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038-1093-40-000
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S SEE PAGE 4 rte_ EE PAGE 53 I J cS7`Go/x C :,.... sPii BERNARD'S , NORTHTOWN UTGAARD S HATCHERY HIGHWAYS 64 & 65 NORTH POULTRY BUSINESS SINCE 1901 NEW RICHMOND, WISCONSIN 54017 Year Round Poultry Service Q POULTRY FEED - EQUIPMENT - REMEDIES PHONE: 246-2236 Phone: 248-3200 or 248-3209 TWIN CITY cnHrscFe STAR PRAIRIE, WISCONSIN 54026 PHONE. 439-2905 � I i ' I �: w • Form - S T C - 104 AS BUILT SANITARY SYSTEM REPORT OWNER �� L TOWNSHIP . d s SEC. V,2_ T ZLN-R W ADDRESS C���� �1f1� r ST. CROIX COUNTY, WISCONSIN /92,7d SUBDIVISION j LOT LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of ILHR 83 i SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM I xr G . "c 0c, 77 ol nN ' D INDICATE NORTH ARROW BENCHMARK: Describe the vertical reference point used � s Elevation of vertical reference point: Proposed slope at site: SEPTIC TANK: Manufacturer ,f&s za-,I 1&s Liquid Capacity: Number of rings used: �, Tank manhole cover elevation: Tank Inlet Elevation: Tank Outlet Elevation: Number of feet from nearest Road: Front,O Side 10 Rear, O f �'� feet 7 From nearest, property line : Front,O Side, Rear,O feet Number of feet from: well _�a building: (Include this information of the above plot plan) ( 2 reference dimensions to septic tank) SEE REVERSE SIDE PUMP CHAMBER Manufacturer: y Liquid Capacity: e 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,0 Ft. Number of feet from well: Number of feet from building: (Include distances on plot plan). SOIL ABSORPTION SYSTEM Bed: Trench: Width: Length: .y4 Number of Lines:_ Area Built: Fill depth to top of pipe: Number of feet from nearest property line: Front O Side, O Rear,Q)Vt . _ Number of feet from well: Number of feet from building: !-2� (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, 0Ft. Number of feet from well: Number of feet from building: Number of feet from nearest road: Alarm Manufacturer: I Inspector• Dated• 7/,,")- Plumber on job: �i.J log.? ,�S 7'� _. License Number: 3/84:mj DEPARTMENT`OF INDUSTRY, INSPECTION REPORT FOR SAFETY&BUILDINGS 'LABOR&HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P.O.BOX 7969 BUREAU OF PLUMBING MADISON,WI 53707 rYY� State Plan I.D.Number: NF4,SF%,S22,T31N-R18�U U`CONVENTIONAL ❑ALTERNATIVE fit assigned) Town of SToA PAC'iAie ❑Holding Tank El In-Ground Pressure El Mound Town Road NAME OF PERMIT HOLDER'. ADDRESS OF PERMIT HOLDER: INSPECTION D . Phit CuAtin 235 G1itt amps Avenue, New Richmond, w1 54017 — 11-JO � 3 BENCH MARK(Permanent reference point)DESCRIBE IF DIFFERENT FROM PLAN: REF.PT.ELEV.: CST REF.PT.ELEV.. Name of Plumber. MP/MPRSW No.: County'. Sanitary Permit Number: Cabin PoweAz J&. 1563 St. Ctcoix 112681 SEPTIC TANK/HOLDING TANK: MANUFACTURER LIQUID CAPACITY'. TANK INLET ELEV.'. TANK OUTLET ELEV.. WARNING LABEL LOCKING COVER 8 - P OYV ED. PROVIDED. 4 / ?t-t 1^- DYES El NO DYES NO BEDDING. VEN7 DIA.. VENT MATL.. HIGH WATER NUMBER OF ROAD: PROPERTY WELL BUILDING. TO FRESH ?�� /•` ALARM. FEET FROM 300 ../ LINf. IVENT AIRINL�- ❑YES NO DYES ENO NEAREST r I DOSING CHAMBER: MANUFACTURER BEDDING'. LIQUID CAPACITY JPUMP MODEL. PUMP/SIPHON MANUFACTURER WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: DYES ❑NO DYES ❑NO ❑YES ONO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL NUMBER OF PROPERTY WELL BUILDING lVtNTTO FRESH LINE AIR INLET (DIFFERENCE BETWEEN FEET FROM PUMP ON AND OFF) DYES ❑NO NEAREST SOIL ABSORPTION SYSTEM.Check the soil moisture at the depth of plowing LENGTH DIAMETER MATERIAL AND MARKING FORCE or excavation. (If soil can be rolled into a wire,construction shall cease until the soil is dry enough to continue.) MAIN CONVENTIONAL SYSTEM: WIDTH: LEN NO OF DISTR.PIPE SPACING COVER INSIDE DIA SPITS LIDUIU BED/TRENCH / TRENCHES / MATERIAL: PIT DEPTH DIMENSIONS ���a'." GRAVEL DEPTH FILL-DEPTH UISTH PIP DISTR.PIPE DISTR.PIPE MATERIAL. NO.(IS NUMBER OF PROP RTV WELL BUILDING VENT TDFHESH BELOW PIPES ABO�E COVER. ELEV INL T ELEV.END'. PIPES FEET FROM LIN � AlYfrv�,ET�. I G J �� 2 � NEAREST � I 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. ❑YES ❑NO SOIL COVER ITEXTURE PERMANENT MARKERS JOBS111VATION WE LLS E]YES ❑NO ❑YES ❑NO DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED D ISODDED IMULCHID 1"E"U"LlYES CENTER EDGES DYES El NO ONO El YES ❑NO PRESSURIZED DISTRIBUTION SYSTEM: WIDTH. LENGTH. NO.OF LATERAL SPACING 113RAVELDIPTIIIIELOWPIPF. FILL DEPTH ABOVE COVER BED/TRENCH TRENCHES. DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR.PIPE MANIFOLD MATERIAL NO DISTR I'D ISTR.PIPE DISTHIBOTION PIPE MATERIAL&MARKING ELEV.. ELEV. DIA.. ELEV.. PIPES IA: ELEVATION AND DISTRIBUTION INFORMATION HOLE SIZE HOLE SPACING DRILLED CORRECTLY COVER MATERIAL PLANS CAL LIFT CORRESPONDS TO APPROVED DYES El NO DYES ❑NO COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS-. NUMBER OF PROPERTY WELL'. BUILDING. FEET FROM LINE DYES El NO ❑YES 1:1 NO NEAREST Sketch System on FE2 in county file for audit. Reverse Side. SIGNATURE. - ,�" TITLE. Zoning Adm,i DILHR SBD 6710(R.01/82) nL6t ato& 7DILHR SANITARY PERMIT APPLICATION COUNTY In accord with ILHR 83.05,Wis.Adm. Code 67,, ���U�x STATE SANITARY PERMIT# —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 LrZN No PROPERTY OWNER PROPERTY LOCATION 1/ 1/4, , N, R / E(or)d§ PROPER OWNER'S ILING AD RESS LOT NU BER BLOCK N MBER SUBDIVI N NAME IT ,STAT IP CODE PHONE NUMBER CITY NEAREST ROAD E OR LANDMARK jjj. ❑ VILLAGE:, i20. d 8' _00C II. TYPE OF BUILDING OR USE SERVED: Number of Bedrooms if 1 or 2 Family OR 11 Public(Specify): III. PURPOSE OF APPLICATION: (Check only one in#1. Check#2,3 or 4,if applicable) 1. a. ® New b. ❑ Replacement c. ❑ 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. Conventional b. ❑Alternative c. ❑ Experimental 2. a. ❑System- b. ❑ Holding c.❑ Pit Privy d. ❑ Vault Privy e. ❑ Mound f. ❑ IGP In-Fill Tank V. ABSORPTION SYSTEM INFORMATION: (Check one) 1. a. ® seepage Bed b. ❑seepage Trench c. ❑ See a e Pit 2. PERCOLATION RATE 3. ABSORPTION AREA 14. ABSORPTION AREA 5.SYSTEM ELEVATION 6. WATER SUPPLY: (Minute per inch): REQUIRED Square Feet): PROPOSED(Square Feet): i °2 Feet Private ❑Joint ❑ Public CAPACITY VI. TANK Prefab. Site Fiber- Ex per. in gallons Total of P e p INFORMATION # Manufacturer's Name Concrete Con- Steel glass Plastic App New Existing Gallons Tanks 9 structed Tanks Tanks Septic Tank or Holding Tank ❑ Lift Pump Tank/Siphon Chamber ❑ VII. RESPONSIBILITY STATEMENT I,the undersigned,assume responsibility for installation f the private sewage system shown on the attached plans. Plumber' Name(P ' t): PI ber's Sign ure:( tamps) MP/MPRSW No.: Business Phone Number: um s Ad ress treet,Cit tate,Zip Code): Name of Desi er: / f VIII. SOIL TEST INFORMATION Certifi So' Tester(CST ame CST# � � _L, CST?sADRESS(St r t,City,State ip Code) Phone Number: 3 L.2 S: 3 IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee Groundwater ate Iss;Z� ti nt Signature(No Stamps) ®Approved ❑ Owner Given Initial Surcharge Fee r- !�� Adverse Determination �2�°Chi od `, X. COMMENTS/REASONS FOR DISAPPROVAL: SBD-6398(formerly Plb-67)(R.03186) 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 Iodation, estimated wastewater flow (number•of bed- rooms, etc.), depth of system, or type of system; 4. Changes in ownership or plumberrequires 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 teptic•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; III. 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 dimension$, 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 BtBif included the creation of surcharges (fees) for a number of regulated practices which Wisco h! can effect groundwater. The surcharge took effect on July 1, 1984. All of the water that buried resutQ e is used in your building is returned to the groundwater through your soil absorption o system or the disposal site used by your holding tank pumper. 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- t water, groundwater contamination investigations and establishment of standards. Groundwater, it's worth protecting. SBD-6398(R.03/86) APPLICATION FOR SANITARY PERMIT STC - 100 his application form is to be completed in full and signdd by the owner(s) of the roperty being developed. Any inadequacies will only result in delays of the permit ssuance. Should this development be intended for resale by owner/contractor, ("spec ouse"), then a second form should be retained and completed when the property is old and submitted to this office with the appropriate deed recording. er of Property rte: Location of Property _ ,5�---1;� Section , T'?TN-R�_ W Township 2-le eriey 10-111,1 Mailing Address Address of Site Aolv -AL Subdivision Name Lot Number Previous Amer of Property Total Size of Parcel A Date Parcel was Created Are all corners and lot lines identifiable? ,X Yes No Is this property being developed for resale (spec house) ? Yes _"K _ 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 refer- ences to a Certified Survey Map, the Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATION i (109.) coUtti6y that a.CC eta.tement's on tlws 6ohm cute thug to .the but 06 my (ouA) hncwtedge; that T (we) am (aAe) thq owne�c(e i 06 .the phopehty duscA.ibed in tiuAa i"40ema,Uon 6o", by v-cA-tue 06 a waAAanty deed neeonded in the O66ice o6 the Ceiintyy RegiA teh o6 Deeds ah Document No. and that T (We) 06 the avn tl�e phoposed bite 6oh the 6ewage dizpos aye em (oh I (we) have obtained an C(Mc cn.t, to Run with the above deAc&bed phopehty, 6oh the eonsthuct(.on o6 aaid eye.tcm, and the name hab been duty necohded .in the 066tee o6 the County Reg•i.a•teA o6 Verde, as DocMen t No. ) . SIGNATURE"0111 W R SIGNATURE OF CO-OWNER (IF APPLICABLE) 9 DATE SICKED DATE SIGNET! L • ` / HC.MillerQxr4 y� �_�= • Mr.u4ee. Ia . .DOCUMENT NO. STATE BAR OF WISCONSIN—FORM 5 �VOL PERSONAL REPRESENTATIVE'S DEED y 628 P ru'E2?4 THIS SPACE RESERVED FOR RECORDING DATA REGISTERS OFFICE Robert Talmage ST. CROIX CO., WIS. as Personal Representative of the estate of Recd. for Record this 24th Ernest Erickson day of April A.D. 19 81 pt 2:00 P for a valuable consideration conveys without warranty to Phillip J. Curtin and Anna M Curtin, husband and wife _as joint tenants RETURN TO Grantee, i the following described real estate in St. Croix Ccunty, i State of Wisconsin: (hereinafter called the "Property") # t I I Tax Key No. The East Half of the Southeast Quarter (Eh of SE') , Section Twenty-two (22) , Township Thirty-one (31) North, Range Eighteen (18) West 'T'H.rll�ISF` R S 3. �1 i PROPERTY OWNERS COPY III H ' t/1 H a ST C - 105 r a H SEPTIC TANK MAINTENANCE AGREEMENT 0 St . Croix County z d 0/,Z jz4e_z1A1 a OWNER/BUYER / ROUTE/BOX NUMB R Fire Number�� CITY/STATE ZIP "S"� PROPERTY LOCATION:_V 4, ,:5:E _14, Section , T,!�j_N , R�_W, Town of , i St . Croix County , Subdivision Lot number,. I 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 licensed septic tank pumper . What you ptit into I` the system can affect the function of the septic tank as a treat- ment stage in the waste disposal system. St . Croix. County residents may be eligible to receive 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 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 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 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 . 0 E I/WE, the undersigned , have read the above requirements and agree N to maintain the private sewage disposal system in accordance with x H the standards set forth , herein , as set by the Wisconsin Depart- ►u ment 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 . �SICNE DATE St . Croix County Zoning Office P . O. Box 98- Hammond , WI 54015 715-796-2239 or 715-425-8363 Sign, date and return to above address . .r ` ' D T OF REPORT ON SOIL BORINGS AND SAFETY&BUILDINGS INUS TR Y Y,, INDUS DIVISION LABOR AND PERCOLATION TESTS (115 P.O. BOX 7969 HUMAN RELATIONS 1 MADISON,WI 53707 • (H63.09(1)&Chapter 145.045) LOCATION- '� SECTION: TO NSHIP/M ICIPALITY: LOT :BLK. SUB D ISION NAME: /T N/R E (or COUNTY: OWNER' /BUYER'S AME: M IL IN ADDRESS. s v USE DATES OBSERVATIONS MADE ITNO.BEDRMS,: COMMER IA DESCRIPTION: PROFILE DESCRIPTIONS:1PERCOLATION TESTS: Residence ? New ❑Replace oozy — RATING:S=Site suitable for system U=Site unsuitable for system 1111 D b CONnV STIONAL: MOUND: IN-GRnnOUND-PRESSURE: SYSTEM-IN-FILLHOLDING TANK:RECOMMENDED SYSTEM:(optional) 14J S ❑U ®S ❑U �J S ❑U ❑S Z U ❑S z u �'Bn.�ral�iea. If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the under s.H63.09(5)(b),indicate: Floodplain,indicate Floodplain elevation: PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNE OL EX UR ,ANO DEPTH NUMBER DEPTH I'K ELEVATION OBSERVED EST.HIGHEST TO BEDROC IF O SERVED (SEE BBRV.ON BACK.) ,f,yies x -L yr, 9 9- B- q r B- 3 _ Cot PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER &AWA- LS I AFTERSWELLING INTERVAL-MIN, PER10 1 PERIOD PER PER INCH P_ ! 31 E / P-P- i i 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,�gsl rcent of land slope. (j�� SYSTEM ELEVATION g_ I i V 47*;Ud111 _71 r A/rJr. J E F � ._. _,... ... _ _ _ ...... f I [ t -- i l / I � i I,the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods speeiked in thk Wi nsin Administrative Code,and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. NAME(pr" t : TESTS WERE COMPLETED ON: _66 A D CERTIFICATION NUMBER: PHONE NUMB R(optional): 4L 144uw 4�-_ �h.. :,2 !3 CST NATURE: 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 - SID - 6396 To be a complete and accurate soil test,your ref>ort rr'rust include: 1. GornpletO 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 scale is preferred. A se,pante sheet may be used if desired; 8. Make sage your benchmark and vertical elevation reference point are clearly shown,and are permanent; c;- Complete all apps opr iate boxes as to dates, names,addresses, flood plain data, percolation test exemp- tion.if appropriate; 20. I=the inice-oration (such as flood pain,elevation)does not apply, place N.A_in the appropriate box; 11. Sign t[vr farm and place yor.rr current address and your certification number; 13. Make lecgibie copies ami distribute as required. ALL SOIL TESTS MUST BE FILED WITH THE LOCAL AUTHORITY kNITHIN 30 DAYS OF COMPLETION, 4 ABBREVIATIONS FOR CERTIFIED SOIL. TESTERS Sail Separates and Textures Other Symbols st Stor=e (ovicer 10") BR Bedrock roh Cobble (3- 10") SS -- Sandstone gr- - Giac=el (under 3„1 LS - Limestone; — Sand HGtV - High Groundwater s — aarse Sand Pere Rat s I i .r�Sarad Bldg - Building t ra=arrny Sane? > .. Greaser Than "sl __ a'mdy Loam Less Thar, '! -- 1-odd) Bet - Psrowir Iso u9ilt Loam B B1ac;k_ Silt. G y - c! - Clay Lonna Y _ yr liovj S arrly Clay Lt�:ara4 - I d Silty Clay Loam rs°seat - Mottles sc _ S i rrdy Clay w - witlI — Silty Clay f f - few, finc,faint �; .. Clay cc ccarrantora € tarsa ?t I�.x<<, anon — fvdaa�y, nFediurrr a. M-m k d -- distinct. p — prominent HVVL — Nigh alater level, Si ,'cfe=rtes! soil textures surface water for lielwd waste disposal BM — Bench Mark VRP _- Vertical Reference Point TO THE OWNER: This soil test report is the first stop in securing a sanitary permit. The county or the Department relay rerluest verification of this soil test in the field prior to permit issuance. A Complete set of gleans for the private sevgage system and a permit application must be submitted to the appropriate local authotity in order to ohgain a permit. The sanitary permit must be obtained and posted prior to the start of any construction. Ae,o s/2A -,42:r7Y'9 99'Y" j 40 e ej je h7 rS �r�ua� sa- 1 ��fsll fX tt 99.tr a I � r \ � i tr • t PAGE OF <\ 1 1 121 -S Fresh Air Inlets And Observation Pipe Approved Vent Cap Minimum 12'Above Final Grad. 20-42"Above Pipe _4'Cool Iron To Final Grade Vent Pipe Mash May Or Synthetic Covering Mtn 2"Aggregate Over Plpe Oltlrlbutlon —Tee - Pipe -� 0 0 0 0 0 Be neath Pipe Aggregate r.- . Perforated pipit Below Be —Cooping Terminating At Bottom 01 System �L�cJ•.� tort SOIL FILL DISTRIBUT101.1 PIPE APPR,OVEO SypITNETIC COVER MATER14- OP, q" OF STRAW Z"oF1�6GREGATF –�' c e OR MARSH HAy (or OF 12-P- r AG GREGATE 'eP KIEV. oF�FEET—� DISTRIgIJT10N PIPE To BE AT LEA5TG24 IIJCHES BELOW ORIGIUAL GRADE AQU AT LEAST20 INCHES BUT MO MORE THA1.1 42 IAICNES BELOW FMAL GP.ADE, MAXIMUM DF-PN OF EXCAVATiawi FKom aW1 u 6XAt)r WILL BE IIJCHES MNIMUM ®EPrh OF EACAVATION FKo1A 04KI4IWqL GR4gE WILL BE dlk� _ INCHES SIGIJEO: LICEWSE DUMBER: p I DATE: — 42Q 110