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HomeMy WebLinkAbout038-1167-30-000 -0 C) Q o 3 o M ^ O U M ~ a O ti ~ I C n I O O N I o: N ~L I O z m I LL CO p Q 3 M z N .0 O Z o z d d a m co H U) i O C ~ O z I' c O !n f- IT (7 z C E O may] ~ .d v M • ) p ITV d 1~ C a U O Z co z z N N C y~ C W ^ i N - G> C O w O C C a O G a` a co E o d co o o o Z • E a a a a " I Cl) M 7 O N N N J V aa)i rn rn Z r, M ° O N N 71 E ~ 00 t n N CL N DO LO Q U) O ^ N N O o 3 0) N c © ° FO- -a v CD o Z) o rn° o o U) 2 o 0) o r r U N N C N \V) ~ ~ pp ~ ~ M ~ ~ O 00 co I- ~ N Lr d M N "~O F- N co M N N M C3 V~1 O E U • O N U) O Z N Z b U) I' w 0) IL 7 EL u (L • O. y U al C rr~~ y E i C C .d+ ~ 1 A c a 2 0 U) v abor and Human Department Relations Industry, Labe and L SOIL AND SITE EVALUATION REPORT Page _ of Division ~Safey & Buildings in accord with ILHR 83.05, Wis. Adm. Code r COUNTY „ Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION ! ar . of GOVT. LOT ' 1/4,~W1/4,S=,?g'T _71 N,R /1~'E (orkD PROPE OWNE ':S MAILING ADDRESS LOT # BLOCK # SUBD. NA OR CS CITY, STATE ZIP CODE PHONE NUMBER ❑CITY VILLAGE 16QWN NEAREST R PAD `n i" e r ;y` p ~S r (J New Construction Use Residential / Number of bedrooms 3 (J Addition to existing building j J Replacement [ ] Public or Commercial describe Code derived daily flow `4 ~Q gpd Recommended design loading rate 7_bed, gpd/ft2= trench, gpd/ft2 Absorption area required3 bed, ft2 trench, ft2 Maxim m design loading rate gybed, gpd/ft2__~trench, gpd/ft2 Recommended infiltration surface elevation(s) 5- Ma7_._.,-,ft (as referred to site plan benchmark) Additional design / site considerations Parent material Flood plain elevation, if applicable ft FU = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK = Unsuitable fors stem S0 U f$1 S❑ U S O U S❑ U ❑ S U ❑ S ra!1 SOIL DESCRIPTION REPORT Borin # Horizon Depth Dominant Color Mottles Structure GPD/ft 9 in. Texture Consistence Bourtcfary Roots Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Tmrtctt f.. v S o? 456-- 9-o . ` Ground Q /o c Y e .1!~ elev. Depth to limiting fac Remarks: Boring # Horizon Depth Dominant Color Mottles Texture Structure Conslstence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trench v 4- ~w sue, Ground o~ 'l S F/w © 13 elev. /D ft Depth to limiting fa Remarks: Boring # N y4 tewx: e> Ground 14 elev `ice ft Depth to limiting fac r U~ ~ Remarks: CST Name; Please Print o Address: Signature: Date: CST Number: J L PROPERTY OWNER SOIL DESCRIPTION REPORT Page _of PARCEL LD.# [p • GPD/ft Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Baridary Roots in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed , Rer~ ..;.w... Ground e7 "q elev. ~ - ft. Depth to limiting U factor Remarks: Boring # /'0 jx Y} y w 15 Ground elev. l Depth to limiting fac r It a Remarks: Boring # 1 Ground elev. ft. Depth to limiting factor Remarks: t► Q 7 1 17,117,11 12 ~ f Q 3 o l~ 30 3,0 44~ b i STC - 104 AS BUILT SANITARY SYSTEM REPORT l~<o IQ~~~ ~I- OWNER f"J-~-j Itr ADDRESS 5e54 ~(I L e_X ~4 )A rti I e,.J ~Yl n 5 512 SUBDIVISION / CSM# LOT SECTION _T _N-R~W, Town of -5 (1/' ~l ~ o, ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM 4 1 I - 3 30, L~ INDICATE NORTH ARROW i I Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. BENCHMARK : J I O C\ e ALTERNATE BM: SEPTIC TAN / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: d Liquid Capacity: ~ l Setback from: Well ouse Other Pump: Manufacturer Model# Size Float seperation Gallons/cycle: Alarm Location :SOIL ABSORPTION SYSTEM Width: Length SL~ Number of trenches /VO/2~ /o7s Distance & Direction to near st prop. line: Setback from: well. i` House Other Alu ELEVATIONS Building Sewer ST Inlet; ST outlet. PC inlet PC bottom Pump Off ~a7 Header/Manifold Bottom of system~~ Existing Grade : - Final grade DATE OF INSTALLATION: PLUMBER ON JOB: LICENSE NUMBER: i INSPECTOR: 3/93:jt ST. CROIX COUNTY WISCONSIN PLANNING & DEVELOPMENT PLANNING SOLID WASTE REAL PROPERTY ZONING 715-386-4674 715-386-4623 715-386-4677 715-386-4680 August 23, 1993 Becky Hartman Hartman Construction PO Box 326 Somerset, WI 54025 Dear Ms. Hartman: An inspection of the septic system for the Richard Wier property, located in the SE; of the NW; of Section 28, T31N-R18W, Town of Star Prairie, Lot #12, Red Pines Estate, was conducted on July 28, 1993. At the time of the inspection this septic system was found to be code compliant for a three bedroom home. Should you have any questions, please feel free to contact this office. Sincerely, James Thompson Assistant Zoning Administrator mij f ST. CROIX COUNTY GOVERNMENT CENTER • 1 101 CARMICHAEL ROAD • HUDSON, WI 54016 LQSAW,;WpartPR_Alntlr RIE 28.3~RTV/QTE EW/ad SY~TEM12' 104T County: Labor and Human Relations Safety and Pyildings Division INSPECTION REPORT (ATTACH TO PERMIT) Sanitary Permit No.: GENERAL INFORMATION 193193 Permit Holder's Name: ❑ City ❑ Village IR Town of: State Plan ID No.: iyj B Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: TANK INFORMATION ELEVATION DATA A9300050/~ >3 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. p ~ f Benchmark Se tic S ~o~~C . r Aeration Bldg. Sewer St/ Inlet <l Holding TANK SETBACK INFORMATION St/ Outlet TANKTO P/L WELL BLDG. Ventto ROAD Dt -lf"t-- Air intake Septic _7 NA Dt Bottom= Do NA Header-HPAern. "j6' 99 Aeration NA Dist. Pipe 76, Holding Bot. System ~2 2 1,7' 9 PUMP / SIPHON INFORMATION Final Grade a', Manufa Demand Model Number GPM TDH Lift Loss System ` .r TDH Ft e Forcemain Length Dist. To Well SOIL ABSORPTION SYSTEM BED /_3VX.Nrkl- Width 5 / Length ! No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS - DIM N LEAC G Manufacturer: SETBACK SYSTEM TO P / L BLDG WELL LAKE/STREAM INFORMATION Type O ~.J ^ ~~G~ .:L~'f ) ) OR UNIT R o el Num er: System: DISTRIBUTION SYSTEM Header Distribution Pi' e(s)~ x Hole Size x Hole Spacing Vent To Air Intake Length -C Dia Length / Dia. Spacing (1/ 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 /h Center - Bed /IreM Edges Topsoil [I Yes ❑ No [0] Yes ❑ No -lid COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: STAR PRAIRIE 28.31.18.804,SE,NW, LOT 12, 104TH ST. Plan revision required? ❑ Yes (jle / 9 Use other side for additional information. 1-7 LV a--~ t SBD-6710 (R 05/91) Date Inspector "s Signatur Cert No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: SANITARY PERMIT APPLICATION A In accord with ILHR 83.05, Wis. Adm. Code COUNTY r STATE SANITARY PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than El / (8%x 11 inches in size . C eapplication -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PROP T'OWNER PROPERTY LOCATION S a$' T3 , N, R E (or PROPERTY OWNER'S MAILy4fa ADDRESS LOT # BLOCK # ki /o-Z & 11/1 e , ^"5A4 CITY, STATE / ZIP CODE PHONE NUMBER SUBDIVISIONNME OQ CS I NUMBER 'ITY 11. TYPE OF BUILDING: '(Check one) 1:1 State Owned VI AGE , NEAREST ROAD a/S/t f ❑ Public 1 or 2 Fam. Dwelling-# of bedrooms PARCEL AX NUMBER(S) 111. BUILDING USE: (If building type is public, check all that apply) f~ 3T O V ,70 1 ❑ Apt/Condo 20 Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 70 Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining 40 Church/School 8 ❑ Mobile Home Park 120 Service Station/Car Wash 50 Hotel/Motel 9 ❑ Office/Factory 1130 Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1. t`New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5.E] Repair of an System System Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit # - 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 42 ❑ Pit Privy 13 ❑ Seepage Pit Pressure 43 ❑ Vault Privy 14 ❑ 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/day/sq. ft.) (Min./inch) ELEVATION 6413 `V . .4 .S Feet /na- Feet VII. TANK CAPACITY Site in allons Total #of Prefab. Fiber- Exper. INFORMATION New istin Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks structed Septic Tank or Holdin Tank Lift Pump Tank/Siphon Chamber Vill. 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 Si ure: (No Stamps rpRSW No.: Business Phone Number zs-t6l,7 14,~?l Plumb s Addres (Street, City, State, Zip Code): IX. COUNTY/DEPARTMENT USE ONLY Agent Signat No Stamps) ❑ Disapproved anitary Permit Fee (Includes Groundwater pate Issued Iss ' 70 1 Approved El Owner Given Initial Surcharge Fee) 7 Adverse Determination X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398 (formerly Plb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber it INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at the 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 pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your iocal code administrator or the State of Wisconsin, Safety & Buildings Division, 608-266-3815. To be complete and accurate this sanitary permit application must include: 1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be~instalied. Il. Type of building being served. Check only one and complete of bedrooms if 1 or 2 Family Dwelling. III. Building use. li building type is Public, check all appropriate boxes that apply. IV. Type of permit. Check only one in line A. Complete tine 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 in ##1-7. VII. Tank information. Fill in the capacity of every new and/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/s phon 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'/s 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, ground- water contamination investigations and establishment of standards. SBD-6398 (R.11/88) • APPLICATION FOR SANITARY PERMIT 8TC-100 This application form In to be completod in full and signed by the ovntr(s) of the property being developed. Any inadoquacies will only result in delays of the pzrmit Issuance. -Should this development be intended for resale by owner/contractoc,(spec house)# than a second form should be retained and completed when tha property is sold and submitted to this office with the appropriate deed recording. o ar of property Location of property-s 1/4 /NA 1/4, Section 2 T_~~ N-R r~V Township _ Mailing address ___~p Z Sal v c=.-✓ /d71t> S $r~2 1<00, T / Z f~ /LYcJ m. C✓~ Address of s i t e Z O •ubdlvlslcn name.~~Ly S ~Sr S Lo.t number Previous owner of property '0~ /Paa Total size of parcel 2• Z h1c ff> Date parcel was created _ ~9~q ~y~ f~ C is Are all corners and lot lines Identifiable? es Ho Is this property being developed for resale (spae house )?Yes Ito VolVN4 716 and Page Number as recorded with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWINCI A WARRANTY DECD which Includes a DOCUMENT NUMBER, VOLUME AND PAOL NUMBER, and the SEAL OF THE REGISTER OF DEEDS. In addition, a certified survey, If available, would be helpful so as to avoid delays of the reviewing process. If the deed description references to a Certified Survey Map, the Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATION I(V4) certify that all statements on this form are true to the best of my (our) Rnowledgel that I (we) am (are) the owner(s) of the property described In this Information form, by virtue of a warranty dead recorded In the Office of the County Register of Deeds as Document No. and that I (We) prtstntly own the proposed site for the sewage disposal ayatea+ (or I (we) have obtained an easement, to run with the above described property, for the construction gf said system, and the same has been 4d 1 recor ed In the Office of t CoV a o[ Daads, as Document No. Q 6 O ignat re Owner Signature of Co-Owner (If Applicable) q'z7 9~ Date of IlLgnature Date of Signature , s - DOS ,Jti+ ' g 1.i YHIi SPn." t 5E - F~r~ fiiCi, R'~ING 'J ?.TA J 1- ti - . S A-1 B'~ 0 '¢r I5<<iN 3 R 4 Et; ~ NO. i 1.. g z I EP R.FG15 ro de. b<t~leen Jdn,n;..R.,_ D1c L.e~a .~.~,d ~ o,,:J.X CO, ~ S. This t I, iVQI?tl..a }._..~1 LeQci,-.hkj_sb,!~,nu- an 't.-Lv1fE, C!~ fSol -t } this-17th - July A.0. 19 85 ..point ttila tts - - - - ej _ . , G z .o - . } 3:15 P - and . -Richard J. and -w-if c,---as j0 L: rLt - - _ i C r-tc*ee, - 3craioa. ~l luable co i `iirl~rl(-'»4 t~1, That the sail G=.eDt 'C , for a REMIRN TO to Grantee the following des rll-. l real e,t%_te in _St . ---CTD 1K County, State of Wisconsin: The SW% of the N+d4 and the SF4 of. i Tao Parcel No: - the NW4 and the NF% of the SI lT} ii•ty-or.e Section Twenty-eight (28), Township (31) North, Range Fighteen (18) West. This Warranty Deed is given in satisfaction of that Land Contract 3 dated June 30, 1982, and recorded in the St. Criox County Register =R of Deeds office on July 2, 1982, in Volume 648 of Records on page 462 as Document No. 38419. This 1S not homestead prorerty. (is) (is not) Togt:ther wUh all and singular the hereditanter,ts and appjrtenance~z there-into bclorairg; An,I. .grantor.-- - warrant< that the title is good, indeffasible in fee s.imple and free and cleat' of e..ctimbrances except and will warraac an J de`;::a trt~ snr:.'. 'w 15th 19 85 P day of July- - - - ated this - y r 1\ (SEAL) James R. McLFgd_--- _ La,v-ont i-a_ ?t-. - McLeod. Y (S' (SEAL.) aKCl E A ) z ; 1'rJ'T'H£PtiTICATIUN AGNUtz1LEDGRiT,NT % - STATE OF . R1, r. 0\S 1\ s ~ .i~~c>f ,Tarnc; R. Nicl,eod and Ss. ITT C9d r# - Ciun 1.t~t 1 1 ,c. f Jill y `t 19 R Pc : ay carne befor, n y this day of autho r>t <tn.,; r 8a~ o 1~.... the e mime. - - - N ,ta._y Pub" C (Ii r r - µ ex--it-1 ~ ho 4 r, 1, to t" t Y u _ sut... r, l h, s %V;- to « r , J 1 q .l it c -W S . C . p ~f F.) } 1V 1 jC~)n; t 11 R1C}tP,+:1: p C SEPTIC TANK MAINTENANCE AGREEIIENT w St. Croix County OWNER/BUYER 1"75• 0 fA Fire dumber ROUTE /.-t'0 .X NUMBER ZIP rT CITY/STATE PROPERTY LOCATION: '.5~ Section zs T N, R W, Town of 5~kz St. Croix County, Subdivision Lot number, Improper use and maintenance of your septic system could result in its premature failure to handle wastes.' Proper maintenance con- sists of pumping out the septic tank every three years or sooner, if needed, by a 1•icenbed' 'sept'ip,.tBnk pumper. What you put into the system can affect th-e unction o, the •svp:tic tank as a treat- ment stage in the waste disposal system. St. Croix Count residents'- maybe eligible to recieve a grant for a maximum of 60% of the.cost.of replacement of a failing system, which was in operation prior to-July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of all' new 'sys't'ems agree to keep their system properly maintained. The property owner agrees to. submit to St.. Croix County Zoning a certification form, signed by the owner and by a mater plumber, journeyman plumber, restricted plumber or. a licensed pumper veri- fying that (1) the on-site wastewater disposal system is in proper operating condition and .(2)•after inspection and pumping (if nec- essary), the septie'.tank is less than 1/3 full of sludge and scum. Certification form will be sent approximately 30 days prior to three year expiration. H I/WE, the undersigned have read the above requirements and agree 0 to maintain the private sewage disposal system in accordance with N the standards set forth, herein, as..set by the Wisconsin Depart- a' ment of Natural Resources. Certification form must be completed and returned to the St. Croix County Zo ng Office within 30 days of the three year expiration-date. SIGNE DATE St. Croix County Zoning Office 911 4th St. Hudson, WI 54016 386-4680 Sign, date and return to the above address. i and d Department ti Industry, Labor OIL AND SITE EVALUATION REPORT Page Human Relations S _ Of Division of Safety 8 Buildings in accord with ILHR 83.05, Wis. Adm. Code t - COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER:, PROPERTY LOCATION <tr GOVT. LOT ' 5_1/41,•& 1/4,S~VeT 31 N,R / E (orkE~ PROPER OWNE ':S MAILING ADDRESS LOT # BLOCK # SUBD. NA OR CSSMM 4 C- ?12 /zA L C C CITY, STATE ZIP CODE PHONE NUMBER []CITY F-IVILLAGE k9QWN NEARESTR QAD New Construction Use ~(J Residential / Number of bedrooms -3 ( J Addition to existing building j ] Replacement [ J Public or commercial describe Code derived daily flow ~4 Sa2_ gpd Recommended design loading rate _7 _bed, gpd/ft2 Wench, gpd/ft2 Absorption area required bed, ft2 trench, ft2 Maxim ym design loading rate gybed, gpd/ft21!~Ctench, gpd/ft2 Recommended infiltration surface elevation(s) /ft (as referred to site plan benchmark) Additional design / site considerations Parent material _ /J4 f < < Flood plain elevation, if applicable ft 7=UUnlstui able for s ystem CONVENTIONAL MOUND IN-GROUND PRESSURE 11 AT-GRADE SYSTEM IN FILL HOLDING TANK table for system s O U PD S❑ U S❑ U S❑ U El S U El S ALI SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munseli Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trerrh -Eol le f y/ a F~ i s Ground at D elev. Depth to limiting tact~y • Remarks: Boring # Horizon Depth Dominant Color Mottles Structure GPD/ft Texture Consistence Botrxiery Roots Bed Trendl in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Ground' elev. /c3~ft. Depth to limiting fa 7 Remarks: Boring # / S _ Ground 7 . elev ~a2n- ft. Depth to limiting fac(9r . T_= ` Remarks: CST Name:-Please Print / Phone: Address: Signature: Date: CST Number: _3 -4 PROPERTY OWNER SOIL DESCRIPTION REPORT Page _ of-' PARCEL I.D. # f Boring# Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft . in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 10 -71a ij. ,7 Ground Ile c S/ o t , e"L elev. O/ ft. Depth to limiting fac or Remarks: Boring # Ground elev. eit _-_1 ft. Depth to limiting fac r 1-2 Remarks: Boring # i Ground elev. ft. - Depth to limiting factor F_T_ Remarks: G ~ a o ~ \ 1 Q' 3 3 ° 30 log ~/Y" ~Cf 5~ PLOT PLAN :5~o lepl- /017. P R.O J E C T v'~ iU/~ r ADDRESS r( 3s3?7~ 4 00r1rVr14 7 S`e to S,"F' 1/4 P14,1141SA'/T,74 N/R /,,O~W TOWN J`J~tt ;e COUNTY MPRS Byron Bird Jr. 3318 DATE q= 2 7 BEDROOM' CLASS PERC _ CONVENTIONAL_,2!~IN-GROUNt~XESSURE CONVENTIONAL LIFT_ MOUND_ HOLDING TANK SEPTIC TANK SIZE LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE ABSORPTION AREA PERC RATE G BED SIZE 1~s s~ 1L Benchmark V.R.P. Assume Elevation 100' Location of Benchmarks 0 Borehole (Q Well Scale = Feet 0 Perc Hole System Elevation / y Vent 12" Grade TYPAR COVERING 2" 12" 3' 4 6' Q 3' I Sewer Rock 6 i 12' t~ bra r , jq 1 55 a y~