HomeMy WebLinkAbout026-1063-80-100
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Parcel 026-1063-80-100 11/08/2007 03:03 PM
PAGE I OF 1
Alt. Parcel 21.30.18.316C 026 - TOWN OF RICHMOND
Current X ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
00 0
Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner
O - TURNIPSEED, GARY D & JILL R
GARY D & JILL R TURNIPSEED
1141 CTY RD G
NEW RICHMOND WI 54017
Districts: SC = School SP = Special Property Address(es): = Primary
Type Dist # Description ' 1141 CTY RD G
SC 3962 NEW RICHMOND J
SP 8020 UPPER WILLOW REHAB DIST a(?n~ G 3
SP 1700 WITC G
fz
L //3
gal Description:es~ 4.220 Plat: 3579-CSM 13-3579 98
SEC 21 T30N R18W PT NE N EING CSM Block/Condo Bldg: LOT 2
12/3374 LOT 1 A LOT 2 ,
CSM-1 57 4.22AC N 2~4 7Q Tract(s): (Sec-Twn-Rng 401/4 1601/4)
21-30N-18W
r - / Notes: Parcel History:
Cf~l r VAC p Date Doc # Vol/Page Type
r~ J 11/09/2005 811652 2925/331 QC
/ 03/09/2000 619439 1494/607 QC
Y r rjA, 04/23/1999 601909 ~ 1421/28 ~ C
/VVV
2007 SUMMARY Bill Fair Market Value: Assessed with:
0 3 3 7~
Valuations: Lc Ce~~~ S~~S~~Y Last Changed: 06/19/ 002
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 4.220 50,500 138,800 189,300 NO
Totals for 2007:
General Property 4.220 50,500 138,800 189,300
Woodland 0.000 0 0
Totals for 2006:
General Property 4.220 50,500 138,800 189,300
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 516
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
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Form-STC- 104
AS BUILT SANITARY SYSTEM REPORT
OWNER TOWNSHIP , SEC. g4 T Z_N-RW
ADDRESS ST. CROIX COUNTY, WISCONSIN
SUBDIVISION LOT LOT SIZE
PLAN VIEW
Distances and dimensions to meet requirements of I1HR 83
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
5~ 7 /eo d
®u1,/,z 0 3
s-G
-97
7e 7m1
s
0
~I r
INDICATE NORTH ARROW
BENCHMARK: Describe the vertical reference point used
Elevation of vertical reference point: m
.Z Proposed slope at site:
SEPTIC TANK: Manufacturer:)CjCd/ j&6V,~ Liquid Capacity:
Number of rings used: - Tank manhole cover elevation:
Tank Inlet Elevation: Tank Outlet Elevation: 98fj3
Number of feet from nearest Road: Front,O Side, Rear,
feet
0
r
From nearest property line Front,0 Side,O Rear, 0 feet
y
Number of feet from: well building: 2 ~S
(Include this information of the above plot plan)( 2 reference dimensions to septic tank)
SEE REVERSE SIDE
1
' R*
PUMP CHAMBER
Manufacturer: Liquid Capacity:
Pump Model: Pump/Siphon Manufacturer: Pump Size
Elevation of inlet: Bottom of tank elevation:
Pump off switch elevation: Gallons per cycle:
Alarm Manufacturer: Alarm Switch Type:
Number of feet from nearest property line: Front, Q 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: ' Len th:^ ~ Number of Lines:_ 2 Area Built:
Fill depth to top of pipe: Number of feet from nearest property line: Front %
Side, O Rear,O Ft.Z2-
Q
Number of feet from well:
Number of feet from building: 3
(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: ~.J
Number of feet from building:
Number of feet from nearest road:
Alarm Manufacturer:
Inspector:
Dated: Plumber on job:
License Number :
3/84:mj
DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS
LAGOR & H MAN RELATIONS DIVISION
P o BOa(°TSSS PRIVATE SEWAGE SYSTEMS
~ BUREAU OF PLUMBING
MADISON, WI 53707 )PT CONVENTIONAL ❑ALTERNATIVE State Plan I.D. Number:
(If assigned)
❑ Holding Tank D In-Ground Pressure ❑ Mound
NAME OF PERMIT HOLDER: DRESS OF PERMIT HOLDER: INSPECTION DATE:
2
G & J Midwest Veal Inc. AD Rt. 4 New Richmond WI 54017 oG!// ~o ~i ~a r~
BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN: REF. PT. ELEV.: CST REF. PT. ELEV.:
NE NW Section 21, T30N-R18W Town of Richmond
Name of Plumber: MP/MPRSW No.: County: Sanitary Permit Number:
Cal Powers 1563 St. Croix 88443
SEPTIC TANK/HO DING TANK:
MANUFACTURER: LIQUID CAPACITY:
1 /9 An TANK INLTANK OU L EL V. WARNING LABEL LOCKING COVER
PROVIDED: PROVIDED:
. Q YES ❑NO DYES ❑ND
BEDDING: VENT DIA.: VENT MATL. HIGH MATER NUMBER OF ROAD: PROPERTY WELL BUILDING: VENT TO FRESH
h ALARFEET FROM LINE FG AIR INLET
YES ❑NO v Q~ DYES ❑NO NEAREST
ilill.
DOSING CHAMBER:
MANUFACTURER: BEDDING: LIQUID CAPACITY. PUMP MODEL: PUMP/SIPHON MANUFACTURER. WARN I NG LABEL JLOCKING COVER ,
PROVIDED: PROVIDED:
DYES ❑NO i 1 DYES ONO DYES ONO
GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL: NUMBER OF PROPERTY WELL- BUILDING. VENTTOFRESH
(DIFFERENCE BETWEEN FEET FROM LINE AIR INLET.
PUMP ON AND OFF) DYES ❑NO NEAREST
SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing LENGTH: DIAMETER MATERIAL AND MARKING
or excavation. (If soil can be rolled into a wire, construction shall cease until FORCE
the soil is dry enough to continue.) MAIN
CONVENTIONAL SYSTEM:
WIDTH: LENGTH: INOEOF DISTR. PIPE SPACINGCOVER INSIDE IA#PITS LIQUID
BED/TRENCH 0 ~ TRNCHES IA L PIT DEPTH
DIMENSIONS
GRAVEL DEPTH FILL DEPTH DISTR. PIPE DISTR. PIPE DISTR. PIPE MATERIAL: NO. TR. NUMBER OF PROPERTY WELL. BUILDING: VENT TO FRESH
BELOW PIPES: ABOVE COVER: ELEV. INLET. EL D: PI
LINE AIR INLET:
FEET
/ NEARESTO--► ~~0 .5
MOUND SYSTEM:
Mound site plowed perp dicular to slope C ec 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-
DYES ❑ meets the criteria for medium sand. TIONS MEASURED.
NO
SOIL COVER TEXTURE PERMANENT MARKERS JOBSERVATION WELLS
DYES ❑NO DYES ❑NO
DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED DEPTH OF TOPSOIL. SODDED. SEEDED MULCHED
ICENTER. IEDGES.
DYES ❑NO DYES ❑NO DYES ❑NO
PRESSURIZED DISTRIBUTION SYSTEM:
BED/TRENCH WIDTH: LENGTH. TRENCHES: LATERAL SPACING. GRAVEL DEPTH BELOW PIPE. FILL DEPTH ABOVE COVER.
DIMENSIONS
MANIFOLD PUMP MANIFOLD DISTR PIPE ]MANIFOLD MATERIAL'. NO. DISTR. DISTR. PIPE DISTRIBUTION PIPE MATERIAL & MARKING
ELEVATION AND ELEV.: ELEV.: DIA.. ELEV.: PIPES DIA.:
DISTRIBUTION
INFORMATION HOLE SIZE HOLE SPACING DRILLED CORRECTLY COVER MATERIAL VERTICAL LIFT CORRESPONDS TO APPROVED
PLANS
DYES ❑NO DYES ❑NO
COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL:
1 BUILDING:
FEET FROM LINE.
1:1 YES ❑ NO ❑ YES ❑ NO NEAREST
Sketch System on Retain in county file for audit.
Reverse Side.
SIG TITLE.
y
DILHR SBD 6710 (R.01/82)
LHR SANITARY PERMIT APPLICATION COUP~TY
_ In accord with ILHR 83.05, Wis. Adm. Code
STATE SANITARY PERMIT #
-Attach complete plans (to the county copy only) for the system, on not less than 3
paper 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 ❑ NO
PROPERTY OWNER / PROPERTY LOCATION
LU 5 Cc l . '/a '/4, S ' T 0 , N, R E (orb
PR E TY OWNER'S MAILING ADDRESS LOT NUMBER BLOCK N MBER SUBDIVISION NAME
Cl Y, STPff E ZIP CODE PHONE NUMBER CITY NEAREST ROAD LAKE OR LANDMARK
0 VILLAGE: 0
1521/ 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. X New b. ❑ Replacement c. ❑ Replacement of d. ❑ Reconnection of e. E1 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. X 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. N Seepage Bed b. ❑ Seepage Trench c. ❑ Seepage Pit
2. PERCOLATION RATE 3. ABSORPTION AREA 4. ABSORPTION AREA 5. SYSTEM ELEVATION 6. WATER SUPPLY:
(Minutes per inch): REQUIRED (Square Feet): PROPOSED (Square Feet):
Private ❑ Joint El Public
Feet
VI. TANK CAPACITY Site
in gallons 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 ❑ I L1 ❑ ❑
Lift Pump Tank/Si hon Chamber ❑ ❑ ❑ ❑ ❑
VII. RESPONSIBILITY STATEMENT
I, the undersigned, assume responsibility for instal latio the private sewage system shown on the attached plans.
Plum
ber's Nam rint): PI tier's Signal Vre:( Stamps) MP/MPRSW No.: Business Phone Number:
41 0
Plum er's Addr?96 (Street, ty, State, Zip Cod)e: Name of D igner: ( 751
QS ot)
VII. SOIL TEST INFORMATION
Cer ied oil Tester CST) Name CST #
~ 1
CST' DDRES (treet, ity to e, Zip Code) Phone Number:
IX. COUNTY/DEPARTMENT USE ONLY
❑ Disapproved Sanitary Permit Fee Groundwater Date Issuing Agent Signature (No Stamps)
Approved El Owner Given Initial Surcharge Fee
Adverse Determination)
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
INFORMATION & INSTRUCTIONS FOR COMPLETING A SANITARY PERMIT,
APPLICATION
TO THE APPLICANT:
1. This sanitary permit is valid for two (2) years;
2. Your sanitary permit may be renewed before the expiration date, and at the time of renewal any new
criteria in the Wisconsin Administrative Code will be applicable;
3. All revisions to this permit must be approved by the permit issuing authority. A new permit may be needed
if there is a change in your building plans, system location, estimated wastewater flow (number of bed-
rooms, etc.), depth of system, or type of system;
4. Changes in ownership or plumber requires a Sanitary Permit Transfer/Renewal Form (SBD 6399) to be
submitted to the county prior to installation;
5. Private sewage systems must be properly maintained. The septic tank(s) should be pumped by a licensed
pumper whenever necessary, usually every 2 to 3 years;
6. If you have questions concerning your private sewage systei 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 lcial description where the system is to be
installed;
Il. 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
repai r;
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 8Y2 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 groundwatee protection law. This change in statutes was the
result of over 2 years of steady nego atlon and public debate. The groundwater bill ater
included the creation of surcharges (fees) for a nLimber of regulated practices which yr=sc ; s
can effec." groundwater. The surcharge took effect on July 1, 1984. All of the water that lour,.. t,- a::jre
is used i,x your building is returned tc, the groundwater through your soil absorption
system or the disposal site used by your holding tank pumper.
i
The r:nonies collected thr-c)uv these ;;rc karces are c.-edted'.> the gioum-wa.er fund adminis-
tered by k.he Department ,.af Natural R -,o =ice . These fur s ase i-,ed'or r on eorirrg ground- ~,~~ate~, gr~ursdwater contamination in asasgat )ns -me" est 3blis smE rit off
standa ds. Cr~,,jn.t°ov
i``t's worth protecting.
SBD-6398 (8.03/86)
f
APPLICATION FOR SANITARY PERMIT
S T C - 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 nd completed when the property is
sold and submitted to this office with the appropriate deed recording.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Owner of Property -C
Location of Property' Section G L , T N- R W
Township
Mailing Address
AL 1A
Subdivision Name
Lot Number '
Previous Owner of Property
Total Size of Parcel
Date Parcel was Created
Are all corners and lot lines identifiable? 11~ Yes No
Is this property being developed for resale (spec house) ? Yes No
~y'' i~ SAS
Volume o and Page Number 6.0_ as recorded with the Register of Deeds
INCLUDE WITH THIS APPLICATION ONE OF THE FOLLOWING:
1, Warranty Deed
2. Land Contract
3.• Other recordings filed with the Register of Deeds Office
In addition, a certified survey, if available, would be helpful so as to avoid delays
of the reviewing process. If the deed description references to a Certified Survey
Map, the the Certified Survey Map shall also be required.
PROPERTV OWNER CERTIFICATION
I (We) ee4ti6y that att dtatementa on th,ia 6o4m ane true to the beat o6 my (ou,%)
h.nowee•dge; that I (we) am (ane) the ownen.(a) o6 the pnopenty deac4ibed in .thiA
in6onmation 6onm, by vi tu.e o6 a wa4Aanty deed neconded in the 066ice o6 the
County Reg.i.a.ten o j Deeda ab Document No. and that I (we)
pneaentey own the pnopobed .6 to bon the aewage dizpozat 6y6tem (on I (we) have
obtained an easement, to nun with the above dedch i.bed pnopenty, bon the
co na t u ction o6 e aid ,a ya tem, and the name has been duty neeonded in the 0 6 6ice
o6 the County Reg ' ten o6 Deed6, as Doeummt qo . ) .
M1 ~ec.. ire .
SIGNAT OF,~OWN SIGNATURE OF CO-OWNER (IF APPLICABLE)
DATE SIGNED DATE SIGNED
' H
Cn
y
a
S T C- 105 r
r
a
H
SEPTIC TANK MAINTENANCE AGREEMENT H
St. Croix County z
d
a
OWNER/BUYER M 1~ Qc V~~. t~
ROUTE/BOX NUMBER Fire Number
CITY/STATE f ZIP Z
PROPERTY LOCATION:
; 14'Section/, T <-?Ig N, R/00 W,
AL
Town 'f ✓lJs•:~1,d , St. Croix County,
Subdivision Lot number
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. H
0
E
I/WE, the undersigned, have read the above requirements and agree
to maintain the private sewage disposal system in accordance with x
the standards set forth, herein, as set by the Wisconsin Depart- It
ment of Natural Resources. Certification form must be completed
and returned to the St. Croix County Zoning Office ithin 30 days
of the three year expiration date.
x SIGN
/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.
DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS
INDUSTRY, C DIVISION OR AN
BOX LABKAN RELATIONS PERCOLATION TESTS (115) MADISON WI 7969
(H63.090) & Chapter 145.045)
LOCATION: SECTION: TOW HIP/MU^"../'PiciTY: LOT 01BLK. O.: SUBDI ISION NAME:
[COUNTY: NER'S BI,JYER'S AME: n MAI IN ADD ESS:
ft),, A , , , . -A jj . _~7
USE DATES OBSERVATIONS MADE
NO. BEDRMS.: COMMERCIA DESCRIPTION: (PROFILE DESCRIPTIONS: PER OLATION TESTS:
Residence IgNew ❑Replace
RATING: S= Site suitable for system U= Site unsuitable for system - r
ONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTE -IN-FIILLHOLDING TAN KJRECOMMENDED SYST EM: (optional)
LES 0 M
EA ®J DU S
~ J MY I El S ®U
If Percolation Tests are NOT required DESIGN RATE: I If any portion of the tested area is in the
under s.H63.09(5)(b), indicate: ` IL Floodplain, indicate Floodplain elevation: 4~ 1
PROFILE DESCRIPTIONS
BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH
NUMBER DEPTH I# ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.)
B-
2 9
S
B / J
B- 3 _ 7 1ifE 5
3
B-
1.2
B-
PERCOLATION TESTS
TEST DEPTH, WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES
NUMBER L=IES AFTERSWELLING INTERVAL-MIN. PERT 1 PER 2 PERT D3 PERINCH
P- / 3.
P,;2' /a 9114 /1 , ell
P-
P__
_P_
PLOTPLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori-
zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent
of land slope.
SYSTEM ELEVATION
_
~ E
461W Z
3
y
AO -
! dS~r7'C_ i E ;
3
f
S E
42ST
61ka
i
1 _
fr
e
E
F_
E
3
I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin
Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief.
(pri t►: TESTS WERE COMPLETED ON:
NA~_A4
A
S C RTIFICATION NUMBER: PHONE NUMBER (optional):
C GN UR
I1
ISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester.
LHR-SBD-6395 (R. 02/82) OVER -
IPJ.- G RUCTIONS €.3 OMPL '°I': 3 FORM 116 - SBD - 6396
To be a cr, accurate soil test, your
1. Comn, scription;
2. Tl- ust clearly indicate whether this is i r. vial project,
3. M, of bedrooms or commercial use play ;
4, lent syst€
+ir n r-'ITAPl_E P i-DING TANK €`NI Y IF ALL
t 1t E'r _ GC}r
r in;
7. Wd, A
a permanent;
to I test exemp-
ti
10, 'riate box;
11e
12 I T FILED WITH THE
LC _ r O C TION.
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Fresh Air Iniels And Observallon Pipe
Approved Vaal Cap
Minimum 12 Above
Final Grade
S"161 7 4" Coal Iron
20- 42" Above Pips -
To Final Grade Vent Pips
Margin Hay Or Synlbelk Covering
min 2" Aggregate
Distribution Ova Pips
Pips on -
Pipe -19 o 0 0 0 Tea
li" AggraPp: o Perlorate~ Plpa esi:y
Bensalb Pipe
o Coupling Terminating At
80110 101 System
Pr~poscD ~'1~~.1 119rh~lt ~
SOIL FILL
OISTKIBUTIOAI PIPE
APPROVED $4IIITHETIC COVER
MATE{~II~I OR 9" OF STRAW
OF
-7 AGGREGATE OR MARSH HAy
n e
!e 0 FZil2 AGGREGATE
ELEV. OF FEET--a 21316
DIS'rRIF31JTIOAI PIPE TO BE AT LEAST `il tur-HES BELOW ORIGIIJAL GRADE
AIJU AT LEASTZO IIJCHES BUT LIO MORE THAKI H2 IAICHES BELOW FINAL GRADE
MA MA DEPTH OF EXcAVATIOP FROM OKI& JA.L 6KADF- WILL BE _ IAICHES
M11MUM 9EPn+ OF EACAVATION fK0#V*~lG11aqLf3R49E WILL BE INCHES
SiGIJED:
L1CEuSE uUMBER:
DATE
110
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