Loading...
HomeMy WebLinkAbout020-1210-90-000 C c Cl)0 O 3 v n d L I 3 3 (D � 1 •� ty, m 7! eo o �. • .. o O ® 1 N a A Z y O 7 M oi CD d j 3 3 p j (D ►�_y 3 C CD o CD 0 o >v O r. V - V 3 7 N T O 0 �i1 N y C (D lV 0 CL co 0 CD N O 00 z! G V Q �rZry p ao o cn En 1 o lri to co 0 co 00 co 00 3 .°. Q lz o 0 o o N to N RL ca Z N N I D a S 0 c CD cn co OIQ C (D N Z (D -i V! 0 O A Z A V C v CL �' GZj 7 0. W A C f1 <� Z to c 3 a 17 Z y Z W C ? I N a 0 = C I 3 m C I o a a I m N A, a x I � I I tr I � A I � I ~ I c °a I � 'V Q 0 CD I � w o O o a f t Form - S T C - 104 AS BUILT SANITARY SYSTEM REPORT OWNER �4�1 /�,'�/�/ TOWNSHIP f�«��So,-, SEC. T �N-R �yd ADDRESS 4fo ll or, Z_ ST. CROIX COUNTY, WISCONSIN SUBDIVISION �,� w S� LOT LOT SIZE -36 PLAN VIEW Distances alld,dimensions to meet requirements of IIHR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM Zm r _ �- b Q , j 26. q S/ I 5 y l Ir i I INDICATE NORTH ARROW BENCHMARK: Describe the vertical reference point used / � _�� Al�a to i�a 0 Elevation of vertical reference point: /D&-d Proposed slope at site: SEPTIC TANK: Manufacturer: ,'_vi Liquid Capacity• /p00, 9 c 1 Number of rings used: Tank manhole cover elevation: 9�.1iD Tank Inlet Elevation:- 3 Tank Outlet Elevation: y/O Number of feet from nearest Road: Front,O Side, Rear, O 50/' feet From nearest property line Front,0 Side,©Rear,O 20i feet Number of feet from: well Sy/ building: /yE (Include this information of the above plot plan) ( 2 reference dimensions to septic tank) SEE REVERSE SIDE .r PUMP CHAMBER Manufacturer: 4114 Liquid Capacity: Pump Model: Pump/Siphon Manufacturer: Pump Size Elevation of inlet: Bottom of tank elevation: Pump off switch elevation: Gallons per cycle: Alarm Manufacturer: Alarm Switch Type: Number of feet from nearest property line: Front, O Side, O Rear,Q Ft. Number of feet from well: Number of feet from building: (Include distances on plot plan). SOIL ABSORPTION SYSTEM Bed: �,,,, ,,�,, �,e,�0. Trench: Width: / Z� Length: .Z Number of Lines: Z Area Built: Fill depth to top of pipe: 'f b Number of feet from nearest property line: Front, O Side; O Rear, Ft . �� Number of feet from well: �a Number of feet from building: (P S (Include distances on plot plan). SEEPAGE PIT Size: Number of pits: Diameter: Liquid depth: Bottom of seepage pit elevation: Area Built: Has either a drop box O or distribution box O been used on any of the above soil absorbtion sytems? (Check one). HOLDING TANK Manufacturer: Capacity: Number of rings used: Elevation of bottom of tank: Elevation of inlet: Number of feet from nearest property line: Front, O Side, O Rear, QFt. Number of feet from well: Number of feet from building: Number of feet from nearest road: Alarm Manufacturer: Inspector: Dated: Plumber on job: License Number: / Z 3/84:mj t • 15EPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY&BUILDINGS LABOR&HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P.O.BOX 7969 BUREAU OF PLUMBING MAD(MADISON,WI 53707 NBWI S1G,T29N-R19G1 KCONVENTIONAL ❑ALTERNATIVE IS­,If ana I,D Number: Town ob Hud6 on El Holding Tank ❑In-Ground Pressure ❑Mound Lot 9 P NAME OF PERMIT HOLDER ADDRESS OF PERMIT HOLDER: INSPECTION DATE: Sam Mittetc I Route 1, Box 2 82, Hultson, W1 54016 , 1 a: 3C� BENCH MARK(Permanent reference Fomtl DESCRIBE IF DIFFERENT FROM PLAN: REF.PT.ELEV.: CST REF.PT.ELEV.. Name of Plumber MP/MPRSW No.: County: Sanitary Permit Number: Doug StAohbeen i5432 St. Ctcoix 112710 SEPTIC TANK/HOLDING TANK: MANUFACTURER. LIQUID CAPACITY. TANK INLET ELEV.: TANK OUTLET ELEV.: WARNING LABEL LOCKING COVER 00 �� � PROVIDED PROVIDED � . 1 qt .oa .YES ONO ❑YES ®NO BEDDING. VENT DIA. VENT MATL.: HIGH WATER NUMBER OF ROAD' PROPERTY WELL. BUILDING VENT TO FRESH ALARM LINE (AIR 1=LET r FEET FROM EYES 9NO G` OYES YNO NEAREST DOSING CHAMBER: MANUFACTURER BEDDING'. LIQUID CAPACITY PUMP MODEL JPUMP/SIPHON MANUFACTURER WARNING LABEL 1 LOCKING COVER PROVIDED: PROVIDED: DYES QNO A Y EAi ONO I OYES ONO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL. NUMBER OF PR RTY W L BUILDING VENT TO FRESH (DIFFERENCE BETWEEN FEET FROM LIN AIR INLET PUMP ON AND OFF) ❑YES ONO NEAREST SOIL ABSORPTION SYSTEM.Check the soil moisture at the depth of plowing LENGTH 7AMErEH\TATjRIA'1,jaND MARKING or excavation. (If soil can be rolled into a wire,construction shall cease until FORCE the soil is dry enough to continue.) MAIN CONVENTIONAL SYSTEM: WIDTH'. LENGTH NO.OF DISTR.PIPE SPACING COVER INSIDE DIA -PITS LIQUID BED/TRENCH I C TRENCHES & + MATERIAL' PIT DEPTH DIMENSIONS J GRAVEL DEPTH FILL DEPTH DISTR.PIPS DISTR.PIPE DISTR.PIPE MATERIAL: NO.DI R. NUMBER OF PROPERTY WELL BUILDING VENT TO 11115/1 BELOW PIPEES ABOVE COVER. ELEV.INLET ELEV.END/� /��I PIPE LIN�y f - AIR INLET Lot-1 -t O qa S c+u.� C7' I FEET FROM v� 1�� ltj� 4— NEAREST MOUND SYSTEM: Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OFSYSTEM and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE.SHOW ELEVA- meets the criteria for medium sand. TIONS MEASURED. OYES ❑NO SOIL COVER TEXTURE PERMANENT MARKERS OHSEHVATION WELLS DYES ❑NO OYES ONO DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED DEPTH OF TOPSOIL SODDED SEEDED MULCHED CENTER EDGES. ❑YES ONO ❑YES ONO DYES 1:1 NO PRESSURIZED DISTRIBUTION SYSTEM: WIDTH. LENGTH NO.OF LATERAL SPACING GRAVEL DEPTH BELOW PIPF FILL DEPTH ABOVE COVER BED/TRENCH TRENCHES: DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR.PIPE MANIFOLD MATERIAL NO DI STH DISTR.PIPE UISTHIBUTION PIPE MATERIAL&MARKING ELEV.. ELEV.. DIA. ELEV.. PIPES DIA.: ELEVATION AND DISTRIBUTION INFORMATION HOLE SIZE HOLE SPACING DRILLED CORRECTLY COVER MATERIAL VERTICAL LIFT CORRESPONDS TO APPROVED OYES ONO OYES ONO COMMENTS: PERMANENT MARKERS: JOBSERVATIC, WELLS. NUMBER OF PROPERTY WELL. BUILDING. FEET FROM LINE IC`\� DYES — NO OYES❑YES ❑NO NEAREST 7 � I of 0 Sketch System on l Retain in county file for audit. Reverse Side. S TITLE Zoning A&ninat4atotc DILHR SBD 6710(R.01/82) � SANITARY PERMIT APPLICATION COUNTY EUILHA a In accord with ILHR 83.05,Wis.Adm.Code X STATE SANITARY PERMIT# //d 0 —Attach complete plans(to the county copy only)for the system,on paper not less than STATE PLAN I.D.NUMBER 8%x 11 inches in size. —See reverse side for instructions for completing this application. PETITION 1. APPLICANT INFORMATION—PLEASE PRINT ALL INFORMATION. FOR VARIANCE ❑YES Y1 NO PROPERTY OWNER PROPERTY LOCATION •:S0L,-W to..,/4 k'/4 /r'E' '/4, S / T , N, R /f E(o PROPERTY OWNER'S MAILING ADDRESS LOT NUMBER BLOCK NUMBER SUBDIVISION NAME - 2 Z.. - T k wa s7-' CITY,ST TE ZIP CODE TPHONE NUMBER CITY NEAREST ROAD,L OR LANDMARK P,* fjj Z ` VILLAGE : n II. TYPE OF BUILDING OR USE SERVED: Number of Bedrooms if 1 or 2 Family .3 OR ❑ Public(Specify): III. PURPOSE OF APPLICATION: (Check only one in##1. Check##2,3 or 4,if applicable) 1. a. � New b. El Replacement c. El Replacement of d. ❑ Reconnection of e.❑ Repair of an System System Septic Tank Only an Existing System Existing System 2. ❑ A Sanitary Permit was previously issued. Permit## Date Issued 3. ❑ An Existing System has been inspected and soil conditions meet minimum requirements. 4. ❑ The System is shared by more than one owner/building. Attach Common Ownership Agreement to County Copy. IV. TYPE OF SYSTEM: (Check only one in##1 and only one in##2) 1. a.)d Conventional b. ❑Alternative C. ❑ Experimental 2. a. ❑System- b. ❑ Holding c.❑ Pit Privy d. ❑ Vault Privy e. ❑ Mound f. ❑ IGP In-Fitt Tank V. ABSORPTION SYSTEM INFORMATION: (Check one) 1. a. X Seepage Bed b. ❑seepage Trench c. ❑seepage Pit 2. PERCOLATION RATE 3. ABSORPTION AREA 4. ABSORPTION AREA 5.SYSTEM ELEVATION 6. WATER SUPPLY: (Minutes per inch): REQUIRED(Square Feet): PROPOSED(Square Feet): Z Ft 17/. 3 "Feet Private ❑Joint El Public VI. TANK CAPACITY Site in ga ons Total ##of Prefab. Fiber- Exper. INFORMATION New xisting Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks structed Septic Tank or Holding Tank 7~ 7 ✓ ly [Ell El Lift Pump Tank/Siphon Chamber L1 Ll I ❑ VII. RESPONSIBILITY STATEMENT I,the undersigned,assume responsibility for installation of the private sewage system shown on the attached plans. Plumber's Name(Print): Plumber's Signature:(No Stamps) MP/MPRSW No.: Business Phone Number: & . Sfr® 4 4tlu- M,4 . 3. 1 3 Z 7 3 2- 3 Plumbers ddress(Street,City,State,Zip Code): Name of Designer: A G AL Av L- O/7 h d ow VIII. SOIL TEST INFORMATION Certified Soil Tester(CST)Name CST##/ ,Dqg. i /�/ � SrtD ^�.a/ t ,� CST's ADDRESS(Street,City,State,Zip Codej Phone Number: /// G /���,s 01., IX. COUNTY/DEPARTMENT USE ONLY Disapproved Sanitary Permit Fee Groundwater ate Issuing Agent Signature(No Stamps) Approved ❑ Owner Given Initial �,\ rcharge�Fe�,e\ Adverse Determination f U,� W �^ X. COMMENTS/REASONS FOR DISAPPROVA T ,CLt � �CCr� SBD-6398(formerly Plb-67)(R.03/86) DISTRIBUTION: Original to County,One Copy To:Bureau of Plumbing,Owner,Plumber , INFORMATION & INSTRUCTIONS FOR COMPLETING A SANITARY PERMIT ' APPLICATION TO THE APPLICANT: 1. This 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. A new permit may be needed if there is a change in your building plans, system location, estimated wastewater flow (number of bed- rooms, etc.), depth of system, or type of system; 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. Private sewage systems must be properly maintained. The septic tank(s) should be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years; 6. If you have questions concerning your private sewage system, contact your local code administrator or the State of Wisconsin, Bureau of Plumbing, 608-266-3815. To be complete and accurate this sanitary permit application must include: I. Property owner's name and mailing address. Provide the legal description where the system is to be installed; 11. Type of building or use served: If public is checked, indicate type of use (i.e. 10 unit apartment, 30 seat restaurant, etc.). Fill in number of bedrooms if building is a one or two family dwelling; 111. Purpose of application: Check only one in ##1. Complete##2 if permit is for tank replacement, reconnection or repair; IV. Type of system: check all appropriate boxes depending on system type. Check experimental only if project is in conjunction with University of Wisconsin; V. Absorption system information: Provide all information requested in ##1-6; VI. Tank information: Fill in the capacity of every new and/or existing tank, list the total gallons to be installed, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all septic, lift/siphon chamber and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR; VII. 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. Fill in designer name if applicable; VIII. Soil test information: Certified soil tester's name, certification number, address, and phone number. IX. County/Department Use Only; X. Comment area for use by county or resaon given when application is disapproved. Complete plans and specifications not smaller than 8'/ 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; dosing or pumping chambers; 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. GROUNDWATER SURCHARGE On May 4, 1984, 1983, Wisconsin Act 410 was signed into law. This legislation is more commonly known as the groundwater protection law. This change in statutes was the result of over 2 years of steady negotiation and public debate. The groundwater bill Ground BtBaf included the creation of surcharges (fees) for a number of regulated practices which Wisco inxS can effect groundwater. The surcharge took effect on July 1, 1984. All of the water that buried T+Q8S4ltfl is used in your building is returned to the groundwater through your soil absorption u Mir system or the disposal site used by your holding tank pumper. a The monies collected through these surcharges are credited to the groundwater fund adminis- tered by the Department of Natural Resources. These funds are used for monitoring ground- f water, groundwater contamination investigations and establishment of standards. Groundwater, it's worth protecting. SBD-6398(R.03/86) " APPLICATION FOR SANITARY PERMIT STC - 100 This application form is to be completed in full and signed by the owner(s) of the property being developed. Any inadequacies will only result in delays of the permit issuance. Should this development be intended for resale by owner/contractor, (spec house), then a second form should be retained and completed when the property is sold and submitted to this office with the appropriate deed recording. ------------------------------------------------------------------------------- Owner of property Ai,���Y Location of property /�"lv 1/4 �1/4, Section � , T�N-R� Township 1`7`� " SCA-A Mailing address ` 2r7L-,, CUB SAO/G Address of site Subdivision name_ _�a Ae . ��6 Lot number _M 2 Previous owner of property LQ5 -seIf Total size of parcel IP Date parcel was created Are all corners and lot lines identifiable? A" Yes No Is this property being developed for resale (spec house)? �'' Yes No Volume and Page Number as recorded with the Register of Deeds. ------------------------------------------------------------------------------- INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE 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. ---------------------------------------------------------7--------------------- '� PROPERTY OWNER CERTIFICATION I(We) certify that all statements on this form are true to the best of my (our) knowledge; that I (we) am (are) the owner(s) of the property described in this information form, by virtue of a warrant deed recorded in the Office of the County Register of Deeds as Document No. 3 2 803 ; and that I (We) presently own the proposed site for the sewage disposal system (or I (we) have obtained an easement, to run with the above described property, for the construction of said system, and the same has been duly recorded in the Office of the County RegisteKj of Deeds, as Document No. ) . Signature of Owner Signature of Co-Owner (If Applicable) Date of Signature Date of Signature STC - 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER .5&M ROUTE/BOX NUMBER 'e I # / o X ' Z ^�_ FIRE NO. CITY/STATE W-5, ZIP S-51'C2 PROPERTY LOCATION: "1/4 NE /4, Section ,1_, T_,F�N, R Town of _d.sn� , St. Croix County, Subdivision , Lot No. . 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 SEPTIC TANK PUMPER. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. St. Croix County Residents MAY be eligible to receive a grant for a MAXIMUM of $3000 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 SYSTEMS agree to keep their systems properly maintained. The property owner agrees to submit to St. Croix County Zoning 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 (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum. Certification form will be sent approximately 30 days prior to three year expiration. I/WE, the undersigned, have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin Department of Natural Resources. Certification form must be completed and returned to the St.Croix County Zoning Office within 30 days of the three year expiration date. SIGNED DATE ! �' St. Croix County Zoning Office St. Croix County Courthouse 911 4th Street Hudson, WI 54016 (715) 386-4680 Sign, Date, and Return to above address t , DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS INDUSTRY„ DIVISION LABOR AND PERCOLATION TESTS (115) MADISON W 53707 HUMAN RELATIONS (H63.0911)&Chapter 145.045) LOCATION: SECTION: u/D���(o TOWNSHIP: LOT/NO.:BLK.NO.: SUBDIVISIO,NI 'NAME: // w (O 1� R k7 /�'� fN/¢y 44 COUNTY: OWNER'S BUYER'S NAME: MAILING ADDRESS: 5Z Ciro` S e rmk A(reak oed &el so r5. S v USE DATES OBSERV TIONS MADE NO.BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: ER OLATION TESTS: [Residence New ❑Replace. RATING:S=Site suitable for system U=Site unsuitable for system (i S� Sg(7/`e ''�� o M E]U CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILL HOLDING TANK:RECOMMENDED SYSTEM:(optional)E]S If Percolation Tests are NOT required re DESIGN RATE: If any y portion of the tested area is in the under s.H63.09(5)(b),indicate: lFloodplain,indicate Floodplain elevation: AA PR tFI E DESCRIPTIONS BORING TOTALI DEPTH TO GROUNDWATER4WGHC-S CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE,AND DEPTH NUMBER DEPTH#iC' ELEVATION OBSERVED EST.HIGHEST TO//BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) _ / tto8/�/ I � . On 15 / gh /�6*��/ B- 7,S' /o s' /mow � 2.s' 3<z s cs .� �,5' �03, ' I.10 f-r // /. 3 ,Bn B /� . `f �n /S, /•7 �h /Mled s/ /, /. 9 Bn/, .3 n./S, .2.3 fah /hed s B-3 f S' /0.2_'7' A,lam e 7 �.5' n S B- Y 1634, A1,W e, 8 `7 �.Sr �s •7 9 f/� 1. 1 9n /, . BRAS, /•9B� NiedS, B- PERCOLATION TESTS TEST DEPTHI WATER IN HOLE TESTTIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER Pig!16& AFTERSWELLING INTERVAL-MIN. PERIOD PERI002 PERIOD 3 PERINCH P- / .3' e Z 6 6 6 --_ 3 P_ 2- 3 m v P_ ,s' 2 P-_ P_ PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. I SYSTEM ELEVATION `79 �� �Sc,�/� _C" =_�/o'� _ . �� 1 t i � f x E 3 _� _� � �: -- t3? - - N E e t E __ �' 1.� Ir : V _.Z k I,the undersigned,hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code,and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. NAME(print): TESTS WERE COMPLETED ON: ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER(optional): /&(Qr �vQ SO S• S'4 � /SF CS ATURE: DISTRIBUTION:Original and one copy to Local Authority,Property Owner and Soil Tester. DILHR-SBD-6395 (R.02/82) —OVER — INSTRUCTIONS FOR COMPLETING FORM 115 - SBD - 6395 To be a complete and accurate soil test,your report must include: 1. Complete legal description; 2. The use section must clearly indicate whether this is a residence or commercial project; 3. MAXIMUM number of bedrooms or commercial use planned; 4. Is this a new or replacement system; 5. Complete the suitability rating boxes. A SITE IS SUITABLE FOR A HOLDING TANK ONLY IF ALL OTHER SYSTEMS ARE RULED OUT BASED ON SOIL.CONDITIONS; 6. PLEASE use the abbreviations shown here for writing profile descriptions and completing the plot plan; 7. MAKE A LEGIBLE diagram accurately locating your test locations. Drawing to scab= is preferred. A separate sheet may be used if desired; , Make sure your benchmark and vertical elevation reference point are clearly shown,and are permanent; 5 Complete all appropriate boxes as to dates, names,addresses, flood plain data, percolation test exemp- tion, if appropriate; 10. If the information (such as flood plain,elevation)does not apply, place N.A. in the appropriate box; 11. Sign the form and place your current address and your certification number; 12. Make legible copies and distribute as required. ALL SOIL TESTS MUST BE FILED WITH THE LOCAL. AUTHORITY WITHIN 30 DAYS OF COMPLETION. ABBREVIATIONS FOR CERTIFIED SOIL TESTERS Soil Separates and Textures Other Symbols st — Stone (over 10") BR Bedrock col.) — Cobble (3- 10") SS -- Sandstone gr — Gravel (under 3") LS — Limestone 's — Sand HGW — High Groundwater cs — Coarse Sand Pere - Percolation Rate reed s — Medium Sand W Well €s Fine Sand Bldg - Building Is Loarny Sand > _- Greater Than s( Sandy Loam < -- Less Than '1 — Loam Bn _ Brown �Isil — Silt Learn BI Black si - Silt G Gray �cl — Clay Loam Y - Yellow scl -- Sandy Clay L oarn R — Red sicl — Silty Clay Loarn mot - Mottles sc, -- Sandy Clay Wv with sic — Silty Clay fff — few, fine, faint C - Clay cc corrrmon,coarse Ott Peat rt111) — Mans, medium rn - Muck d — distinct p — prominent HWL — High water level, Six general soil textures surface water for liquid vvaste disposal BM — Bench Mark VRP Vertical Reference Point TO THE OWNER: This soil test report is the first step it,)securing a sanitary permit. The county or the Department may request vc.itiruaflon of this soil test in the field prior to permit issuance. A complete set of plans for the private ,t,at,e system and a permit application must be suhwitted to the appropriate local auth"m"w in order to O'bl m a 1)ci riit. The sanitary permit must be obtaiii,cd and faes?ed pi irr to the start of<1ny jetien. t s • � a a ti� • s v 1 � i ; 3 ` 41, `s Lr s � � Aso -Ac � Aj <' d �S2. U, (A Sc41e� �l � r r P > N f _ 0 a �I u � 41? < LRI � r i I i � t j 1 � i O 0