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HomeMy WebLinkAbout020-1365-13-000 ?L • A Wisco6sin Department of Commerce • Safety and Buildings Division PRIVATE SEWAGE SYSTEM Coun � t Croix INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanit�rYp�r T No.: Personal information you provice may be used for secondary purposes (Privacy Law, s.15.04 (1)(m)), WET Permit Holder's Name: [I City ❑ Village E] Town o State Plan ID No.: .C. Collova Builders, Hudson Township CST BM Elev.-.- Insp. BM Elev.: BM Description: Parcel Ta No.: %.3Z' q (, . 32 ' I V PQC - = GS� glnti � 02d- 1365 -13 -000 TANK INFORMATION U ELEVATION DATA is, z9- 19, -2173 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic � � ar— Benchmar J 3.35 -7 F- 6-J 2 Dosing Alt. BM 2-to 4 rte' Aeration Bldg. Sewer ( gp 9 2.3 1 , Holding St /Ht Inlet �.GS cmoZ` TANK SETBACK INFORMATION St/ Ht Outlet 9,,8,� `o. --8' TANK TO P/ L WELL BLDG. Ventto ROAD Dt Inlet Air Intake Septic > 5-0, a NA Dt Bottom Dosing NA Header / Man. N s $9 " 14 Aeration NA Dist. Pipe s 1 _*0 Qg� q } I Holding Bot. System 1 0.o5 - q 6 ( - SD — 8 •! PUMP/ SIPHON INFORMATION Final Grade Manua er Demand St cover Model Number GPM TDH ctlon tem TDH Ft Loss e I Forcemain Length Dia. Dist. To SOIL ABS RPTION SYSTEM ` 0 BE-&/(TRENCH3 width Length r No Of Trenches PIT No. Of P Inside Dia. Liquid Depth DIM N I DIMENSION SYSTEM TO P/ L BLDG WELL LAKE/STREAM LEACHING ufacturer SETBACK _ CHAMBER INFORMATION Type o f �! f � y 3,p R U ode Num System: DISTRIBUTION SYSTEM 3t "4- 8l I • / 32 "� { l > Header/Manifold 4 Distribution Pipes' u / x Hole Size x Hole Spacing Vent To Air Intake Length -g,& Dia - Length � Dia. Spacing - 7 13 ` 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 /Trench Center Bed /Trench Edges Topsoil El 11 No E] Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) Inspection #1: o / /Inspection 42: Location: 985 Katner Court, Hudson, WI 54016 (NW 1/4 NE 1/4 15 T29N R19W) - 15.29.19.2173 Riverpark Meadows -Lot 13 Vol �„Q r *Ex� ,,. Lam- .,,,,. s s�� S 1.) Alt BM Description = � "�D d e- 2.) Bldg sewer length= - amount of cover = J l/3l sco -J co► Plan revision required? Use other side for additio & SBD -6710 (R.3/97) Date Inspector's Signature Cert . No. cn.. 6 13 r/ aD Grimm t . ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: s E 3 i r j P � e f a,e »�z -..... ee,a.,.e.. .m., ., _.. ,A e. .,...r....... _...... .... em ,e. ..� e te 9 .e...r �..: my ...�... ....... .�e ....... ... ...... g .: e_. 5._. .... ea ............ m, e ..... _. ...., m. .... ..me .,.. .d...,.� ° i f a Y i mm.=.,.4 t } s � 8 {{ 1 { t � �M m_ .., ... . . .......... . O �wa i s F µ i t� i a 3 E , L Safety and Buildings Division N)L consin SANITARY PERMIT APPLICATION 2 O 01 W. Bo 7 302 Department of Commerce In accord with ILHR 83.05, Wis. Adm. Code Madison, WI 53707 -7302 • Attach complete plans (to the county copy only) for the system, on paper no Ss County than 8 112 x 11 inches in size. • See reverse side for instructions for completing this application State Sanitary Permit Number 363 3b 2- Personal information you provide may be used for secondary purposes t Check it revision to previous application [Privacy Law, s. 15.04 (1) (m)]. y U State Plan I.D. Number 1. APPLICATION INFORMATION- PLEASE PRINT ALL INF 7 ION Propert Owner Name 'CKV1 rty cati n e✓ S 1 =:�1 4, S T a ip , N, R Q E (or�A Property Owner's Mailing Address , Block Number Gep V t �I City, State Zip Code Phone Number u ivision Name or CSM Number d S W = .5 r C ( > 11. TYPE ILDING: (check one) ❑ State Owned E] it Nearest Road ❑ Village Public 1 or 2 Family Dwelling - No. of bedrooms 9 Town OF III BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) 1 ❑ Apartment/ Condo I 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ utdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant /Bar /Dining 4 ❑ Church/ School 8 ❑ Mobile Home Park 12 ❑ Service Station / Car Wast1 5 ❑ Hotel /Motel 9 ❑ Office/Factory 13 ❑ Other: specify IV TYPE OF PERMIT (Check only one box on line A. Check box on line B, if applicable) A) 1. W New 2 ❑ Replacement 3 ❑ Replacement of 4_ ❑ Reconnection of 5_ ❑ Repair of an ------ System System Tank Only Existing System ________ Existing System; B) ❑ A Sanitary Permit was previously issued. Permit Number 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 5,Seepage Trench 22 ❑ In- Ground Pressure 42 ❑ Pit Privy 13 ❑ Seepage Pit r 43 ❑ Vault Privy 14 ❑ System -In -Fill S f k VI. ABSORPTION SYSTEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elea 7. Final Grade Required (sq. ft.) Proposed (sq. ft.) (Gals/day /sq. ft.) (Min. /inch) $�� f P Elevation .S6 3 .S 7d r Q Feet TANK Capacit VII• INFORMATION in g Total # of Manufacturer's Name Prefab. Con- steel Fiber- plastic Exper. New Existin Gallons Tanks concrete structed glass App. Tanks Tanks Septic Tank or Holding Tank OD d ❑ ❑ Lift Pump Tank /Siphon Chamber ❑ I ❑ ❑ I ❑ ❑ ❑ VI11. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite se age system shown on the attached plans. Plumber's Name: (Print) Plumber's Signature: No Stamp /MPRSW No.: Business Phone Number: t — ,�a7 �If p� _3 Pte- 1 Plumber's Address (Street, City, State, Zip Code): C IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (includes Groundwater ate I ssued Issuing Agent Signature (No Stamps) �; I ,j Approved El Owner Given Initial Surcharge Fee) `Y" -s _ Zc�a Adverse Determination X. CONDITIONS OF APPROVAL/ REASONS FOR DIS APPROVAL: SBD- 6398 (R.11 /97) DISTRIBUTION: Original to County, One copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS t 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at a 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 local code administrator or the State of Wisconsin, Safety and Buildings Division, 608 - 266 -3151. To be complete and accurate this sanitary permit application must include: I. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. Il. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. Ill. Building use. If building type is public, check all appropriate boxes that apply. IV. Type of permit. Check only one on line A. Complete line 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 for numbers 1 through 7. VII. Tank information. Fill in the capacity of every new /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 /siphon 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 1/2 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 contamination investigations and establishment of standards. G �cs "l vcr A&L r / e Y S o' - D � e v C 9l•s� qa,s� r e' d� py n T �� n _�_ 0'11� mt 6_2 r o Wisconsin Department of Commerce SOIL AND SITE EVALUATION Division of Safety and Buildings Page I of Bureau of Integrated Services in accordance with Comm 83.09, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County include, but not limited to: vertical and horizontal reference point (BM), direction and Coot u percent slope, scale or dimensions, north arrow, and location and distance to nearest road. - arcel I. D. # APPLICANT INFORMATION - Please print all information. Re iewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). — 2c%0 Property Owner Property Location 1� IIOV Govt. Lot 1/4S( 1/4,S T f � ,N,R IC E (or) Property Owner's Mailing Address Lot # I Block# Subd. Name or CSM# `io5 04v t�c+ E 13 �,Wr aek City State Zip Code Phone Number ❑ City ❑ Villa g e ® Town Nearest Road A'j Cj:S0jj W I I s4_ty /�', ( )5qq -Y!1_ G c�r�'� G [f• New Construction Use: W Residential / Number of bedrooms 3 _y Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Code derived daily flow C060 gpd Recommended design loading rate 7 bed, gpd/ft • � trench, gpd/ft Absorption area required �J -) bed, ft - 150 trench, ft2 Maximum design loading rate 1 bed, gpd/ft • g trench, gpd /ft Recommended infiltration surface elevation(s) up er Ql- /" �y �V ft (as referred to site plan benchmark) Additional design /site considerations UOW'r �3•S �Uw� _�Z - �� Parent material Flood plain elevation, if applicable /U/3' ft S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank U= Unsuitable for system S❑ U Q s ❑ u 0 s ❑ U I ®S ❑ U ❑ S ® U ❑ S W u SOIL DESCRIPTION REPORT Boring Horizon Depth Dominant Color Mottles Structure GPD /ft g in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed , Trench 11111. r f ; / o - ►b Iv V r -" S i S L m� L-S t V'r Z 2 1 1 0 -39 lt1 q Y- `i — Ground J _ILI Ip `i lcp m5 l?S` V'Y)t LS 1 g Depth to 83 L2 � e5� - - ; a lb q Pp fr :r Ground i or k! elev. a 4X N1t r; Depth to limiting factor Remarks: - CST Name (Please Print) Signature Telephone No. Ad :SCku ke - 1 -Z - f 7 - L/0 Address Date CST Number qb0 alar 54. `/ So r-56 PROPERTY OWNER 00 ( (O c.1 � SOIL DESCRIPTION REPORT Page z ; g � of 3 PARCEL I.D.# Boris # Horizon Depth Dominant Color Mottles Structure 2 Boring in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed ,Trench J . 0 - I !(� r3 _ d k mfr L � v� . Z : 2 - W 1 p r `) 3 —' 5 (' 1 Z n-P -b)-- rf' C' Ground 3 1-IiZ 10 L- I 4 rYl `J OS fl1 S f 1 Depth to limiting Z2 factor RZ in. Remarks: Boring # b-) I I c-5 z y ; 13 - ko C 4 � s _............. Ground elev. C Depth to limiting factor Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Boring # I 8 -13 I D I Si I n bk lr Z b rn -G 3 11 46 - 14 Ll n'1S I U ( c 5 g Ground elev. Depth to limiting factor 1! in. Remarks: Boring # Ground elev. ft. Depth to limiting factor in. Remarks: SBD -8330 (R.9/98) PAGE ?j OF n NAME Oc) (13 U0,- LOT # LEGAL DESCRIPTION S W —/ SCALE 1 O BM1 ELEV. DESCRIPTION -pup o� i'Pu�p;p¢ la +L.w /Qbbon BM2 ELEV. DESCRIPTI(DN —, � e +hw/ Vepee- GUCa I SYSTEM ELEV. ALT. ELEV. CONTOUR ELEV. VL C) Lao rj i b L V • s � 63 6Z 6� � e 8�Z ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer 11 Ov.A g 1 � 11 s ti <_ Mailing Address - 70 0,9 . E /ko Lu L _S +o Ito Property Address O K aT N E (Z Co y 2T LOT 13 (Verification required from Planning Department for new construction) City/State Cd / Parcel Identification Number _ 62 n — ( 36 S' ?n - QTV LEGAL DESCRIPTION S,2q �9. _2 l :7-3 Property Location IV %, AE y,, S 13 . T- 9 N -R /9 W, Town of R Z) S 611 Subdivision _ R/ V L- 9 PA K K /YI E A ho A S Lot # 3 Certified Survey Map # Volume , Page # Warranty Deed # z Volume ' Page # Spec house ❑ yes Dq no Lot lines identifiable b yes ❑ no SYSTEM MAINTENANCE Improper use and maintenanceof 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 pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a masterplumber, journeyman plumber, restrictedplumber or a licensed pumper verifying that (1) the on -site wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days a year expiration date. /ICl /o0 SIGNA OF APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the poapefty,,described above, by virtue of a warranty deed recorded in Register of Deeds Office. 4-/ /o/ ou S APPLICANT DATE * * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. * * * * ** «* Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed 04/10/00 MON 08:03 FIX 715 386 4686 ST CRX CO ZONING Q001 • JY STATE RAR OF WISCONSIN FORM 2 - 1982 640 626'7'' WAIt DEED KATHLEEN H. UALSH DOCUMENT NO. +ll. 1639PAG1 l U� ST. CROIX CO.,, UI RECEIM FOR RECORD OMarjorie H alernee, Franc Auguet and Paul Katner 07- 06-1999 9:10 RN as tenants n common a k/a Francis _ A itust E w; Ka : 't. Co - ova Su cars, Inc., a CERT COPY FEE: convcra and warrants tc CORY Ma Corporaticn TR F Et 1210.40 PROE9: 2 71113 SPACE nESEAVFD FOR RCOOROING DATA du Following dcscdLw.d :u1 estate x �,'. Croix County, CAVV , J. ESTREEN Stare of wisccnsin: 3041.MUST • T. SE 1/4 SW 1/4 Sec. l0- T29N -R19W excepting therefrom Lot I HUDSON- WI 540,"? of Certified Su_vey Map recorded in Vo1,7 of Certified Survey Mapd, page 2089 as Doc. No. 447303, also excepting 020- 1010 -20 the ratlrcad right of way, 020. 1024 -90 020 - 10 - 90 NE l/4 NW 1/4 Sec. 15- T29N -R19W excepting therefrcm Lot 1P of Certified Survey Map recorded in Vol. 10 of Certified Survey Maps, page 2701 as Doc. No. 5C7728. 1fW 1/4 NE 1/4 Sec. 15- T29N -R19W I r h This is not homestesd property. -�kl- tsnoU Ex;cption to warrxnuei: Dated this day of .tune y A 9 99 `�t2,. ti. L._._ ' ,y �.lr (SEAL) a a rnf t ': ttD�: • ly. Frances Au gust Bus �, = �>•� . Paul Katner (SEAL) F4arioy;1e .alernee aNNt ' AUTHENTICATION A CKNOWLEDGMENT Sisnu•ure(s),_ -__ State of Nh %wi?n SEE ATTACHED,; i lE71111IIT A" --- King 11 t authenticued chh day of , :9_ FersoagCy came before me this 26 th day of ; .tune 19 -- 2 - 9 . the above named TITL_: MEMBER STATE BAR OF W55CJNSIN Trances August i (If not, _ authorized by 1706.06, 'Nis. Stale) to me known to b he person _ who exeuued the foregoirg inst tar: c n wledge sar e. 'r cs 1,37RU1AENT t -JAS DRAi7EC BY Y Heywood b Car_, B.C. by Walter 11odynsky 204 Locust St., P.O. Bcx 125 Hadsan, WI 54015 King _ Notary PubUc, - -.... _ -._ Co tnry,�l c - 4:A (Sigra:crts may be ou- .17Lwicated or scknov+xdged. Roth are not hfy comis m. ton k nnent. :If nct, state Expir20m dote: nrccsry) Septembe perin so r 1, 2001 • ?lames of personssgnmg tr. rc apo-eliy s600ld by qpd or panted 6ebw men sigr.awes. WARRANTY DEED STATE_ BAR OF WISCONSIN Ya%p+9nLKxawneat_we- Form No. 7 - 1981 WN&AW. YAS. •04!10/00 MON 08:04 FAX 713 380 4888 ST CRX CO ZONING IM002 � 0..1 39 FACS 4 EXHIBIT A ACKNOWLEDGMENT State of Ohio ) ) ss. Frank] in Cuunty. ) Personally came before me this 28 thday of Juna 1999, the above named Marjorie Malernee to me know to be the person who executed the foregoing instrument and acknowledge the same. !•c.,�..G & a rrx-. r Notary Public, Franklin County, OH My commission is permanent. (if not, state expiration date: a_ao_ 'P?99.) PAMELA 8. BOTKIN = NOTARY PUBLIC, STATE OF CHO My C0nV"1Uion EApiMS ACKNOWLEDGMENT 4 • < � t7s Mar. 27. 2003 U ... State of Illinois ) 4 g1111N�U�� \1 ) ss. County. } Personally came before me this day of 1999, the above named Paul Katner to me know to be the person who executed the foregoing instrument and acknowledge the same. Notary Public, A— County, IL My commission is permanent. (If not state expiration date: o , t999 j OAF {CIAL SEAL LAVERNA R SNEED NOTARY FUDLlC. STATE of ILLM�oIS MY COMMI SMO NEXPOWS;D 4 05 00 ,v .,.M `,�� •07i�� M ,z ,Y 1 0 0 0 5 _ 3N-MN 3H1 JU -INl 1 lsv-1 -- L l S 01 iond 3H1 01 431 G'01430 - - - - -- ---- - -r - -- 65 "06Z ------------- ----------- - - - - -- .LL '9Lti ---------------- � Q Q ,'� ,38 '096 3 ° 51 ,8£ W i O Z cc �i O Q i 1-- cc ' O O i M .............. (� .................� c ................ ............................... U cn 0e�' ICZ \ N w U- M + 6 3 O O h� 6 ( cr N M 4 W in J N rn o ti W W N a N C3 cr U cn Q " 3 -- O O O N o ........ O °p � N CD Q)Q � ° N co O to 2 — ►- o I� O LU - ti J m i W W ..... I` O i O 4 d O - ` o M O RT M 1 i C M 6 0 . M � 6 0 F' O o o CO P • , 0 �' '0 N o� 00 o V O WLL LL ��\ W (O O s � O Ct-cc `= pow °� O W •: v ° � C 4 03 c \ S 4 O N M O Q� �n tS� to o Go °� 3 F- : • n eau ur Wf Ograwd ourvtcus 111 ac r tufUdrtce with U0111111 83.09, VVis. ndnr. Code Il M ach coaiplele sirs plan on paper not less than 0 1/2 x 11 Inches In size. Plan must County iclude, but not limited lo: vertical and horizonlal reference point (8M), direction and 1 percent slope, scale or dimensions, north arrow, and location and distance to nearest road. - ( V I Parcel I.D. N ` kPPLICANT INFORMATION - Please print all Information. neviowed by Date ersonal information you provide may be used for secondary purposes (Privacy Law, s. 15.o4 (1) (m)). 'roperly Owner Properly Locnlion ' `�' (� 11UV - Govt. Lot <� 1/4 114,S��� Te C� ,N,n lCe E (orO roperty Owners Mailing Address t � _ --- - Lot It Subd. Name or CSMII `lay C� - 13 - m ;fly Slate Zip Code Phone Number -- � - 1 S {Ur (o J ) �'19 U city [� Village I�1 "town Nearest Woad New Construction Use: W nesldenlial /Number of bedrooms J Addition to existing building Replacement ❑ Public or commercial - Describe: Code derived daily flow L 000 9Pd Recommended design loading rate bed, gpd 1f1 bench, gpd /11 Absorption area required 3J 1 bed, 11 'l,�U _french, 1l2 Maxirnurn design loading rate ( _ be(], __french, ypd /11 Recommended Infiltration surface elevation(s) � er i( �/, Z Z �uw i 3,7_. z It (as referred to site plan benchmark) Additional design /site considerations Parent material �(3 �f t_�Q)1 Flood plain elevation, II applicable IV Y It = Suitable for system Conventional Mound In- Ground Pressure AT -Gordo System in Fill Holding 'l ank 1 = Unsuitable for system ( s❑ u V S❑ u 0 S❑ u ©s ❑ u ❑ s N u Cl S F/% u SOIL D REPORT coring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /112 In. Munssel Qu. Sz. Cont. Color Gr. Sz. Sit. Consistence , Trench c i V f_— 2 r p �3`J 10 y r `� 13 ,� C - (round 3 3.I_ (� IYI L) 1y)l Z replh to miting rclor Lin. ; Remarks: coring # I I d - f, IOy�3 - `JI I I I1 "I 1r�tr — — . lvC- L ' r - L(I 3 VYIG C.5 IS-// >'b '7 u !round lev, -- -- ieplh to - — - - -- rniling 3c1�y Win. Remarks: 'ST Name (Please Print) Signature Telephone No. Nddress ' Date CST Number I'IlUPFII I Y UVVIIL-IS PARCEL Boring 1 Horizon Depth Dominant Color Mottles Structure g In. Munsell Qu. Sz. Cont. Color 1 "exlure Gr. Sz. Sir. Consistence Boundary Wools � Bed .Trend, l� � I' J ►Yl�l h k n -, ( L io r L-113 5( ZrYy�tl) rY)(; � � _ • Ground 3 . c.l (Q f >'l.; o ( L `� U elev. — -- -- YClZ Ztt. Depth to - - - limiting , factor - �/ Z in. Remarks: Boring H Ground elev. — q , Z it. Depth to + - limiting factor 1�In. Remarks: Horizon Depth Dominnnt Color Mottles Texture Structure roiisistence Boundwy Rools GPD /ft? In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ~ Bed , Trench Boring It I Ov cs l Z U �, Ground J Depth to limiting factor factor 11 in. Remarks: Boring It r -- — Ground Depth to limiting factor 1n ' Remarks: SOD -8330 (R.9198) QU�1CSUCk- LOT LEGAL DESCRIP'PION 5W /C s_ . bE ` 1 "-160 iI ELEV. )E SCRIPTION —kip o - 1 lcfk wjPi6b -^ 3M2 ELEV. �J , U� DESCRIPTTON —,{ �I��Ovc- � /C;bb,_ SYSTEM ELEV. Z Z g3.ZZ ALT. ELEV. (, • Z Z � S. Z z— CON TOUR ELEV. . rt v r _._.__- , tau s S C CLn w LA— N3 nt Z �a CYS4e-t^^ . �4— Akj `tc C 4,