HomeMy WebLinkAbout026-1294-37-000
St. Croix
V•,isconsin Departl nt Corvneri:e PRIVATE SEWAGE SYSTEM
Safety and Bun ding Division Sanitary :ermit No'.
INSPECTION REPORT 584714
GENERAL INFORMATION (ATTACH TO PERMIT) State p an ID No:
Personal informatior• you provide may be used for secondary purposes IPm:acy Law, s.15.04 (1)(m))
~'i11a a Tow•nsnip Parcel Tax No:
Pe•rnd Holder s Name: Cd'9 g
Oevering Homes LLC TOWN OF RICHMOND 026-1294-37-000
CST 13M Elev Insp. 3%1 Elev BM Descriptic•r Sectio i;TowNRange)Map No:
13-1 G§ 28.30.18.1519
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER r rti' CAPACITY STATION BS III FS ELEV.
Septic r..~ O Benchmark d (a Cl8' li~z
JC- F r 5 /
Alt. BIv1 7.1-
7 g
Aeration Bldg. Sl 4,6
Holding St/Ht Inlet 5.75 cy (Pr
/
TANK SETBACK INFORMATION SVHI Ou'.let 95
J ~O
TANK TO ~2, LL BLUG. &_Oc Air Intake ROAD Dt Inlet
5 64~
Septi Aj Dt Bottom
Dosing - HeadertMan. 7-:5 9' 4, -G
Aeration Dist Pipe I8
Holding Bot System $ r Irl z
Final Grade 7 Q CY•i 3
PUMP/SIPHON INFORMATION J 3
Manufacturer D
GPM emar~-J St Cover r 2 Z
Model Number
TDH Lift Friction Loss 5ystern Hea TDt4 Ft
Forcemain Leng la Dist to well
SOIL ABSORPTION SYSTEM
BEDITRENCH 'Aidth Lenglhy No. Of Trenches PIT DIMENSIONS No Of Pit`` Inside Di` IL quid Depth
DIMENSIONS 21 11
Z
SETBACK SYSTEM TO PIL BLDG WELL LAKE)STREAM LEACHING h<anu`acturer
INFORMATION CHAMBER OR
Type Of System 1 I5 N' A J UNIT Model Number
o ~ J Lwt-i d ~ LI
DISTRIBUTION SYSTEM 144- IeQk demo c 17 -:;,D Z(o J S
I feaderMandold /1 Distribution x Hole Siz%_ x Hole Spa nc,L g Vent tp ^Ir Il
IF Pipe(sI N W zq&
LDm4_ Length D ,z Spac ng
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
De°th Over Depth Gver _TT Cepth of xx Seeded Sodded xx flutcned
Bed, Trench Center 5 Bed: Trench Edges psoil i es L Nc _Yes No
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1. Inspection #2:
Location: 1142 132ND AVE `-.O Cd~ 6 Ir1 G' ` r
1.1, Alt BM Description = n ~p~ (re,4,.. ~ ok
2) Bldg sewer length r o
/ n
amount of cover = .7 Q A JJ1 106 ~ O e W't~r
~
u U
Plan revision Required? _ Yes >~No 3 i
Use other side for additional information. , - Ce t No.
Date Insepctor's gnature
32D-571D(R319 )
~Qe++ra" 'L
Count),
q 11. (
- 'S ECEIVERY- ' Safety and Bui3dt s
fir' t D 201 W. Wasnington Ave., ~
1 .0. 6ox 7 ; 02 5~~ v erdit ?durneer (to be filed is by Co)
y~ S P g.KIA F' R 1 2 Z 016 I Madison, VJ1 '13707-41152
f~
C R 0 1 X COUNTY 1
tIDit Application StanTransa_uon umber -
in acca; daux wih SPS 3832 ( i, t, is Ado:. C'^, submission of t:1is fot zt to the apprnpr au govt tmcntal twit Ajot
is required prior to obtaining a s un! r-v permit Nom: Application forms for sale-owned 11OA7S are subrincd to Project A ess fi` different than ritaiiing addressl
:tie ihparftnew of Safm arm: Professional Serties. P•_rsonal irlor-natioa you provide mar be used for secordan
nu ores in ac -00.21 ce 'With tnC:'riVaiV La%. s. 15,AI'KM'I Stats.
L Application Information - Please Print All information
?ropat 'Owner's/Dame ~2 Pax r
Property Ch.arsVs Mailing Address ~i Property Location aQ 30 . 1 I $ 1 c} 1
r/'(,~ /i G~ 1 a' 171.! r~ C (J`JL~Ti Govt city, ffi= lip c*dc Phouc Number , ./I, section
~J V~ ) l ' cirdc o )
-1 - -u> T-,~~N; I !I w
II. . ype of Sanding (check all that apply) Lot t1 -iT
, Cz=]v Dwc;l:o_ - Ntunbtt of 3cdtinxr 3 Subdivisiw h c (110' 7z
Block #
K viCf' • a'e /~'t l~
6\,c
Prblic'Coneic:al - Desc-ibe Use
j ❑ City of _
r
-
State Owned - Desarrbe _Ise CSM-4.nt.,er C Village of
i T own of
IIL Type of Permit: (Check onl one box on line A. Complete line B if applicable)
A. ew Systcm Replacement Swum L Treatment/Holding Tanis Rel,taccrr.enc Onh ^ (Aiher -ModiGc:atinn to Existing Sys= lcxp;.
'ainj
R.
❑ Peiittit Renew-al I~ Permit Revision C Change of Plu:nxr ^ Permit Transfer tc, tires List Previous Pc!nnn Nu mbei and Date Issuec
Before. E pTahon Ovmer r
i1'. a ofPOVI'TS SvstetntCompomenvDevice: (Check all that apply) ~ , b
57 t
cssw^2ed In Ground L I'ressur:zsd I r-Ground El At-Grade C' Mound > 24 it,. of suitable soil L_ Mound < 24 in, of suitable soil
I io ding Tank C Ctber 7ispcrsal Comparcm,'"plam i ~ ?rctreatmert Device (:xplain)
V. Dis ersallfreat eut Area Information:
~ks~i ,Flow lgpd) DesiPt it Application dsfi ")ispersal -Area Required (s=, Dts ,a Are ?roposed ; 5vsr,Yn Eic1t r
NT Tauk Info Capacity ¢ j
Total n of Nlanufac,
Gallons Crallons Units V ! 2
\ew7auks i 'xisangTaaks
- _ - ~y '144 1J..t ' +
r 1 Fn n
Scpuc or Holding Tint
lksmg Glumber ~
Vil. Responsibility St_ateme the undersigned, assume nsibility for installation of the POWTS shown on the attached plans.
PI Name (Print) Plumber's \ PIM?RS Number ker,iuea ?hone Number
rlumber's -AGress (sv city: State> 7 D Code)
ounty,ti_epartment L'se Only
proved L - Fermrt Fee Date sued Issuing nt SiplatM
:X cr% _ or for 85 ' y
T
11 1 w
Ik Condi M, axons for Disapproval D OLAJAL 1.
eJ
1. ept a to^k, erf t r; inter _mi 3 ILO
dsper! cell roust all be ser^ic,s I r ur inta!rec
as per maragement plan pro tided by plumber. U►~ t t S WLOJ A.V
2. A ll-x llbeck recomrtencs trust be R'lalnta in6d n
- n pK appkaDle code 1 "Ttli,ar,e.s. 4 Pr
.Attacb to compktc plain for the system and submit tr, the COUJI onty on p oor lest tiuo 5 t^ z_ 7 t ineLes in site
SBL%-6398 1r"1:1 ~G d~'ti ~'W-tti a
b.t.
to.
PLOT PLAN
PROJECT 0eve~ina Homes A DDRESS 1433 Cernohnus Ave Suite A New Richmond Wi 54017
N*W 1;4 SE 1l4S 28 !T 30 NiR 18 m Richmond COUNTY ST. CROIX
SYSTEM ELEVATION 95.0!94.8!94.6 4' below grade DATE, 4111!16 BEDROOM
CONVENTIONAL XXX IN-GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK
11000 gallons LIFT TANK SIZE DOSE TANK SIZE
MOUND SEPTIC TANK SIZE
HOLDING '1 ANK SIZE LOAD RATE .4 ABSORPTION AREA 11-57 # of chambers 5
BENCHMARK V.R.P. Top of 1!4" steel pipe ASSUME ELEVATION 100' Filter Lifetime Filter
BOREHOLE O NVE1.1, -11.R.p. same as benchmak
Properth Line
" 143'
c,o Scale = 1 411
,0•
All piping shall b.- TI-M SD-11, ,i-j wri hill
B. 10' of tank. pipin_ shall he AST.M F891
M. *
1S9q ti'
9R.' B-4
Vents
Q
3 3' X 78' Cells with >Y spacing
~ I
_0 B-3
0
B-
S
10' t
Quick4 Standard
ji Le aching Chamber
Pro with 20.0 ft2 of .Area
House BedrOOm pair of end caps
427' Property Line Grade at System Elevation
3 4132nd Ave
Cover Page
Shaun Bird
Bird Plumbing Inc.
1432 120th St.
New Richmond Wi 54017
715-246-4516
Date: 4/11 /16
Owner:Oevering Homes
Location: SE1/4 SW1/4 S28 T30 N,R18W 1142 132nd Ave Richmond
Manuals Used: In-ground absorbtion system (version 2.0)
Page#
1. Cover Paq
2. Plot Plan
3. Chamber 'Toss Section.
4-6. Maintanance and Cortt~ngency Plan
7. Filter Cross Section fr'
i
Signature_
License nu7/16r,-1226900
PLOT PLAN
PROJECT Oeverino Homes ADDRESS 1433 Cernohous Ave Suite A New Richmond Wi 54017
NW 1t4 SE 1145 28 /'1' 30 NIR 18 W TOWN Richmond COUNTY ST. CROIX
SYSTEM ELEVATION 95.0/94.8/94.6 4' below grade DATE 4/11 /16 BEDROOM 3
CONVENTIONAL XXX IN-GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK
1000 gallons LIFT TANK SIZE DOSE TANK SIZE
~10CND SEPTIC '1'4NK SIZE
HOLDING TANK SIZE LOAD RATE .4 ABSORPTION AREA 1 1 57 # of chambers 57
BENCHMARK V.R.P. Top of 1/4" steel pipe ASSUME ELEVATION 10()' Filter Lifetime Filter
❑ BOREHOLE O WELL * H. R. P, same as benchmark
Property Line
143'
60' Scale = 1/4" = 101
All piping shall be .ASTM SDR 3034, within
B M * 10' of tank, piping shall be ASTNI F891
18'
99.5'
B-4
Vents
3 3' X 78' Cells with >3' spacing
H-3
0
B-I
20'
S
10 Vent
>b„ Quick4 Standard
Pro 3 of Cover Leaching Chamber
Bedroom with 20.0 ft2 of Area
House ' S.(]ft^2.~ pair of end caps
4' Long-
41-7' Property Line. Grade at System Elevation
34"
132nd Ave
Cross Section of Quick 4 Standard Leaching Chamber
Typical cross section for 2 of 3 cells
Quick 4 Standard
Leaching Chamber with
20.0 ft2 of Area per
Chamber 5.6ft^2 pair of end plates To be >1' above grade
Finish grade elevation
Typical Installation ~ gg,
Vent Grade Lent
4'
4 X30/34 Septic Tank
4' Lon g 1 5'
4' I.on14 34 Grade at System Elevation 34" Grade. at System Elevation
Spacing-- 5'
3-3' X :U Cells
Observation tube/Vent
Same on other end To be located on end of Cells
%A
B
System elevations; C
A-95.0'
B 94.8' 19 chambers per cell
C-94.6'
POWTS OWNER'S MANUAL & MANAGEMENT PLAN >
FILE IWOR1i M014 SYSTEM SPECIFICATIONS
owner
!D , r' J Septic Tank Capacity I O NA
Permit# L/ Septic Tank Manufacturer ❑ NA
GN PARAMETERS Effluent Fitter Manufacturer . Q NA
Number of Bedrooms
-17 ❑ NA Effluent Filter Model ❑ NA
Number of Pubk Facility Units -,tl NA Pump Tank Capacity I NA
j Estimated flow (average) 1jeay Pump Tank Manufacxurer NA
I Design flow (per), (Estirnated x 1.5) f alt Pump Manufacturer NA
Soil Application Rate t au to Pump Model NA
i Standard Influent/Effluent Quality Monthly average Pretreatment Unit NA
Fats,'01 & Grease (FOG) 530 mglL 0 Sand/Gravel Filter D Peat Fitter
Biochemical OMW Demand (BODs) 420 mg1L ❑ NA ❑ Mechanical Aeration ❑ Wetland
Total Suspended Solids (TSS) 5150 mglL ❑ Disinfection D Other.
Pmftated Effluent Quality Monthly average Dispersal Cell(s) - D NA
Biochenwcai Oxygen DaTartd (BODs) -,00 mg& and (gravity) ❑ In-Ground (pressurized)
Total Suspended Solids (TSS) :530 mg/L % c1A Q At-Grade ❑ Mound
Fecal Cob= (geometric mean) 5104 ofn9100ml 0 Drip-Line ❑ Other.
Maximum Effluent Particle Size )l; in dia, D NA Otter: ❑ NA
- Otfier. - DNA
'Values typical for dorne9tic wastewater and septic tank effluent Other. ~ ❑ NA
INITENANCE SCHEDULE
Service Event Service Frequency
linspad condition of tank(s) At least once every: ❑ nth(s) (MaximitJm 3 yem) 0 NA
s
(Pump out contents of tank(s) VVhen combined sludge and scum equals one-third ('A) of tank volume ❑ NA
lInsped dispersal Cell(s) At least once every: month(s) (Maximum 3 Iroane) [3 NA
r(s)
Gleam effluent litter At least once eveny rronth(s) O NA
(s)
nsped pump, pump controls & alarm At least once every: 0 month(s) ❑ NA
❑ ye(s)
lush laterals and pressure lest At least oncce - ❑ month(s)
every: [3 year(s) EINA
At least once every; D month(s) year(s)
"NTENANCEINSTRUCTIONS
Ilnwections of tanks and dispersal cells W*l be madeby an individual pitying one of the following licenses or cerdfiwftns: Master
(Plumber, Master Plumber Restricted Sewer, POWTS Inspector, POWTS Maintainer; Septage Servicing Operator. Tank inspecdions must
include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of
combined sludge and scum and to died for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be
visually inspected to chaa the effluent levels in the observation pies and to check for any ponding of effluent on the ground surface.
The ponding at effluent on the ground surface may indicate a failing condition and requires the immediate notificatlon of the local
I'eguiatory authority.
Mw the combined accumulation of Mudge and scum in any tank equals one-third (14) or more of the tank volume, the entire contents of
lice tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin
Administrative Code.
fall other services, including but not limited to the servicing of effluent fitters, medwiical or pressurized components, pmtreatrnerd units,
bnd any servicing at intervals of 512 months, shall be performed by a cerbW POWI-S Maintainer.
A service report shall be provided to the local regulatory authority within 10 days of completion of any service event
Page of ,
for the pte nsen~ rem haw ~ dents of the
START UP AND OPERATION S check b~eatment tank(s)
For new construction, prior to use of the POWT the dispersal cell(s). 1f high
may impede the treatment process and/or damage
tank(s) removed by a septa9e servicing operator prior to use. occur when soil cornditions are frozen at the inf ti trative surface. wastewater will be ;ess System startup shall
not pump er levels. When Pow++er is restored of eftluert-
DufwQ power outages pump tanks may fill above normal highwi may result in tt o bad NP a' surfeoe disdtari3e r to the
to the dispersal cell(s) in one large dose, overloading the ceil(ssand ~ O bor prior to restoring real le m s
discharged tank rernoved by the pump controls to restore
contents of the pump in marwally operating
To avoid this situation have the assist
effluent pump or contact a Plumber or POWTS Maintainer to
within the pump tank. disturb or compact, the area within
Do not drive or park yehidas over tanks and dispersal cells. Do not drive or park over, of
15 feet down slope of any mound or k-grade soil absorption area. and prolong the We of the POVr.'~:
from the wastewater stream may improve the ~o disinfectants. fat; iounda6on drain
Reduction or elimination of the following degreasers; dwWi floss; rat ;
antibiotics; baby wipes; c4arettq buffs; condoms, cotton swabs; medications; oil; painting P'
(si•►mP pump) water; fruit and vegetable peelings; gasoline; grease; herbiddea; meat scraps;
pesticides; sanitary napkins; tampons; and water softener brine.
ABANDONMENT permanently taken out of service the following steps s
and safely abandoned doned in compliance hall be takers to insure that the system is IxOWN
When the pOWTS fails and/or with chapter Comm 83.33, Wisconsin Administrative Code:
• All piping to tanks and pits shalt be disconnected and the abandoned pipe openings sealed.
• The contents of all tanks and pits shall be removed and properly disposed of by a Septa SerwciJng Operator.
all tanks and pits shalt be excavated and removed or their covers removed and the void space filled with soil,
• After pumping,
gravel or another Inert solid material.
CONTINGENCY PLAN measures have been, or must be taken, to provide a code compf$nt
if the POWTS fails and cannot be repaired the following replacement system: replacement loll absorption syst
suttabie replacement area has been evaluated and may be utilized for tine locationof a knat be, infringed upon by requitpd
1 The replacement area should be protected from disturbance and compac~on and red notment w" will result on in the need
muse comply with tine rules in
setbacks from exlsttng and proposed stricture, tot lines and welts. Failure to protect the
for a new soil and site evaluation to establish a suitable replacement area. Replaeerinent system effect at that time. in POWYS technology a
❑ A suitable replacement area is not available due to setback andlor soil limitations. Barring advances
holding tank may be installed as a last resort to replace the failed POWTS.
area. Upon failure of the POWYS a sal and site evaluation a suitable replacement C3 The site has not beeneated suitable replac emeam. if no replacement area is available
a holding tank may be installed as
must be performed a last resort to replace the failed POWTS. five
lion ms may be reconstructed in place foikiwing removal of the biomat at the infiltra
❑ Mound and at-grade soil absorption ~
surface. Reconstructions of such systems must comply with the rules in effect at that time.
<cWARNING>> GASSES ANDIOR INSUFFICIENT OXYGEN. DO t4OT
SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL
ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANKUNDE O ,NY CIPIRCU SEAN. DEATH MAY RESULT. RESCUE OF A
PERSON FROM THE INTERIOR OF A TANK MAY BE DIPfl
ADDITIONAL COMMENTS
POWTS INSTAL.LER POWYS MAINTAINER
w l
CLNarne
hone
O f
AUTH
LOCAL REn
SEPTAGE SERVICING OPERATOR (PUMPER)
_ Name Name Phone Phone i Administrative Code.
This document vies drafted in compliance with chapter SPS 383.22(2)(b)(1)(d)S(f) and 383.54(1), (2) 8 (3). Wiscaism
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27fPr-Oi e Gross
PILw.SortiR7 t/4f1
S89'53'36"W 170.00'
96J. 0 203-35 ,J 2r~-3,34 gp Ea mss
-240-9S 61 47 preserw
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7.86 acres 1.81 Gcres
2 01 acres 80,901 sq, ft. 78,767 .sq. ft.
87,407 sq. ft,
ft.
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C2J
fil 89'25' 18" 57$•45.2 ,
104.81
83'25`18" E 392.28' 1 a r- r~7j()5.00
N$97518 2811.1 n { 6
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182.14`
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_ ST. CROIX COUNTY
SEPTIC TANK MAINTENANC h AGREEMj-'NT
AND
OWNERSHIP CERTIFICA•I MN FORM
Owner/Buyer
Mailing Address -
j - '
Property Address X- L - 1
(verification required g-'
om Planning & zoning Department for n
City/State nstrucrion.) -
- - - Parcel ldentification Number
LEGAL DESCRIPTION
Propet•ry Location 1j. r _ Va , Sect-1 7 ~ L R _Ll w, Town of
Subdivision - -
Lot # 1
Certified Survey Map # _ -1
- - - -
VVarr
amii^y Deed Toluene Page
Volume
Spec house Page # - - lit)
1-ot lines identi iablq
SYSTEM MAINTENANCE AND O T
'~'NER CERTIFICATION
Improper use
and maintenance of
maintenance consists of Pnmpiu Your septic system could result in its iI,Crnntur; failuiC
g out the septic tank ever ru hay X11,.
the system can affect the function of the t, Y three Years or coo r„ : ,
tic to nee, if needed, b a
i~sponsibilities are s nk as a treatment sta n y licetiseti t'
pecifed in §Curr>m 8352 l g ' in the waste disposal s st p 1e1 What .You put into
) and ir. Chapter 12 - St, (:roix Coup y em' Clwner maintenance
The property owner agrees to sub` Sanitary Ordinance.
°wner and by a a m reaster Phnuber, juu mit to St. Croix ,
r y County Y mb.,t o 7a onin
wastewater
Yn>an plumber, restricted plumber or a g ~Partment a cenificanon fin
less than 1 disposal sysludge.stem is in proper operating condition and/or 2 a licensed pumper verifying that (J) ~ Signed by the
( )after inspection and the e
pumping (if necessary), the e septic tank is
1-1we, the undersigned have read the
standards see to shove re
herein, as set ley the ll tluuemens and agree to
Certification shoring that ePartruent of C•u maintain the private sewage disposals ste
your septic s stem has mnterce and the l)epa-~tnent of'Natural Resources, state o Wimp ~ tFne
Zoning DepartnVilt within 30 days of the three been rnaiutained must be ern
year ex rr npleted and retuned to the St Croix Count pia
p ation date Y nrting
[/we certify that all stateniemts ou this
Property described above b • irtue rm are true to the ices'. of
y v of a ware deed recorded in My/Our knowledge. I/we arrvare the owner
Register Of Deeds Office. (s) of the
tittmber of bedrooms IUNATi OF AP -
PLIC,ANT(S) ! / (
**Any info _
tmatzon that is ttnisrepresented may result 1 PATE
.n the sanitarypcrmit being revoked b
Include with this aPPltcatian a recorded warranty deed from the by the Planning & joning Department. *y*
reference is made in the wan anty dried. Register of Deeds Office and a c
uPY of the certified survey trap if
(R-EV. 08/05)
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w:sconsin Department of Commerce SOIL E'VALU "'JION REPORT Page J_ of 7-
Divi.ion pf Safety and Buildings
ir. accordar•,ce w.In Corr' A:: 'VVis Adrn- Code p
I C a.rncy S f,,j~- C ~ X~
Attach ccmp.ete site p'.an on paper not less than 5 1.1 x 1 . 1 P s, -
incluce, out not IimL•ec to: vertical and horzortal refeence point yt3F1;E$e f.1M1M ` d Pare; I.U. - G 1
perent slope, scalp or dimensions, nortn arrow, and lo: aticn a.id distance to nearest to d. 6' 2- y- 7 U~iJ
J ~ ,:-F
ve Cate
w
; Re
Please print a1; infori ~ratief~r. 1 _t y
Personal nfonnatlon you provide may be used lur second a•fP purposes fPrroaci Lew, s. 15.04 i1 (rn j rJ 7/ L ~J
?,.pert, Owner l ZPrt3perty'o Jon II` '
y f
~ e (-G- 1 /4 1.4 S 3 r) N R E ('1 '+'Y
I :Irope•ty Owners Mailing Address Lot Bock # S dame or C SMJ;
city Sale Zip Code Fncnu NLnibv, ❑ Cay ~ `41.0ye Tow Nearest Road
IK ~,~Er , mr~l S.533o ':%3;YVl- FSV 3Li
New Construction Use: 9 Residunkal ; Pdumuur of oecrcrorrs Ccda cerived design flcw rate S d _ GP'D
❑ Reataco:nunl 7,
~ P.r:!ic c- c:_nmardal • Des:.ibe _ ,
?are.-)t material Flood ?lain e'evaiion it apn:icable
Ganeral gmments
and reoommerda ions: - i =-i fY1 J
o-
r
Bp. Boring 1 _
pit Ground s::rtace elev. r Depth to iimi:ing factor go;, A•,~licat.on Rate
I Hor•zon Dep Lti I Domiran:..otor Redox DescriaUon Text,rre Structure Consistence Boundary Roofs GPDrff
in. ttunsell Du. Sz. Cont. Color Gr. Sz. Sh. 'Eft>;1 'Effr72
~~I Imo` tL a M F, n-v~l j~ {1 f t7
L C Q
i
Bo. _ 5orny J ~ ~
Rt ~ruu I , taae ulev h. Depth lc !irniUn; `doe DCJ r.,
i So:: P.coliCat.on Rate
-ior.zon Depth I Dominant Color L;udox Duscnption Texrure i SL'v:ture Cons.s:er;ce 5.unda,-y Rocs CPD,'ff
rn. Munsell Sz. Cont. Color Gr. Sz. Sr.. E"~ t Ef Y2
vim- ~ ~ i ~ v ~-s ~ ~ 1. i d M• Tc~ I L.a Z)
i
E`Cwer.; #1 = 9JD 30 < 220 mgrL ano TSS >3G < 150 mg -.".luunt 92 = BCD < 30 mg. ~ and TSS < 30 mgrL
CST h.a'ne (Please ?rind t~ Signature T Number
Address _I Date EvaluaUor Cond=ad Telepttiune Number
a7 (o (--o 715-~y8~35$8
r 02 L"
Property Owner
Parcel ID lt Page of _
Boring # ❑ Boring - -
C1 f~ l
Pi; Ground surface elev. _L tt. Depth lu iimi:ing factor _ (05 _ ;r,.
Horizon Oepth Dominant Color Rodox Description Texture Structure Consistence Boundary Roots Soil UPO/If f Rate
in. Munsell Qu. Sz. Cont. Color
Dri'~ 1'tiyR~)i Gr. Sz. Sh. 'Eff#1 'Et-#2
7.5`1 +z to S L ~ i'S~ r- ~ I r , (o ~ ~ ~
-60 L 1 m55YL Fir 1%)T
-7.51 R5) F-S
6oring A ❑ Boring
n
169 Pit Ground surface elov Depth to hrr ling factor I - in.
Horizon Depth Dominant Color SS Dil Iic3iion R-[e 1
Radox Descr,pt Texture SG-ucture Consistence boundary Roots GPGAf
in. Munsell Qu. Sz. Cent. Cotor Gr. Z. Sh
'Ef!N1 I EffN2
3/
l ki -I C Y0 q).
hD I.5 Si1E
FS ~K J ,5 I, D
Y~ ~ ~f t
I
J I Bering p ❑ Boring
L--~ ❑ PII Ground surface elov. ft. Death to I:miting factor tn,
Horizon Deptn Dominant Color Redox JascripUCn ?exiure SU Jclu; a Ccnsistence Bcundary Roots Sci' GPD~ff n Ra ?
in. Munsell Qu. Sz. Cont. Color I Gr. Sz. Sh.
I` 'Effllt I 'Effg2
I
' ~ffuenl #1 = 800, > 30 < 220 rryL Ord TSS >30 < '50 ,-ng1 ErP.uenl x2 = BODE < 30 mglt and TSS < 30 mg/L
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