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HomeMy WebLinkAbout020-1113-90-175 0 fn 0 3 m n c 0 v1 M (D -p `D " c az 3 v ' \ 1 3 n N O f=/l O O A N C N N `C • 3 a (0 ;L a iv o ~~~111 n O ^J' j Q. N N 0 O p O (D O II7 p C) C CD CD :3 * O 9 O cn 3 a N = 1 w N cn ° cn ccnn A cn z (n a" O a w W cn C a C O O O ca:- ( D : o o O Z n o (0 0 00 (n cn 3 Z v v v o n ~o cn~ N N D m3 C'. v v o 0 3 N y O v ~ m 0- OD z ° c W z 7 CD o v O ° 0 o in CD (n N '0 (n ~ m ~ c c m a 3 O m to O p Z n 0 a A Z O L) co --j W - N 0 3 z O r. A ~ o C/) N j Z CD I ~ W D o a) s n m 0 3-0 CD CL v m L N3= CCD L j N CD -n c S. CL 0 Aso O oo.- 8(p O OS (fin C co a N Q N M _U) CD p_ cn (n d .n-. S ? T (D O @ n O 0 c m 0 ~ < CD co S OL =3 C N O' (3D ~ O N O O O 0 ~.N 0 O j < CD O CD 61 ti p O O O O ti O~ Parcel 020-1113-90-175 01/14/2005 07:52 AM PAGE 1 OF 1 Alt. Parcel 12.29.20.4591-15 020 - 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 DAVID A & ARLENE A HART ` HART, DAVID A & ARLENE A 1025 HWY 35 HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description ` 1025 HWY 35 SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 15.796 Plat: 0364-CSM 06/1778 SEC 12 T29N R20W PT SW SE & NW SE BEING Block/Condo Bldg: LOT 2 LOT 1 CSM 5/1551 AKA LOTS 1 & 2 OF CSM 6/1778 NKA LOT 2 CSM 6/1778 (5.380AC) & Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) INC PT SW SE; COMM S 1/4 COR SEC 12;TH N 12-29N-20W SE 89'E 1326.58FT; TH N 01'W 369.98 FT TO POB; TH S 89'W 1162.33FT;TH N 01'W more... Notes: Parcel History: Date Doc # Vol/Page Type 05/17/2002 679266 1892/561 WD 02/23/2000 618675 1491/410 QC 07/23/1997 714/469 2004 SUMMARY Bill Fair Market Value: Assessed with: 48553 340,100 Valuations: Last Changed: 07/01/2003 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 15.796 104,000 159,100 263,100 NO Totals for 2004: General Property 15.796 104,000 159,100 263,100 Woodland 0.000 0 0 Totals for 2003: General Property 15.796 104,000 159,100 263,100 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch Specials: User Special Code Category Amount 018-RECYCLING SPECIAL ASSESSMENT 27.00 Special Assessments Special Charges Delinquent Charges Total 27.00 0.00 0.00 DEPARTMENT OF INDUSTRY. ENSPECTION REPORT FOR -AFETY & BUILDINGS 6 LAB~r?~i & HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION BOX 7969 BUREAU OF PLUMBING <<•'P ,ON. WI 53707 )~N~ONVENTIONAL ❑ALTERNATIVE statePlanI Nambe, - (If l Holding Tank 1:1 In-Ground Pressure El Mound assign ed NAME OF PERMIT HOLDER ADDH S PERMIT HOLDER. INSPECTION DATE. Dave Hart ,Hwy 35, N. Hudson, WI BWH nrK (Permanent reference point) DESCRIBE IF DIFFEPENT FROM PLAN =REF PT. ELEV.: CST REF. PT_ ELEV. ?NW SE Section 12, T29N-R20W, Town of Hudson IName of Plumber. MP/MPRSW N„ County +Sa nip. ary Pei rt.ii Nu tuber. jGary Zappa 3300 St. Croix ! 64937 SEPTIC TANK/HOLDING TANK: MANUFACTURER. LIQUID CAPACITY. TANK INLET ELEV.. TANK OUTLET ELEV.. WARNING LABEL LOCKING COVER PHOVIDED. PROVIDED ❑YES LINO ❑YES LINO BEDDING: VENT DIA.. VENT MATL. HIGH WATER NUMBER OF ROAD: PROPERTY WELL: JBUILDING. JVENTTOFRESH ALARM. FEET FROM TINE AIR INLET. ❑YES LINO ❑YES LINO INEAREST DOSING CHAMBER: )MANUFACTURER [BBE DDING. LIQUID CAPACITY PUMP MODEL JPLMPi111110N MANUFACTURER WARNING LABEL JLOCKING COVER j PROV I DED. PROVIDED: ❑YES LINO ❑YES LINO ❑YES LINO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL. NUMBER OF PROPERTY WELL BUILDING I VENT TO FRESH (DIFFERENCE BETWEEN FEET FROM LINE AIR INLET PUMP ON AND OFF) ❑YES LINO NEAREST SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing vc,rH !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: BED/TRENCH WIDTH. LENGTH No. OF IDISTR. PIPE SPACING; COVER INSIDE CIA zPITS LIQUID TRENCHES PIT MATERIAL DEPTH. DIMENSIONS iC;RAVFL DEPTH FILL DEPTH DISTH PIPE DISTR. PIPE DISTR. PIPE MATERIAL. NO. DISTR. NUMBER OF PROPERTY WELL. BUILDING: VENT TO FRESH BF LOW PIPES ABOVE COVER ELEV INLEr ELEV END PIPES FEET FROM LINE AIR INLET NEAREST P-MOUND SYSTEM: Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OF SYSTEM and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE. SHOW ELEVA- meets the criteria for medium sand. TIONS MEASURED. ❑YES NO iSOIL COVER TEXTURE PERMANENT MARKERS JOBSERVATION WELLS ❑YES LINO ❑YES LINO DEATH OVER TRENCH BED DEPTH OVER TRENCH : BED DEPTH OF TOPSOIL SODDED SEEDED MULCHED. CENTER EDGES ❑YES LINO ❑YES LINO ❑YES LINO PRESSURIZED DISTRIBUTION SYSTEM: WIDTH LENGTH NO.OF LATERAL SPACING. GRAVEL DEPTH BELOW PIPF FILL DEPTH ABOVE COVER BED/TRENCH TRENCHES. I DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR. PIPE JMANIFOLD MATERIAL. NO. DISTR. DISTR. PIPE DISTRIBUTION PIPE MATERIAL & MARKING. ELEVATION AND ELEV.. ELEV. CIA. ELEV.: PIPES DIA.: I DISTRIBUTION ' INFORMATION HOLE SIZE HOLE SPACING DRILLED CORRECTLY COVER MATERIAL VERTICAL LIFT CORRESPONDS TO APPROVED PLANS ❑YES LINO ❑YES NO COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL BUILDING FEET FROM LINE YES L_1NO YES No NEARES Sketch System on Retain in county file for audit. Reverse Side. SIGNATURE. TITLE. DILHR SBD 6710 (R. 01/82) t ""S`ons", APPLICATION FOR SANITARY PERMIT COUNTY ue DcP c nenI UNIFORM SANITARY PERMIT inrn~_;rew,i. earrone. NUrnnn nr=~r nons~ /B, ~l`~ IU ~ --Attach complete plans in accord with s. H 63.05, Wis. Adm. Code for the system, on paper not less than 8 '//~x 11 inches in size. --See reverse side for instructions for completing this application. PLEASE PRINT PROPERTY OWNER MAILING ADDRESS 3 S ~ d f/v r~so ~v s' PROPERTY LOCATION w 1/45E 1/4, S 12-- , T IN, R ZOE (or W TOWN f (I Ul~Jsl ti LOT NUMBER BLOCK NUMBER SUBDIVISION NAME NEAREST ROAD, E EQR}E~PhAt}~- STATE PLAN I.D. NUMBER TYPE OF BUILDING OR USE SERVED ~ 41 -i`! " 1 or 2 Family Number of Bedrooms: EJ ~ Public (Specify): ~~j THIS PERMIT IS FOR A: -7 1 , ] New System LJ Tank Replacement U Repair ---1 Replacement Soil Absorption System Revision LJ Pt ivy Alternate System [3 Reconnection Petition for Modification IF THIS IS A CONVENTIONAL SYSTEM COMPLETE THIS BLOCK. ~<i Seepage Bed C] Seepage Trench L_l Seepage P'it E-1 Holding Tank 1 -3 System-In-Fill In-Ground Pressure E] Vault Privy L-1 Pit Privy _I Existing, For Which A Previous Permit Is On File, Permit # issued ~J An Existing System That Has Been Inspected And Is Compliant As Far As Soil Conditions. Total #of Prefab. Site Steel Fiberglass Plastic Gallons Tanks Concrete Constructed Septic Tank Capacity Lift Pump Tank/Siphon Chamber Holding Tank capacity Manufacturer: /&S' 2 e -T~ IF THIS IS AN ALTERNATIVE SYSTEM COMPLETE THIS BLOCK: L~ Mound El In-Ground Pressure Total # of Prefab. Site Steel Fiberglass Plastic Gallons Tanks Concrete Constructed Septic Tank Capacity Lift Pump/Siphoin Chamber Manufacturer: PERCOLATION RATE ABSORPTION AREA ABSORPTION AREA WATER SUPPLY: (Minutes per inch): REQUIRED (Square Feet): PROPOSED (Square Feet): 5'3 Private L_3 Joint U Public I, the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans. Name of Plumber (Print): Signature: MP/MPRSW No.: Phone Number: Art 67 A P P A Plumber's Address: Name of Designer: . 3 S ti o,e U~SOJv / f COUNTY/ DEPARTMENT USE ONLY Signature of Issuing Agent: Fee: Date: Disapproved 1 _ lie Lj y~L~ j+a Owner Given Initial !J 1 q Approved Adverse Determination Reason for Disapproval: Alternate course(s) of Action Available: -)ILHR SBD 6398 (R. 5/82) DISTRIBUTION: Original to County, One Copy To; Bureau of Plumbing, Owner, Plumber 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/contractgr,("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 A Location of Property S G(7 14 Section, T L qj N - R Z.J W Township Mailing Address, Subdivision Name N Lot Number Previous Owner of Property FS-t- 14A-K I Total Size of Parcel'._ Date Parcel was Created' Are all corners and lot lines identifiable?~ Yes No Is this property being developed for resale (spec house) ? Yes X, No Volume 711/1 and Page Number _-L6 ..y 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. PROPERTY OWNER CERTIFICATION I (We) een ti_6 y that att a.tatemewta on t iA Gown ane t u e..to the best o6 my (ouA ) know edge; that I (we) am (aAe) the owner (s) o6 the pnopeh ty dea eh.i.bed in .thiA in6onmatLon 6oAm, by viAtue o6 a wat&anty deed Aecoaded in the 066ice o6 the County RegiA teA o4 Deeds as Document No. r .2g ; and that I (we) pnea en tty own the pnopos ed a.c to bon the a ewage poa a ya.tem (oA I (we) have obtained an eaaement, to Aun with the above ducA bed pAopenty, bon the cons cti,on o6 aai,d ays.te.m, and the name has been duty %eco4ded in the 066ice 06 e o e o6 eda, as Document No. .,4102,w? 1. SIGNATU OF QWNER SIGNATURE OF CO-OWNER (IF APPLICABLE) DATE SIGNED DATE SIGNED ' H H ' - a ST C- 105 a SEPTIC TANK MAINTENANCE AGREEMENT H 0 St. Croix County z 1 a OWNER/BUYER ~~t'o A,,'_3 _ r7i ROUTE/BOX NUMBER ~CJ~ Fire Number CITY/STATE ( OspA) W't 7.IP PROPERTY LOCATION: , C 14, Se}ction, T N, R Z`J _W, Town of q_)) / St. Croix County, Subdivision Lot number ';k I 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- v 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. SIGNE 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. v T) r x m x ~ w~foU1N30 v w U) w? m o 0 v m m m 0 A m CD = S, O Q 30 ~c o W N tal 3 c cn ca ccn m CAD p N 0 x 0 0 w p m tD $ o ~'~m aN A. ~C~ =3 Er >j toowo w r. = > > 0 0 0 `G L C j N ZS c~ Q~ ~ 0 w~ ~jCD fn - 0 w p 0 d m :3 w OD v D < a-AtO QD .n+ m0Dc m~ 0m ~=wmao cci- o o o M o O w CD co 7 =r -0 W ; C N 0 CD wm--N6 w Z n 0 Z aN m m ~ ==m CD 3 u, cn a -4 ~ OL =r 0 =r 0' Cn CD (D 0 :3 :3 W viva ac=gym: N V m 3 c maw m =r m!n 0 m~N n 1 e° CD w 3 = vw CD _ 0 CD --0 (/1 C • • C to m (A a°i w m C:3 w 0 R1 - 0 a0 Q:3 * CL 5. u:l W =r CD j m 0 3 c o = 7 C CD n C 0 W 0 m 0 0 a 0 d oco 14% w ~ (D m c m m ' m ,"*r Ica sc=w o 3 0 0° 3 m m N _a N p o a E•M-404 682 J State of Wisconsin / Department of Transportation PERMIT FOR ACCESS DRIVEWAY TO STATE TRUNK HIGHWAY DISTRIBUTION: (Sec. 86.07(2), Statutes, & Ch. HY-31, Wis. Adm. Code) White - Applicant Pink - Central Office Installation of Driveway b State Blue - District by ❑ ❑ Applicant Canary - County NAME AND ADDRESS OF APPLICANT HIGHWAY COUNTY i1.;xV.a.u L .ir%, ` .i ii+t;6c", 1 J 11 !J • i t). TOWN --VILLAGE - CITY , NUMBER OF DRIVEWAYS TYPE OF DRIVEWAYS PROPOSED LAND USE dCOMPLETION DATE Location of Driveways e iTipr ax. c;. side of the hig~iway _ mrfes sdc..t - of Quadrant Section 1 ` Township " North Range REQUIRED DRAINAGE STRUCTURE IF NO DRAINAGE STRUCTURE, STATE WHY. L rl x -i s Cull, DESCRIPTION OF PROPOSED WORK (INCLUDE SPECIAL RESTRICTIONS, INTERSECTION CLEARANCES, OTHER DETAILS, AND REFER- ENCE TO ANY SKETCHES WHICH MAY BE ATTACHED.) or L f lUJ' x t ~ Yic}1' i +l3utiY O t), ,)Vope?rty 01i L.w T. ii,t >:1Cit tGi"6a t a public road ij COii.'. tr,,ctC: at tiic iit57 l:.:C: t~;'x:.tli. .i,t)Ctltj.tilt at3 Silva i1 Ou Cite 4t~t:lcct:-- ~.LL s,s' above ptivat.... Mc4c,u6 ala r 11' , S 1. SOBDIV10E31114 PIA7S - * NOTE: If the rlveway described above is not completed by the "Completion Date" specified, this permit is null and void and the driveway shall not be constructed unless authorized through a subsequent permit. Any driveways shall be constructed in accordance with all requirements printed on the reverse side, and any special conditions stated herein. The maintenance of the driveways shall be the responsibility of the applicant. Issuance of this permit shall not be construed as a waiver of the applicant's obligation to comply with any more restrictive requirements imposeWl' local ordjparrces. / ~J t ~ ~ /'r r f ^ SIGNATURE OF APPLICANT DATE (NOT REQUIRED IF INSTALLATION BY STATE) APPROVED Y DIVISION OF HIGHWAYS AND TRANSPORTATION FACILITIES DIS CT DI TOR DATE j ~f; PERMIT NUMBER Will DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, , DIVISION LABOR AND C P.O. BOX 7969 HUMAN RELATIONS PERCOLATION TESTS (115) MADISON, WI 53707 (H63.09(11 & Chapter 145.0451 L~(:ATION:S~ SECTION: V TOWNSHIP/MUNICIPALITY: LOT NU.: BLK. NO.: SUBDIVISION NAME: t4'~ 1 Z /T -j N/ ZOE to t1S0 N Leerlr!ch 5LtevEV MAP COUNTY: OWNER'S BUYER'S NAM : MAILING ADDRESS: ~J 4r. LQolk tS4V6 14AZ-r Nw1i 35 /`/oRt-u Mu[~SOI.I In/I 54016 USE DATES OBSERVATIONS MADE NO. BEDR 7CO-_M R D S RIPTION: PROFILE NS: PERCOLATION T STS: Residence DC..JrvtlC. New EIRReplace ,vwL / /,j$S SOUL ~ /985 ~JOIL`a $00~ ~ACsC 49 SC1tLS - Al, L-& - NRGiGa~ SAnlfa ~oAts1 RATING: S- Site suitable for system U= Site unsuitable for system W4 r-Y, I N CO(N~VE TONAL: MOUND IN-G(R~OUN~+DPRFsSURE: SYSTEM-IN-FELL nd +NGTANK: RECOMMENDED SYSTEM:( ptional) 1C.. S lJ4 ❑J 1G~IV Vr tJ ❑u _ ❑S ❑u zu Lc~ n1VrNT►pNAL 91E& If Percolation Tests are NOT required vTDESIGN RATE: If any portion of the tested area is in the under s.H63.09(5) (b), indicate: 1 CLI`I S5 7- Floodplain, indicate Floodplain elevation: M, A. pt~, PROFILE DESCRIPTIONS BORING TOTAL ELEVATION P T R U D ATER-INCHES CHARACTER OF SOiL WITH THICKNESS, COLOR, TEXTURE, AND DEPTfI NUMBER DEPTH BSERV D TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.► • o-o.~ 8l_ $ln S ~ o ~ - / 9' 4's ~CoB ~.9'- 6.~' s ~ e B- I 6.9 9~ .Z8 No,vE > 6.9 Boa cc B- Z 7.6 /00.39' 1e/pN~ 7 6" O-O~5 0 9'- 4.7" ~S 9 1-7.6' S 6e B- 3 T/ aZ' AJoPjP > 7,1 " o_op,- Si D.7 SI 4*C0$ A 5'-7 ►'cs 4~ 6e4(d o-o.~ tii: f$r S o.7 - l 9 s 1 /.9'-6.6"cs -f Coe B-4 7.v~ /aZ.f~/ NotaC_ > '7.1..`L-'7.1S CS cog C. B 6.3 /D/ •S3 AImN~ 7 6.3 f LoB' 4A.p'g6 D'pS6 G $ -t Cz*%.+arn, 6.0 6.3'~s i SS B- ►JoTr o PtiltLTiST NUM&Lk 4ORPL-0014 NS W1tr14 PERCOLATION TESTS f3o21n11' tluMl1 @ , TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER L V L-IN HES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. 1 P RI PER INCH P_ -z 17 /JoLic ra1.s ICI P 3 SGJ NstJ ,ez.b !r a //PS /3/4 S.9 P- 53 lJeluE 102•Yi /p 2'f2 13/a / 8 P- P- P-_ PLOT PLAN: Show locations of percolationntests,~ soil born gs 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 sl3.4" j 177 4 1-zoo A-r PEGAQL6ti 6 1 k-5 i y ~ TN t z - f3Z Pz P~ Pf 134 pL ` ~ ~ ~ PRtMnev Atee - \ BS t~ ~S'oA~ 't , Cy1'= SptC of ~ I BiLSM'~~<TF LL p0 U0. y V., 7 t" EU.u = I REf•LW_iEMEwr AREA o ~kAG.7 i k IPA LaCAT1©NS ON',NEtT 261F L ~ I I 1, 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 date recorded and the location of the tests are correct to the best of my knowledge and belief. NAME (print TESTS WERE COMPLETED ON: NAtdEY G J404 N-Sc, ,a U14 I- a ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER (optional): 4 o-7 S._ cons. L <sr' Nu esd N V1/ I 54 0/ % z 4 R A 313 6 - 4080 CST SIGNATURE: DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. NJ~ QT Cpl Vii( 1.{;'sari =1' IUVER IPkI~, I RLjC1" I0NS FOR COMPLETING FORM 115 - SBD 6395 lfll"ir nlfI,IC.(tII lit, -,,:it hid'' i i',~r ul~~tt~ i. t-,! Ilcrr i[1tiCrrf; 1a. tlt(...~'t I i r•~ nit ,a t ii`,ii ly w4lit :ltoVVht•Iher this is it Ieidetli o of Coll imurcril plofect; m/I,xImum rwtnber of ou-drool I:, „r (.OImic i ,wl use planned, ! L; t hk ~t 1vol or I tapl tr. t71F,rll System; f), ~;c i1;11+rte l1w scwt lhility imilly brl<I~S. A SITE IS SUITABLE FOR A H()LDING TANK. ONLY IF ALL Ci 1 IV; '.:`(Sl Pk,! l1,10' HULA I1 OUT BAS[D ON SOIL. CONDITIONS; ; f`I f ASF I1;f IfI ,ihfit t,VI;atuiIs shvuvtI hclH for erg ItiIII pr ofIIe descriptions and comill eiinq the plot. plan 1. N9Ai.I A I F(;M1,F diatlr;lm al ~uratcly Incatinq your test locations. Drawing to scale is preferred. P, J ;k fr k1 I II c!fa1Vllj l'!kl11.lf k ~Irni ,oltit.<) I,Itr;atinn Ilrfrr,!rw(l point rlrr, clearly shown, arid ate pot lflat let 11 ntt!+irlif ww II("v , t, I rLlles, I1anr; s, .IdtII Iiood plain data, flercola1ion test exen) 11 ,fcffw m-11 iojd il') ; main, elevation) does not app!,`, i,lece. N.A. in the apprnl,ria[~; bc,x; I) me for n". anti }tfur;ir your turf t tl address ~tnd yexlr certification number; 1. 1`!;t e i s<liltir; c rl>IC;s and distrihille ,:fs re(juired. ALL SOIL TF~STS muST ICE FIL[D WITH FHE ~.,i ;':i J TFi(if'I l"'r' 1.'VItFfIfJ "'tl !~`!\Y5 OF COMPLETIC7N. /tE I31 l=\/1 "l IONS COED Cl--RTIFIEn c>f)II_ TFS-I'ERS „f !.omv, I,I(i 1 .•v,t,n (lths Symlxlls t, l,Iadul 4'.itk:i j L:i Luneslultt tuirt HG1N High Gloundwiatet P,'., I*,;;? (.()L irw Ratt' f S-,,III ftl,iy lSrnld±rul `i f-;`an~l 13i1 - P~1 tl~::!YI ;.I la! i t wim bi - 1.1k 3111 5c:1 - ii". ("lay Loam c r (I San E;ii(J Clay t.:t:+11't rllul It" :Z:wrty C;Iay - Sky C.lav !it I° N, hoe.., twilt '..f. ; I)rl1100!1, COdf X r~YTI t'.`,flly, I111!lllllfil I; I;rulnirlent Hlvv1- - P'(11) w,ilm kl'verl. w l act! vv atci Six y(;11PC8! Seal tE'Xt:.'f1^S n~ !!,I,nd ~'ra ,ta; dlsl! >';t' RIV) i',.r1Cii Ni ark V/RP Voliwoi fleft~i ~t'lcrr L'iwir rf)VI! i`, thtt to nl'(,:(-I:tl,rtCUiit!tt i1 Selllll~.11 y t. I(tl' I of I !11 II)k I IIt-/I)I1lIt I.lei!,I1 1, ti If ITI;,;A/k (It 1. 1 lei I C, i iiu~, I it Id ci 11,1 iii,roll. I- icl Wiry ZJC-4 OI.A Spy ~ 3S,~o I vo j C77 ` O N A- w 7*9 r O co i O. 47_SS~ ro cD 1 ~ tA oo ~ ` f , ~ Z ~ ~ i ~ (A 1° t~ if n _ Lp i J~- IO 1 I o ~ I S 26-6 S I (xy~ / 1 44"L' A FI =v tJ~-FT` Z oar' y~ S 5-L N1' s-41 ; / 3 o V1 z ~ ¢ /Px 53r v . 83 t5 I ~ i ~o a / O 0 - - - - r f+ - Sc~o~ GoT Li;v~ 175.S .50' ~E f 1/Z 7 sa~~. i~sT E'/Z U. - i00 - d . ~v Fresh Air Inlets And Observation Pipe a h Approved Vent Cap 2 ~ - Minimum 12" Above Final Grade Fi . tii~fX~~tiv.-, o f Above Pipe 4" Cast Iron -to Final Grade Vent Pipe Marsh Hay Or Synthetic Covering min. 211 Aggregate Over Pipe Distribution f%• Pipe 0 0 0 0 0 Tee 7 Aggregate o Perforated Pipe Below f~jL Beneath Pipe 0 - - Coupling Terminating At 7ES~~,~a. Bottom Of System