HomeMy WebLinkAbout038-1080-60-060
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division
INSPECTION REPORT Sanitary Permit No
(ATTACH TO PERMIT) 5$2007
GENERAL INFORMATION 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 Township Parcel Tax No:
Andrew Berends TOWN OF STAR PRAIRIE 038-1080-60-060
CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No:
92. 5 c_-5 19.31.18.334A-20
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURERk/s CAPACITY STATION BS HI FS ELEV.
~,Z
Septic + Benchmark 5
7 W.Z.
&e J
Alt. BM
Z, L lr~ Go 4 o . q7.5
Armen Bldg. Sewer
t O b ~C ~Z 90 i
Holding St/Ht Inlet Z•7L 95.50
TANK SETBACK INFORMATION St/Ht Outlet 3,07- `I5.18
TANK TO P/L WELL LDG Vent Air Intake ROAD Dt Inlet 11-1 \
r G
Septic 76 Wf n /`i/ 5 - Dt Bottom 1-1
Dosing 76 AM- /&:5,. Header/Man. 56 13.
'j
Aeration Dist. Pipe L Z #,!5 G1~ • -7
Holding Bot. System S•~~ 9 Z
Final Grade , 41 - -YS
PUMP/SIPHON INFORMATION 9L a. Z_ q,5
~
Manufacturer Demand St Cover ~D •
GPM
17'
Model Numb
TDH Lift Friction Loss System Head Ft
Forcemain Length Ia. Dist. to Well
SOIL ABSORPTION SYSTEM
BED/TRENCH Width / Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS
r1 G
SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufactur r:
INFORMATION CHAMBER OR ~t rG G~Ii f
Type Of System: t ~ AJ~ IV A- /A- UNIT Mod Number: ~ - J✓S
G r1e"w- p A i
DISTRIBUTION SYSTEM .aL 2 X = ~
Header/Manifold / ` Distribution x Hole Size role Spacing Vent to Air Intake
Pipe(s) \ \ ).ar.~ )
Length - Dia ' j Length Dia_ _ Spacing
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only D
Depth Over ~t Depth Over xx Depth of` xx Seeded/Sdded xx Mulched
Bed/Trench Center ` Bed/Trench Edges Topsoil \ No Yes E No
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2: l~
Location: 2039 80TH STcl -IX: ^..5 ~ C UPS 6 ~ /
1.) Alt BM Description = rt t~1. 4- Cv i n~ ca+~aA Ma►-~~ e- sQ
2.) Bldg sewer length = ; ^S It J 66 0-0- AbVL- 04~'a 3. 5 bt to j 41 r.%..( a- .
amount of cover = ~l ddd~~~ f , #pctorr's beJO Plan revision Required? ❑ Yes No 7
Use other side for additional information. Date Cert. No.
ti 't. r.
SBD-6710 (R.3/97)
4"v,v,S 64. vvso
i
r
RECEIVED
A.j
-
Safety and 1idingq l 191 11 County
Gott1l111t?+1C~.1M~,C~g1/ 262
20l W, Was1
~1/I E NY Sanitary permit Number (to he filled in by Co.)
l:3cor) l Y vt~
DsperttnetrMt of ammettie~l
_ State Ttnnsnction Ntmnht:r
Sanitary Permit APOCaUOU A-
in nm mrdanrr. with s, Comm. VTis, Aron. Code, sltbmigaion of this form to the npproprig gov az~ Pro ect Address (if diffhrnntthsn melting addtasa)
unit is required prior to abmining a sanitary permit, Note: ,Applientinn forma for State-owned POVM )
quhmitled to the Department of Commerre. Personal information you provide miky be used for secondary
putposes in accordance with the Privacy Law a. 15.04(1)(m), Stale. _
_ 1. /►ppBcatinn )_<nformstMn Plense print 01-I0 nrtatton''
Prnpey )Pner's Nnnr Pa=l It
/ / ~ ~ ~ . , C,' •~J
ti~-- e' G~}s PropcrtyLncntiml ~ 3 / ,J ' Ct
S'rr,party owner' oiling Adtirecs
Govt. W
e t/q, Section
r iiy, itntc T Zip Code Mona NIAmber
~ j r, (circleOncy~
6 T F 3 f Ti St % a ot1~(,~
/!r' L' tG 1 N, YY~ to -x--'' el V 4/41)
lT, 't'ype of Ottilding (checl3 all that npP1y) Lotfl
Subdivision Naroe
-1 7 Pamily Dwelling Numl,rr of Berlwotns
ism ii-lock# J
I_ l 1'nhiiclCnmt))ercial Descrlhn Ilse O City of -
CS1vZNlnnher I ~~O Viflnsaof y -
v/
~ I Stem Ownrrl-- Describe Uae 0
Iii. Type nl Prrmlt: (Check otnl one ox an 11ne A„ Complete line B If applicable)
ANPw System A I~ Rcplsrcmrnt System 11 1Yeatrnent/tialQitrg 1'ankRepleaentent Only a (7thtx Modifi4aNeri to Existing System (Captain
List PmvirAm Permit Number and Date Issued
R. [_1 Permit Renewal ❑ Permit Revision n ChangeofPinmbet I-1Permlt'franafertoNew
Brfnrc Expiration owner
Il>. fir. o£1'4v4r S stemfGoam~onenevlcc; Check ail that
} Non-1'rrssurizeci 1n-Cirrnmd ❑ Pressurized 1n-around FJ A,t,Gradr. I=1 Mound? 24 in ofsuinibic soil [J Mound <24 in, of sttitabie sail
~ 1 Pretreatment Uevice (explain}~_. J------
I 1 iloldinn Unk n Other Dispersa3 Cninponent (Dahl -
- I7iNQersaU 1 rest eat A rea 1[itfOr]liStilQll C g Disperaal Area Proprtsod is S to Alevation
- - 03 Area required (af}
1rrsiinI Flow (ttpd) t>rvigtr Snit A.pptioatiort Ratc do iAPers ,1
.0 I VA. 'f nnk Info Capneity in fntal # of Mamufecntrer u
(3npmla th+ilons i]nits
Ncvr Tanka P.xisdng'fnnka n ~a~ S " r~ ~ry a
ro ~ U 'ran y
hnsinR Chami,cr
V Il. Responsibility 81stement, 1, the undersigned, Algoma rnspangfoilttp for instanadorn of the rowTs wn ern the attache tt plans.
- FRS Number Business Phone Number
6WM
i'htmher s Name (i riot) 1'htraller°s Signa4lro
r.
Phlml)r-r'a Arldre- (Street, City, State, Zip Coda) - -
r ,
Only _
V111 nutity/Department Use
permit Pee Date lA.9tsed lasuin gent Signs
Apprnvrx! n 1] $
LI-
I ven Real for f)mial T v /d 13
IN. (:ontllt~r satin~ s for 1Rappreval
c 6~r~, ` 3• beJo
1. Septic an , etfluent fliter an9 f>~
dispersal cell must all be services / maintained ~ i BOAC ~ v
as per management plan provided by plumber. -
2. All setback requirements roust o Maintairied
as per applicable code / ordinances.
rnot lm than R alz x )l inches in piss
AltaA to cnmplrte plane for the pygtem and sn»tnit m the County only nn Pepe
v
J ei ^-n
3 1!
0
• 4J
~ I v
S:Af
C-rl
0
CONVENTIONAL.. COMPONENT DESIGN
Residential Application
INDEX AND TITLE PAGE
r'roject Name:
Owner's Name:
Owner's Address: At" c~' C l LU , ` 5 `z' c?r' ?
Cry i s;
Legal Description: 1-/? 1-A-1 -4- 5to c 4 l q_
Township.-
County,
Subdivision Name:
Lot Number:
Parcef ID Number: !'i'
Page I Index and title
Page 2_ Plot Plan
Page 3 aystem Sizing & Cross-Section
rage 4 Filter Specs
Page 5 Maintenance Information
Page 6 Management Plan
Page 7 St. Croix Cty Septic Wank Maintenance Form
Page 8 ^ _ T Warranty Deed
Page 9 GSM or Plat
Attachments: Soil Test & House Plans
I>esigner/Plumber, ~I; `!/,~~t,4~s::: ti k xvv7 reY License Number: y2.2 7 Gate: l j~ Phone Number 5 -3~=G t
Siynatura
I]eslc~necl pursuant to the in-Grolal1d Solt Absorption Cornponcnt Manuai far poWTS Version 2.0 SBD-10709-P (N.01 /01).
Page 1
u-
r
Say r7-'.11
v
A
b
~ I
i
Soil Absorption Svstem Gross Section
4" Schedule 40 F'Ine~ Grade
PVC Vent Pipe
nth Vent Gap ft
Leaching r
Chamber'
System Elevation
ft ft
Soil Absorption :3w m Plan View
tt
ft Leaching Trench 3
Chambers
4" Die.
Trench 2 ~ H»ailer
Vent Or Observation Pipe r
Trench 3
Leeching Champer Spectff+catlons
Manufacturer And Model Q e- lu `-~s'
EISA Rating d_ sq ft per chamber Sail Application Rate i gpd/sq ft
-qpd Design Flaw
;4'1 - Soil Application Rate USA 7j< Chambers
3 maws of chambers each.
Page of~
POW°TS OWNER'S MANUAL & MANAGEMENT PLAN
FILE INFORMATION Page of
Owner SYSTEM SPECIFICATIONS
Permit---#--- - Septic Tank Capacity ~y al ❑ NA
Septic Tank Manufacturer ❑ NA
DESIGN PARAMETERS
Effluent Filter Manufacturer t
FNur edrooms ❑ NA
0 NA Effluent Filter Model Q NA
ublic Facility Units _d NA Pump Tank Gapacity ❑ NA
w (average)
O O al/da Pump Tank Manufacturer S P- ❑ NA
Design flow (peak), (Estited x 1.5) / y
- -Mg t gal/day Pump Manufacturer Q, O ` ~ El NA
Soil Application Hate
_ gal/day/ft~ Pump Model ❑ NA
Standard Influent/Effluent Quality _ Monthly average
Pretreatment Unit ❑ NA
Fats, Oil & Grease (FOG) S30 mg/L n Sand/Gravel Filtef ❑ Peat Filter
Biochemical Oxygen Demand (BOD,) <220 mg/L ❑ NA 17 Mechanical Aeration ❑ Wetland
_ Total Suspended Solids (TSS) 5150 mg/L 0 Disinfection
Ca Other:
Pretreated Effluent Quality Monthly average Dispersal Call(s)
Biochemical Oxygen Demand {8005) S30 mg/L 11 In-Ground (gravity) O (n-Ground (pressurized)
Total Suspended Solids (TSS) L30 mg/L q NA d At-Grade
Fecal Coliform ❑ Mound
(geometric mean) <_10A cfu/100ml _ ❑ Drip-Line Q Other:
Maximum Effluent Particle Size Y, inmdia. ❑ NA C7thar: - '--0 NA
11 NA 0 NA
Jaiues typical for dornestic wastewater and septic tank effluent. Other: - 4
DNA
MAINTENANCE SCHEDULE
Service Event Service Frequency
Inspect condition of tank(s) At least once every; ❑ month(s)
N year(s) (Maximum 3 years► CJ NA
Pump out contents of tank(s) When combined sludge and scum equals one-third (Y) of tank volume -W ❑ NA
Inspect dispersal cell(s) At least once every; ❑ month(s) -
X year(s) (Maximum 3 years) 0 NA
Clean effluent filter -
m
❑ onth(s )
At least once every; 0 NA
• 1 ~ Year(s) _
Inspect pump, pump controls & alarm At !east once every: ❑ month(s)
CJ year(s) ❑ NA
Flush laterals and pressure test At least once every: ❑ month(s) v
Other: _ _ _ _ 0 year(s) ❑ NA
At least once every: ❑ month(s) _ ❑ NA
Other: ❑ Year(s)
❑ NA
MAINTENANCE INSTRUCTIONS
Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications:
Master Plumber: Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank
inspections must include a visual inspection of the tank(s) to identify any missing or broker, hardware, identify any cracks or leaks,
measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface.
The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding
of effluent on the ground surface, The ponding of effluent on the ground surface may indicate a failing condition and requires the
immediate notification of the local regulatory authority.
When the combined accumulation of sludge and scum in any tank equals one-third ('Y.,) or more of the tank volume, the entire
contents of the tank shalt be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113,
Wisconsin, Administrative Code.
All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment
units, and any servicing at intervals of 12 months, shall be performed by a certified POWTS Maintainer,
A service report shall be provided to the local regulatory authority within 10 days of completion of any service event.
START UP AND OPERATION Prge of
For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting
that may impede the treatment process and/or damage the dispersal cell(s). If high concentrat ions are detected have the contents
of the tank(s) removed by a septage servicing operator prior to use.
System start up shall not occur when soil conditions are frozen at the infiltrative surface.
During power outages pump tanks may fi!I above normal highwater levels. When power is restored the excess wastewater will be
discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of
effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing operator prior to restoring
power to the effluent purnp or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to
restore normal levels within the pump tank.
Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area
within 15 feet down slope of any mound or at-grade soil absorption area.
Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the
POWTS: antibiotics; habv wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat;
foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil;
painting products; pesticides; sanitary napkins; tampons, and water softener brine.
ABANDONMENT
When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is
properly and safely abandoned in compfiance with chapter Comm 83.33, Wisconsin Administrative Code:
All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed.
* The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator.
After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with
soil, gravel or another inert solid material
CONTINGENCY PLAN
If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant
replacement system:
13 A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption
system. The replacement area should he protected from disturbance and compaction and should not be infringed upon by
required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will
result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must
comply with the rules in effect at that time.
A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS
technology a holding tank may be installed as a last resort to replace the failed POWTS.
~~C7 The site as not en evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site
evaluation be performed to locate a suitable replacement area. If no replacement area is available a holding tank
may I -i► Ladle s a last resort to replace the failed POWTS.
Q Mound and at-grade soil absorption systems May be reconstructed in place following removal of the biomat at the
infiltrative surface, Reconstructions of such systems must comply with the rules in effect at that time.
< <WARNING> >
SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. 00 NOT
ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A
PERSON FROM THE INTERIOR OF A TANK MAY BE DIPFICULT OR IMPOSSIBLE.
ADDITIONAL COMMENTS
POWTS INSTALLER ~
pOWTS MAINTAINER
Name
Phone
71 .a - .3 'K / Li
/ Phone ~
3~~j
EPTAGE SERVICING OPERATOR (PUMPER)
LOCAL RE4ULATORY AUTHORITY
Name
Name
Phone' CfA, ev4n.
Phone 71 38L it (C $d
his dorument was drafted in compliance with chapter Comm 83.22(2)(b)(9 )(d)&(f) and 83.54(1), (2) & (3), Wisconsin Administrative Code.
ST. CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTFFICA.TTON FORM
OkViler/Buyer
Mailing Address e) 11.?0
Property Address
(Verifications required from Planning & Zoning Aepaatinent for new construction,)
City/State Farce) Identification Number e3 . 9;~ /z,`2? LEGAL DESCRIPTION
Property LOcatiohi l4 , See.
.
subdivision , L,ot. #
C'ertilled Survey Map # Volume Page # .
Warranty Deed # volume Page #
Spec house yes no Lot Imes identifiable yes no
SYSTEM MAINTENANCE AND OWNER CERTIEIC~ON
ltnpro,per use and maintenance of your septic system could result in its premature failure to handle wastes. Proper
rrinintenance 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 Uffevt the function of the septic tank as a lroatrrtcnt stage in the waste disposal system. Owner maintenance
re sponsibilities arc specified in. §Comm. 83.52(1) and in Chapter 12 -,St, Croix County Sanitary Ordinance.
'1"he property owner agrees to submit to St. Croix County Planning & Zoning Department 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
imistewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tattle is
lesQ than 1/3.full of sludge.
,/we, the undersigned have read the above regndtements and agree to maintain the private sewage dispemal system with the
stanclerds set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin.
Certification stating that your septic systorn has been maintained must be completed and retuned to the Si. Croix County Planning
Zoning Department within 30 days of the three year expiration elate.
Uwe certify that all statements on this ortn are trice to the "best of mytour knowledge, live ant/are the owner(si of the
property described above, by virtue of a Warr my deed recorded in Register of Deeds ()ffice.
Number- of bedrooms
SIG ATURE OF APPLICANT(S) DATE
***Any itrforxrraticna that is misrepresented may result in (tic; stujitAry permit being revoked by the Plaruring & Zoning Department. *
fnr'ttidr with this application a recorded Warranty deed frow the Register of Deeds Office and a cony of the certified survey map if
referetrce is made in the warranty deed,
(RM OR/05)
Farce! 038-1080-60-060 04/04/2008 10:50 AM
PAGE 1 OF 1
Alt. Parcel 19.31.18.334A-20 038 - TOWN OF STAR PRAIRIE
Current X ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
03/10/2006 00 0
Tax Address: V Owner(s): ` O = Current Owner, C = Current Co-Owner
O - BRACHT, DAVID R
DAVID R BRACHT
985 198TH AVE
SOMERSET WI 54025
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description ` 2039 80TH AVE
SC 5432 SOMERSET
SP 1700 WITC
Legal Description: Acres: 3.180 Plat: 5014-CSM 20-5014
SEC 19 T31N R1 8W PT NW SW BEING LOT 4 Block/Condo Bldg: LOT 05
CSM 11' '3188 NKA CSM 20-5014 LOT 5 (3.18 - - - -
AC) EZ-UT-1282/89 Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
19-31N-18W NW SW
Notes: Parcel History:
Date Doc # Vol/Page Type
09/06/2005 805577 2882/362 WD
07i06/2005 799586 20/5014 CSM
07/23/1997 1213/06 WD
2008 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: W \ Last Changed: 06/27/2006
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 3.180 37,900 0 37,900 NO
\.-j
Totals for 2008:
General Property 3.180 37,900 0 37,900
Woodland 0.000 0 0
Totals for 2007:
General Property 3.180 37,900 0 37,900
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: Batch M
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
RECEw EID
n r-7 1'77n
c
Wisconsin Department of Commerce sis~ EV A LUATION REPORT Page of
Division of Safety and Buildings
in accordance with Comm 85, Vi1 s. Adm. Code
_ County
Attach complete site plan on paper not less than 8` 112)t-11 °Inches in size. Plan must
include, but not limited to: vertical and hottzontal reference point (BM), direction and Parcel I.D.
percent slope, scale or dimensions, north arrow, and location and distance to nearest road. C~ S l/ "~Q `~(O r
Please print all information. viewe Date
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). S/
Property Owner Property Location
7f u Govt. Lot 1 /4r-. 114 S T N R E (or*
Property Owner's Wiwfing Address Lot # Blo # Subd. Name or C
I0k I" O r e
city State Zip Code Phone Number ❑ City ❑~Village Town Nearest o d,
New Construction User Residential / Number of bedrooms Code derived design flow rate / GPD
❑ Replacement ❑ Public or commercial - Describe:
Parent material Flood Plain elevation if applicable ' - ft.
General comments
and recommendations:
F Boring # Boring
® Pit Ground surface elev. -,9,7 ! ft. Depth to limiting factor in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
s <
<
s~ /11-1 7,
Boring # Q Boring
Pit Ground surface elev. ft. Depth to limiting factory ~ in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
"I 4
* Effluent 1 = BOD > 30 < 220 mg/L and TS5 >30 < 150 mg/L vent #2 = BOD5 < 30 mg/L and TSS < 30 mg/L
CST Name (le
Asd' Print) Signature ; X, CST Number
-
Address t Date Evaluation Conducted Telephone Number
Property Owner Parcel ID # Page_ of
Boring # F-1 Boring=s 12 E~ r
Pit Ground surface elev. ft. Depth to limiting factor -7 in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
' - 27 Y Boring # E] Boring C
1
® Pit Ground surface elev. fL Depth to limiting factor in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
-1
I q
/
❑ Boring
Boring # pit Ground surface elev. ft. Depth to limiting factor 71,*s. 2 in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
_ 11,166
/
* Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mgA- * Effluent #2 = BOD, < 30 mg/L and TSS < 30 mg/L
The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or
need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777.
SBD-8330 (R.07/00)
w
7
Property Owner Parcel ID # Page of
Boring - - 12 t4 Pit Ground surface elev. 9Y, ~ ft. Depth to Iirrrlting factor o _ in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
3 ~
3
Boring # Ej Boring
J pit Ground surface elev. tt. Depth to limiting factor in.
Soil Application Rai
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Etf#2
1 2 + G a
_4f" tit - o y
s
Boring # E] Boring
Pit Ground surtacr~ elev._ft. Depth to limiting factor in.
JR
_ Soil Uon Rata
Horizon Depth Dominant Color Redox Description 'Texture Structure Consistence Boundary Roots GPD/ff
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Ef1#1 'Eff#2
4
• Effluent #1 = BOD• > 30 1220 mg1L and TSS >30 < 150 ma • Effluent #2 = BOD, < 30 nVL and TSS < 30 mglL
The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or
need material in an alternate fonnat, please contact the dep nt at 608-266-3151 or TTY 608-2264{$777.
6934-76
q5
IL %1A '4
Sl Otn~
3~ Zp•144Z ~OKR. 3 /uA- I5 0 •
rn
13
Q i
- - L
a.
V
L
~ r
n
~ ~ ~ \ rn V 1