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HomeMy WebLinkAbout020-1139-40-000 o f L. m o d `n (D o CD ~ ' CD cn O z 0 -4g =PN ? O v=i O j N a N p H ~'S 3 3 co co CD M m 'n w O ^ o 00 CD Cl) N CD O --1 -4 C) C) \ 1 O cn C 3 °o y cn O o 0 N H -4 r~ O CD m cn < D m a m m cCD v, I- d CD c r 3 CD ~ N N 0 C ~r co OD OD rn CID CID CL 0 m r a tv rn o N» c ? z 000 o cn G) 0 , ~E ai vi vi Q, W 3 ~ CD a a 0) O N 0 3 ~ a N - 0 z c O Dad o "WA. CD CA T1 O N (D N c N N w m a a 3 z N g cn O O A Z co to C s e~ o. M m N CO w M m co , CD (D CL z z O z H z i D °o 0- (a o - 0) ~ T - N C CD o a CD N N N 7 O ~yy N p' x a O' CD ti w O A p N ~ b CD a o v ~ w to O ti 00 C) n Parcel 020-1139-40-000 05/23/2005 11:57 AM PAGE 1 OF 1 Alt. Parcel 29.29.19.705 020 - TOWN OF HUDSON Current X' ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): * = Current Owner " JERRY R & JOANN KRUGER KRUGER, JERRY R & JOANN 757 GHERTY LA HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description ' 757 GHERTY LA SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 2.437 Plat: 1979-GHERTY'S ADD SEC 29 T29N R19W GHERTY'S ADD LOT 4 BLK Block/Condo Bldg: 4 LOT 4 4 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 29-29N-19W Notes: Parcel History: Date Doc # Vol/Page w ` Type 07/23/1997 787/315 07/23/1997 746/357 07/23/1997 683/609 2005 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/26/2001 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.437 32,200 255,900 288,100 NO Totals for 2005: General Property 2.437 32,200 255,900 288,100 Woodland 0.000 0 0 Totals for 2004: General Property 2.437 32,200 255,900 288,100 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 219 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel 020-1138-40-000 05/23/2005 11:48 AM PAGE 1 OF 1 Alt. Parcel 29.29.19.695 020 - TOWN OF HUDSON Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): * = Current Owner * WARNKE, GLEN A & SUSAN F GLEN A & SUSAN F WARNKE 793 GHERTY LA HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 793 GHERTY LA SC 2611 SCH D OF HUDSON SP 1700 WITC 161l Legal Description: Acres: 2.570 Plat: 1979-GHERTY'S ADD SEC 29 T29N R19W GHERTY'S ADD LOT 2 BLK Block/Condo Bldg: 3 LOT 2 3 (ADD'L HIST 715/470) Tract(s): (Sec-Twn-Rng 401/4 1601/4) 29-29N-19W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1143/528 07/23/1997 1124/446 WD 07/23/1997 1124/14 QC 07/23/1997 751/233 2005 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/26/2001 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.570 32,900 292,500 325,400 NO Totals for 2005: General Property 2.570 32,900 292,500 325,400 Woodland 0.000 0 0 Totals for 2004: General Property 2.570 32,900 292,500 325,400 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 109 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Form-STC- 104 AS BUILT SANITARY SYSTEM REPORT OWNER Cy- /t),4p, (/tj T 11U1) 5 e tV SEC. T N-R W ADDRESS 11:7,'l ST. CROIX COUNTY, WISCONSIN 19YOA 66,>, " SUBDIVISION r % - ` LOT LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of 11HR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM 4- /O L' ~r i~ fiol 1,40 S p~K iN ex►, - y /j4e i[ fNc~i /J - ~~5 INDICATE NORTH ARROW S S ~ y 5.: f" BENCHMARK: Describe the vertical reference point used Dtff~ %Aic zNT~ c~ ji~Gz,¢~ Elevation of vertical reference point: /0 010 Proposed slope at site: _ SEPTIC TANK: Manufacturer: I: Ez K Liquid Capacity: Number of rings used: _,W&Lz Tank manhole cover elevation: Tank Inlet Elevation: 25,C Tank Outlet Elevation: 51f, 4 Number of feet from nearest Roads Front,0 Side 0 Rear, O feet From nearest property line Front,~Side,O Rear, 0 f ~ (1 feet Number of feet from: well Nl't.Lt building: z5 j (Include this information of the above plot plan)( 2 reference dimensions to septic SEE REVERSE SIDE PUMP CHAMBER Manufacturer: Liquid Capacity: Pump el: Pump/Siphon Manufacturer: Pu ize Elevation of in Bottom of tank eleva Pump off switch elevation: G ns per cycle: Alarm Manufacturer: larm Switch Type: Number of feet from ne t property line: Fron , Side, O Rear, Ft. Number of feet from well: Number of feet from building: " (Include distances on plot plan). SOIL ABSORPTION SYSTEM Bed: y~5 Trench: Width: Length: Number of Lines: Area Built: -M ii Fill depth to top of pipe: 3 Number of feet from nearest property line: Front, O Side, ( Rear,0 P't. Number of feet from well: Number of feet from building (Include distances on plot plan). EPAGE PIT e: Number of pits: Diameter: Liquid the Bottom of seepage pit elevation: Area Built: Has either a drop box or distribution box O been used on an the above soil absorbtion sytems? (Check on HOLDING TANK Manufacturer: pacity: Number of rings used: vat n of bottom of tank: Elevation of inlet: Number of feet from arest property line: ont, O Side, Q Rear, 0Ft. Number of feet from well: Number of feet from building: Number of from nearest road: Alarm Manufacturer: Inspector: Dated: ~O (c Plumber on job: License Number: ~1`CS 1 I `nj DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS LABOR & HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION ''P.O. BOX 7969 BUREAU OF PLUMBING MADI>iON, WI 63707 UCONVENTIONAL ❑ALTERNATIVE State Plan 1.O. Number: IIf assigned ❑ Holding Tank ❑ In-Ground Pressure ❑ Mound AME OF PERMIT HOLDER: DDRESS OF PERMIT HOLDER INSPECTION DATE: Glen Warnke 77505 Baily Rd., Woodbury, MN I- .Y -1? 6 021011-30 BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN. REF. PT. ELEV.: CST REF. PT. ELEV SE NW, Section 29, T29N-R19W, Town of Hudson,Lot4,B1k.4, Gherty's Add r.. IQQ,Q Na- of Plumber. MP/MPRSW No Cnunty Sanitary Permit Number Donavin Schmitt 3205 St. Croix 79217 SEPTIC TANK/HOLDING TANK: MANUFACTURER. ILIOUID CAPACITY. TANK INLET ELEV. TANK OUTLET ELEV WARNING LABEL LOCKING COVER W~ I 00 /OO. 0 r PROVIDED PROVIDED a YES ❑NO ❑YES O BEDDING: VENT DIA.. VENT MATT HIGH WATER NUMBER. ROAD. PROPERTY WELL BUILDING. VENT TO FRESH C ALARM FEET FRO/j LINE / Al. I_ NL T ❑YES NO 1 ❑YES NO INEARESTF=~ CCOO O /40 l'/"" DOSING CHAMBER: MANUFACTURER BE DU ING. ILIOURI CAPACI I V 11'11111' 11111111 PUMP,SIPHUN MANUI AI:I1 H WARNING LABEL LOCKING COVER PROVIDED. PROVIDED ❑YES FIND ❑YES ❑NO ❑YES ❑NO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL 1qUMBER OF PHOPE HTY IV, ELL BUILDING VENT TO FRESH (DIFFERENCE BETWEEN FEET FROM ' LINE AIR INLET PUMP ON AND OFF) ❑YES FIN NEAR EST--~ SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing 1 NGn, IIIIAMI 111+ IIIAIIIIIAI AND MAHKINI, 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 INO OF UIS ri+ PIPE $PACINt, COVFR I'JSI Uf. UTA spI1S Lou IID BED/TRENCH TRENCHES / M HIALt PIT DEPTH DIMENSIONS ! RAVEL DEPTH FILL DEPTH UISTH PIPE UISTH PIPE DISTR. PIPE MATERIAL NO DI, n+ :NUMBER OF PROPERTY WELL BUILDING VENT TO FRESH BELOW PJ~E@_ if ABOVE COVER EIEV INIfI ELEV END G P1°f 'FEET FROM LINE / AIR INLET (~T 917.83 97.57 I a 7~ / NEAREST--J 1J50 ~OCo ~Oli 7, MOUND SYSTEM: Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OFSYSTEM and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE. SHOW ELEVA- ❑Y meets the criteria for medium sand. TIONS MEASURED. ES FIND SOIL COVER TEXTURE Pf HNIANI N T MARK[ H$ UH$ERVATION WELLS ❑YES ❑N0 _❑YES rULCHED ❑NO DE PTH OVER TRENC77 EPTH OVI H TRENCH Hf 1) I VIH O/ 's(L SODUF f Uf U CENTER DGES U ❑YES. ❑NO i❑YES ONO ❑YES ❑NO PRESSURIZED DISTRIBUTION SYSTEM: BED/TRENCH WIDTH LENGTH TRENCHES LATERAL SPACING GRAVEL DEPTH HE LOW PIPI FILL DEPTH ABOVE COVER DIMENSIONS MANIFOLD PUMP MANIFOLD UISTR PIPE MANIFOLD MATERIAL i O UISTH UISTR PIPE DISTHIHUT ION PIPE MATERIAL & MARKING ELEVATION AND ELEV. ELEV DIA ELEV. PIPES OIA DISTRIBUTION INFORMATION HOLE SIZE HOLE SPACING DRILLED COHRECII Y COVER MATERIAL VERTICAL LIFT CORRESPONDS TO APPROVED PLANS ❑YES ❑NO ❑YES ❑NO I COMMENTS: PERMANENT MARKERS OBSERVATION WELLS NUMBER OF PROPERTY WELL: BUILDING. FEET FROM LINE ❑YES ❑NO ❑YES LJNO NEAREST S LJJ ~ ' [O's Sketch System on - etain in county file for audit. Reverse Side. SIGNATURE f TI DILHR SBD 6710 (R. 01/82) `f r - A SANITARY PERMIT APPLICATION CO1Y ~~NR In accord with ILHR 83.05, Wis. Adm. Code u•~LJ STATE SANITARY PERMIT # 11919 Z `7 -Attacksomplete plans (to the county copy only) for the system, on paper not less than STATE PLAN I.D. NUMBER j8% 0"I inches in size. -See reverse side for instructions for completing this application. PETITION 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. FOR VARIANCE ❑ YES ❑ NO PROPERTY OWNER PROPERTY LOCATION '/a 'e'/4, S,2 91 T„Z , N, R E (or Sig PROPERTY OWNER'S MAILING ADDRESS LOT NUMBER BLOCK NUMBER SUBDIVISION NAME CITY, STATE ZIP CODE TPHONIENUMBER VCITY ILLAGE : NEAREST ROAD, LAKE OR LANDMARK 11. TYPE OF BUILDING OR USE SERVED: Number of Bedrooms if 1 or 2 Family OR ❑ Public (Specify): III. PURPOSE OF APPLICATION: (Check only one in #1. Check # 2,3 or 4, if applicable) 1. a. LN 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. See a e Bed b. E1 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): 00 0 ,2 6- t) Feet Private ❑ Joint ❑ Public VI. TANK CAPACITY Site in al Ions 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 ❑ ❑ ❑ Lift Pump Tank/Si hon Chamber ❑ ❑ ❑ ❑ ❑ ❑ 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' Signature: (No Stamps) M PRSW No. Business Phone Number: G f .Tr e i~cs Plumber's Address (Street, City, State, Zip Code):' nz, Name of Designer: VIII. SOIL TEST INFORMATION Certified oil Tester (CST) Name CST # Q P' Xve r . Cj CST's ADDRESS (Str et, Cit)7, State, Zip Code) Phone Number: y / 3 5 Szno IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee Groundwater Date Issuing Agent Signa re( to s) Approved ❑ Owner Given Initial A S rcharge Fee Adverse Determination p/ X. COMMENTS/REASONS FOR DISAPPROVAL: SBD-6398 (formerly Plb-67) (R. 03/86) DISTRIBUTION: Original to County, One Copy To: Bureau of Plumbing, Owner, Plumber OEM INFORMATION & INSTRUCTIONS FOR COMPLETING A SANITARY PERMIT 5 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 ad!ni wistrw'=or Or the State of Wisconsin, Bureau of Plumbing, 608-266-3815. To be complete and accurate this sanitary permit application must include. 1. Property owner's narnie and mailing address. Provide the legal description where the system is to be installed; II. 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; 1! 1. 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 iroundatet included the creation of surcharges (fees) for a number of regulated practices which Wiscor in 5 a can effect groundwater. The surcharge took effect on July 1, 1984. All of the water that buried tr:~assre 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 dm ;1is tered by the Department of Natural Resources. These funds are used for monitoring ground- water, groundwater contamination investigations and establishment of standards. GroundGp~ater, it's worth protecting. 5'6D-6398 (R.03/86) r APPLICATION FOR SANITARY PERMIT r 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 4mo ~vs~w f ~~~jyfk~ Location of Property 167 4, Section , T9_N-R19 W Township _ h/U Mailing Address 6ox 163 ~voSac/ GUx ~yD1(o Address of Site SRrvlt; 4S A,6066 g Subdivision Name ~h~,pTT ,qOm/T/m~✓ Lot Number qty Previous Owner of property /eQi -4Ao L'j/iVmg CZ !kk Total Size of Parcel a,'1.3?,4Coe0S Date Parcel was Created $ t704U 1976 ; IO CK /Zdke nlgK 1976' .PL60,eo1r19 71/~G~~aba*.e 19 7G Are all corners and lot lines identifiable?_ Yes No Is this property being developed for resale (spec house) ? Yes No Volume and Page Number 357 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 (We) cvLti6y that att .statements on thii6 bohm cute true to the but ob my (ouh) knowledge; that I (we) am (ahe) the ownerc(s) ob the pnopWy de~senibed in thi.6 inbo.rmation 6onm, by viAtue ob a wakAanty deed necohded in the Obbice ob the County Reg.vsterc o6 Deed ass Document No. V/4/22d/ ; and that I (We) pnes entty own the pnopobed site ban the sewage dispozs Sy,6tem (o& I (we) have obtained an easement, to nun with the above de6nibed pnopeAty, bon the con.6tnuc ion ob ~6atd dyatem, and the .same ha3 been duty neconded in the Obbice ob the County Reg.usteh ob Deeda, as Document No. X /a, w~ SIGNATURE OF OWNER SIGNATURE OF CO-OWNER (IF APPLICABLE) ~o , 1986 6 DATE SIGNED DATE SIGNED z H 9 ST C- 105 r 9 • H SEPTIC TANK MAINTENANCE AGREEMENT o St. Croix County z d OWNER/BUYER Gkey A 3bsx y ROUTE/BOX NUMBER Fire Number CITY/STATE yUOS©/~/~ G(Jz' Z I P PROPERTY LOCATION: !v L, Ala) k, Section A7 , T A(? N, R W, ~P TownSof. 1/VOSOA/ , St. Croix County, Subdivision GAeq;r 5 14DP/Tie.✓ , Lot number ~C3~coaK y 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 put into 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 to maintain the private sewage disposal system in accordance with x H the standards set forth, herein, as set by the Wisconsin Depart- b 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. SIGNED DATE T 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. A UR fM OF REPORT ON $OIL BORINGS AND snt=F: r Y 3U DIVISION INDUSTRY, VISION RJbUSTRY, P.U. BOX 7969 LABOR ANV PERCOLATION TESTS (115) MADISON, W1 53707 HI;MAN 61:1-ATIONS (H63.09(1) & Chapter 145.045) _--.._...-_W~T~ _ NC3 . Bt-KMM, U961W,NAMENICIPAL.IT: '/i `/It i C7NfiQTyYS rti'v 1N AbiJT`i'['r.,. r+ f I. cou OJT ~>^6.77$•t',t•iS _h___.. _ __._.!^1 - DATES iiiRVATIONS L_ MADE USE _A1Ti~N%K5jiK6mW'7 N-111 AT15~SZ`,i1TOr : .GG esldenc! [7ULY . , 9 c)b ItJLY - - •~',~>1t ~cGk7'nl,►_' r!~~, ~c~►~s 8vifz. uQK►1ae r RATING: S- Site suitable for system Us Site unsuitable for system _Pi !1 r__ N!!~~lr p,lv9RTrff`TA11 MUU~t[5y-- iN-~iF JfVU l 1T S`l~a it `1 F ILl- IUl'bING TA K: RECUMMENnF('~ SYSTEM loptiontil) s ~]U_._[-U u~. ]s CCU L S (Zu_..~.1_s_c~"_u-~ E~ If F o relation Tests. ra Ntj' tegUire d - It m,y p)ltron of the tested atria +s in the i under s Nf3.0£I151(b) inchrste• 1 ~_Lrt ~5 L Flooszitlain, indicate Floodplarn elevntion: PROFILE DESCRIPTIONS frpRlroGI--'lUTAI. Z Yt jF H• t1 fWAWTEf 1WWC dIKHACYCH- F iL WI r'H Tfl!CKlJEtiS, t:CIICTf~, '1 f X7URc', ANO DE-TFI ~!J!Fv18ER r7L'FTl1 H4 F I. r.vAtION t)(irF,t,•V,,:Q__ (3E(IROCK IF OBSERVED 1SE.r ACiF3FtV. ON l3l.CK.1 RL LT' iN, E_ v poi, B >u L> 16 9 - 6 ! f GR F~ca4~ 1~ S_t t~+~t~s _ 6en~ 7 G7 747 s,7( 1Z'AF2rt~..~ ik~,Qr+1(_'~/~rr~' h / +Lti?rt?•' I 7 7-S3 7 6 _ - ~:L:• E LLT 16" ERNS, L -f BRPS S L CSI: t Cl0v.. 1_o M IB- t c n~ hAN C~ 4 GR Cal ! 1?l~ir_~ !`7'f U LTS IV' 6Pr•l PN 'S t C~ P- r`, _ t 1. PFzr4 LS LbM `'t;~j T " _i 4- RL L T5 'z4' RCKx L 9 " P.N ' (6 A 4 t Is _A'! 1 ?_y_s:~4~_..--- B- PERCOLATION TESTS r Ielf _ 1•"F~i`~ GEt'11•t RYA"1 EH lr! I, .'I. E' IF-31" T1b1E ______UTA0P IN t vi 177NL fFS HA tE MINIM E': Gra_!rMl! P. if W' r 1CTFP.:iYVELLINt. IN f El PER INCH . . _I FFp. . l _ i • , r LEI G".'{? ' Y..- _ _ _ _ _ < < 1z - - PLOT PLAN: Show lo:.:r•unt or pot^Aation U•sls, soil borings and the dimensions of sudtet,le soil areas. Indmatn scale or ctimimces, hescrihr what art the Irun znntei and vertirat etevrrtian isterenct+ mints and show their location on the plat plnn. Show the iti(far..e alevatlr,n nt amt I*rin!ts and the dirnr;tion and vercem of Isnd Slope. SYSTEM ELEVATION _ 9 S ~6 a _ • r i i 1. It- umSorsiyned, hatehy c:ertity that the sail tests reported on this In!n, wtmv tonne by me in ar:rord with the pror:,td,ire, noel n,nthrxh stwc.11f-I in the Wrso+•,sn, Artminist,•,tive Cotte, anct that the data revo.dcd anrd the location of the tests are rorrert in the best of my knowtedtle anal boirt. FF..~.,WERf:t.Oh~LFTFU~ISr•r: / ~K' • il' 1 ~toNl- fVt1M ~Gaptin,t►. 1 t r Alll)REri f. 1;1 1fC rj NUhtRER r s nl$i1t11:IJTttsli: 1}„y;-•.~i ,n,t+•n,:,.!yr; tr. ! .r. ;.I r.,,,1 •:.i1:.1',n!p•,[y iN;+va•e ,,n,l!j^,I !••;+,•r s , 1 ~ L07 4 35 A PPPoxi Mn're i QAiL TNQoUV~a /U6 N Lm . lPoPoz e A ~ ~ \ / t;u t ~ 1Y4 I x'32 ~ P: V) Al Czq! of \ 1 \ lit F \P 30!°76 >rTE LOc~-rID1J oAl ` -•rr.I I.!J r 0 Q i • • •MAI. 1 1~ iul d' hb'n,-- C ' r++ rw~rts ? y n., d v ~ o M 1 C4./ t,t i A fi'r` + 11 ~ NlS 1, 7 ~ to is 12 P-t it Cr' u' fir..'. L ~ N •a{ h , J• GNEATy LAN r-9 C. BM . Pr. NAIL. StT IN 4. //3. ZS/ kle-sr OF Mx,LROY (FiPC No. 1716) ftt-vAnbN t2oAj eAl 7- `4"710"' PAP ~ ~ ~'STEi~? ~L 9 s eEP'~ L t ~Ji h 6 x-00 G ~ SG \ S i~' ~a~ t ~ yo s~A~ i t I i t ~ ,S~IST~I'7 ~ t i t 3 b sew a 't j3? tV05 P jIt"'vo iRe i» 6 G N 7,505 a) 00 o flu/? t i i