't leave the tank. No other filter on 4 the market can make that claim! Accepts 4° & 6° SCHD. 40 Pipe ~j PL-525 Maintenance: The PL-525 Effluent Filter should operate efficiently for several years under normal conditions before requiring cleaning. It is recom- mended that the filter be cleaned every time the tank is pumped or at least every three years. If the F installed filter contains an optional alarm, the owner will be notified by an alarm when the filter needs servicing. Servicing should be Gas deflector done by a certified septic tank automatic shut-off pumper or installer. ball when filter is removed 1. Locate the outlet of the U.S. Patent No# 6,015,488 septic tank. 5,871,640 2. Remove tank cover and pump tank if necessary. PL-525 Installation: 1. Locate the outlet of the 3. Do not use plumbing when septic tank. filter is removed. Ideal for residential and com- 2. Remove the tank cover and 4. Pull PL-525 out of the housing. mercial waste flows up to pump tank if necessary. 5. Hose off filter over the septic 10,000 Gallons Per Day (GPD). 3. Glue the filter housing to the tank. Make sure all solids fall 4 or 6 outlet pipe. If the filter is not centered under the back into septic tank. access opening use a Polylok 6. Insert the filter cartridge back Extend & Lok or piece of pipe into the housing making sure to center filter. the filter is properly aligned and 4. Insert the PL-525 filter into completely inserted. its housing. 7. Replace septic tank cover. 5. Replace the septic tank cover. P ~0~9 431„ 2 Nv M ;u cOD 0 ilW 0 MW -I ~ rn R* OmZD rmZ ~ I D~V1 ~rz rmD 00 0)Ar Jnr 2" I D D pi =1 W 371„ Zm 6„ (.+zr 2 2" c1 m m ~r ~ r C7 a D = r; D 0 Q o O _ \ m 18" MIN. ?1 r m N A m \ D O \ ~ I O z 37" 0 170 21" 7 a = I 1 N Ds O m O m O N m (7 P ~ D D ' Ni D to Z (A r A D N m (n W A m D r n CAMO ZD omz ~r m Cm ---I D --I D F- Fq m cp 70D D D z r' cf) C_ O_ Z -I ~ (n REV NO. DATE: o = FILTER CANISTER DETAIL MIEGER concnETE A BY" = 1' m DRAWN WN B:SWT ~ m z SEPTIC MANUAL W3716 US HWY10. MAIDEN ROCK, WI 54750 DATE: JANUARY 2008 'J REV. JAN. 2008 800-325-8456 FILE: SHEET 13 p°e . ST. CROIX COUNTY ZONING OFFICE CERTIFICATION STATEMENT FOR UTILIZATION OF EXISTING SEPTIC TANI{(S) This is to certify that I have inspected the existing septic and/or dose tank presently serving the following residence: (Street address)-!M/ Gc~~i'~ llt4-dsCl". CA)/, S51%6 located at: rJ 6- "a, -5W'114. Section 17 , Town _29 N, Range_ -W, Town of , St. Croix County Wisconsin. Upon inspection, I certify that I have found the tank(s), to the best of my knowledge, will confomi to the requirements of Comm. 84.2 5, and it (they) appear(s) to be functioning properly. .Host recent date of' inspection or service ~l. Did floe back occur from absorption system? Yes No _ (ifno, skip next line.) Approximate Volume or length of tlm(2- L4,,L/n^xhgallons &G,i4~ 0_?minutes Tank Capacity: ~d Construction: Prefab Concrete _ Steel Other -\lanufacturer (if known): Vj,-eSe4- eo„ere~e AL,e of Tank (if known): ®?G Yew/s ermit number (if known) nej - ~ r.. 1,1,a,5 icense(d Plumber Signature) (Print Name) i Titlc) (License Number) ` `14PR5 l D'atc Fonn to be completed by, licensed plumber (Dept of Commerce Chapter 5 and s. 145.06, `,'isconsin Statutes) or licensed disposer (NIZ 113 Wisconsin .~dminist-ative Code) R~~. y 2uua P9. y ~7e 9 WieaorrshDeparbrtentofConut~eroe SOIL AND SITE EVALUATION Pop 1 of 2 Mvwon of Sekeht and guaw in amrd with Comm 83.05, Wis. Adm. Code ACE Soil k Sian Evalwtiona Attsoh aarpleie sloe plan on piper not lew than 8% x 11 irdw in ebw Pion must county ifaklde, txtt nttt smNed trot vartlcei and horiaortbd Iafarenon pork (Eft di dfon and St. Croix pement elope, acde or dlnantebne, nohh snow, and beom end to oWm w to, ri sm a- t road. Parcel 1.01 APPLICANT iNFORMATI(M - Phne prat ON k*n=OM o•'~• 116G Z y-o ~r Persaal iMbn WM You ProNde may be used tar secondary purposed Mdveclr Law, a. 15.04 (1) (m)). V 1` r Property Owner Properly locatbn Edward & Patnaia Kell Govt. Lot NE 1/4 SW 1/4 S 17 T 29 NA 19 W Property Owner's Me ft Address Lot 0 lSodc 8 Subd. Nana or CSMk 944 Wert Road 105 Park View Estates IV Cigr M010 Zip Code PhoneNunber ❑ Ciy Village ®Town Nearest Road Hudson WI 54016 715-386-7662 Hudson Wert Road New wort ' Residential I Number of bedrooms 3 ❑AdMw to exidV bung Repiaoement I PU* Or©MTMV al descxillle Code Derived ddNy Aow 450 gpd Recommended design loading rate .7 bed, gpdMa _..8 Wnch, MxWF Abso n area required 643 _ bed, ff 0 trench, ff Man imum duo bedirrg rate .7 bed, gpff .8 trendt, WN Pawm ended Will ellon sudwe elevdm(s) Exisft system elev. - 95.80' ft (as referred to ells plan bendtrnarlt) AdditWW deslp I SNe Consideragons Soo eval adw candamd for Tana lift wpvioetion of existing hydrohcally failed symm Parent material Outwaah s 8t . Fbod elevallfon N NA t ATd~rade System in FM Molding Tank ConvsrWatal Mound iaGround Pressure t1=UI>SU~itabietsysiem ®s El u ®spu ®spu ®s ❑ u ®spu ❑ s u SOY. DESCRIPT REPM 111. MUmd W. SL Cont. Color T Sh. R00ls Be0 Trench 1 1 0-10 10yr2/1 None sl fill 2 10-22 10yr3/2 None 31 Ground 3 22-32 10yr4/4 None sl 99.79t 4 32-50 10yrS/4 None s 8t gr Oepihflo 5 50-90 ioyrS/4 Nona s Sot a akla m conduced wfth hand aver at request of property owner. troaditg rakes not due tD habftty ko desarrrlns strtrckars d has ktt4or hrofiMS S 4 S 5 would taus 0.7 / 0.a ratea if a swouvionwareon an' Rernarits: CST Name Pritt) Sig Telephone No. Jainws K. Thompson 715-248-7767 Addrea A.C.E. So>1 & Site Evahretions Dads CST Number Ref # 340 Paulson Labe Lane, Osowh6 Wi 54020 6/12/99 3602 INS 91 i- . 06 c 1 ' r•Z; - sr c~q,X999 ; coc, zbry 1Y l i O ~n 4f' .Cow: v» d Estes ■ 50. i obsrrva~ Edwlar 4' ~.{ric;a [ot /oToF/~Jf~i'ir~J ~i~; Y /IEYySc.J!/y Sce, /7 T.,Z9~1•, ~19~y s/y GJu~ oad 9 ~P o . cr~vit~ G. son ~ Id Scalc : / ; ~o , cE. : r af Clem* E,Yi Sine S pi," tC e 9S QD 5 ,.,6, ' E/t ,o . 0 F,•.s:,s,+,ect pmde a~ dust:,7F; t Id = 99. t (k:' e drive way 00 .Syobr. ~ re5;dateG 0 EX;SE,~ e i 'r~ Yb Ahe 3Ay. & Msrvl: To~eoP/eCS'~~[ s 5EPAg7MENT OF REPORT ON SOIL BOR! SAFETY & BUILDINGS INDUSTRY DIVISION LABOR,AND- PERCOLATION T 4 P.O. BOX 7969 -IUMAN RELATIONS MADISON, WI 53707 (1,163.090) & Chapter SECTION- h~ TOWNSHIP S D `ISI NA : i~f 1~ I #f N/R19~to Y IC v~✓ MAILIN COUNTY: NAME: OWNERSIBUYER'S ro.'IL "y 't• ~!at L s DAT V IONS MADE W esidence DESCRIPTION IxNew ❑ Raplece -;a 42 - 049/ /V';.Z ,-4f/ Joe At*#** iATINO: 3- Site suitable for system Us Site unsuitable for system ESSURE- IL OLDING V ~V . M~s. ou 111~~ as ❑u ❑ s - u ❑ S TAU FYK: RCS✓END`D SYSTEM:(optional) ♦ • i r - r`IH1 - 4 d &Smo L-Ks If Percolation Tests are NOT required DESIGN RAT If any portion of the tested area is in the under s.H83.09(5)1b), indicate: Floodplain, indicate Floodplain elevation: ,01.4 P e1kE DESCRIPTIONS BORING TOTAL DE9 R OF SOIL WITH HI ,L R, TEXTURE, AND DEPTH NUMBER ELEVATION 08 j? YED EST, HIGHEST TO BEDR K IF OBSERVED (SEE ABBRV.ON BACK.) B- / o' axe 7 .S' B Al Aft.Ex4p-, A7 0^5 8-4 B-3 .9 AA 5/ Als/ Zola, CA If W" 1? &14/- Z At 7 96,L4 B" ~«f~ 7~ 7 7•S' S/ 0 r 1 B- PERCOLATION TESTS DEPTH. WA E IN OLE TESTTIME DROP IN WATER EIVEL-INCH19 RATE PER INCH NUMBER INGMW AFTER ELLIN INTERVAL-MIN. G • I* rZ. 6 4 P- J A& a 4.1 P. ' stt+~o 4-1 P-. . P- P- LOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. indicate scale or distences. Describe what are the hori- xmi and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction arW percent f land slope. SYSTEM ELEVATION 9S%'y' (tc~w • "f ~ ~ I f E • In3 0 0 ! ! a 0 I f t e I 'PIT, i r.._ 70 M sr hail the undersigned, hereby certify the se 11 potted on this rm were made by me in accord with the prooedurss and methods specified in the Wisconsin administrative Code, and that 1 data recorded and the'oration of the tests are correct to the best of my knowledge and belief. 4A print : TESTS WERE COMPLETED ON: - prp iikOORESS- ATION UMBER: PHONE NUMB R~.(.ogptional : a s 74 0/ CST URE: w )ISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. )ILHR-SOD-6395 (R. 02/82) -OVER -