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Form- S T C - 104
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AS BUILT SANITARY SYSTEM REPORT q
/ W
OWNER DAUF Gtri~E/~Ski TOWNSHIP 11up1D t) SEC. T N-R /p
ADDRESS ST. CROIX COUNTY, WISCONSIN
SUBDIVISION LOT Zo LOT SIZE Z~
PLAN VIEW
Distances and dimensions to meet requirements of H 63
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM.
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by ,
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INDICATE NORTH ARROW
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BENCHMARK: Describe the vertical reference point used 6i ~E / 7S ' /W-4 ev.v4,s,4C
F T c~ a~
Elevation of vertical reference point: /0 Q Proposed slope at site:
SEPTIC TANK: Manufacturer: Liquid Capacity:
Number of rings used:- Tank manhole cover elevation:
Tank Inlet Elevation: Tank Outlet Elevation:
Number of feet from nearest Road: Front, Side 10 Rear, 0 > / 75 / feet
/vo •
From nearest property line Front,0 Side,O Rear, 0 - 2-0 feet
C~ ~
Number of feet from: well 5^r building: I
(Include this information of the above plot plan)( 2 reference dimensions to septic tank)
SEE REVERSE SIDE
s
•
PUMP CHAMBER
Manufacturer: Liquid Capacity:
Pump Modgl: Pump/Siphon Manufacturer: Pump Size
Elevation of inr ,Bottom of tank elevation:
Pump off switch elevation: Gallons per cycle:
Alarm Manufacturer: Alarm Switch Type:
Number of fee from nearest property line: Front, O 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: -8
~ z
Width: IF.3 Length: 3 ~ Number of Lines: 1-3 Area Built:
Fill depth to top of pipe: 'I"X_ = 'Y9
Number of feet from nearest property line: Front, O Side, Q Rear,O Ft.2s^ /
Number of feet from well: SZ
Number of feet from building: /
(Include distances on plot plan).
SEEPAGE PIT
Size: Number of p' Diameter:
Liquid depth: ~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, O Ft.
Number of feet from well:
Number of feet from building:
Number of feet from nearest road:
Alarm Manufacturer:
Inspector: MESITE SEPTIC PLUMBING GO.
6 Z _ RT. 3 O'NEIL RD., HUDSUK WIS. 54016
Dated: Plumber on job: ROBERT ULBRICHT WIS. fliasiift PLUMBER LIC NO 1107 M P.R.S.
-
MINN. INSTALLER & DESIGNER LIC. NO. 00663
License Number:
3/84:mj
DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS
LABOR & HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION
P.O. BOX 7r,Z9 BUREAU OF PLUMBING
MADISON, WI 53707 yIy~
"eJCONVENTIONAL ❑ALTERNATIVE StatePI-I.D.N-ber.
)II assigned)
D Holding Tank ❑ In-Ground Pressure ❑ Mound
NAME OF PERMIT HOLDER JADDRESS OF PERMIT HOLDER'. INSPECTION DATE
Dave Widerski Webster, WI I0--~2 4 --gy $ o ~C)
BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN. REF. PT. ELEV.: CST REF. PT. ELEV.
SE SE, Section 33, T29N-R19W, Town of Hudson, Lot#20,Countryside Vill.
Na- of Plumber. IM11MIRSW No.. jc.~'ySanitary Permit NumberRobert.Ulbricht 3307 t. Croix 54970
SEPTIC TANK/HOLDING TANK:
MANUFACTURER. t LIQUID CAPACITY. TANK INLET ELE V.. TANK OUTLET ELEV.. WARNING LABEL JLOCKING COVER
j 0_1~ ~ I (110 / ? P O iDED PROVIDED
l l L V 7) YES ENO DYES ENO
BEDDING NT DIA... ]VENT MATL. J HIGH WATER NUMBER O ROAD: PROPERTY WELL. BUILDING TO FRESH
AI R_ZI ET.
` ALARM FEET FROM / LINT 0 e-. IVENT
EYES V NO DYES ENO NEAREST 7 (lam lJ Y)
DOSING CHAMBER:
MANUFACTURER. T71 NG. LIQUID CAPACITY PUMP MODEL JPUMP/SIPHON MANUFACTURER WARNING LABEL LOCKING COVER
PROVIDED: PROVIDED:
YES ENO EYES ENO DYES ENO
GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL. NUMBER OF PHOPE HTV WELL JBUILDING (VENT TO FRESH
(DIFFERENCE BETWEEN FEET FROM LINE AIR INLET
PUMP ON AND OFF) DYES ENO NEAREST illp
SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing LENGTH 11DIAMETER 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 NO. OF IDISTR PIPE SPACING COVER INSIDE DIA SPITS ILIOUID
DEPTH
BED/TRENCH TRENCHES I MATERIAL. r PIT ' "
DIMENSIONS - 7 1
Z_/
(]RAVEL DEPTH FILL DEPTH DISTR PIPE' DISTR. PIPE DISTR. PIPE MATERIAL. NO. DISTR NUMBER OF PROPERTY WELL. BUI LDING. VENT TO FRESH
BELOwPIP S ABOVE COVER ELEEV INLET ELEV. END PIP FEET FROM LINE AtNL'51
NEAREST
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.
DYES ENO
SOIL COVER TEXTURE PERMANENT MARKERS OBSERVATION WELLS
DYES ENO DYES NO
DEPTH OVER TRENCH BED DEPTH OVER TRENCH BED DEPTH OF TOPSOIL SODDED SEEDED MULCHED
CENTER EDGES
EYES ENO DYES ENO DYES ENO
PRESSURIZED DISTRIBUTION SYSTEM:
WIDTH LENGTH NO. OF LATERAL SPACING. GRAVEL DEPTH BELOW PIPE FILL DEPTH ABOVE COVER.
BED/TRENCH TRENCHES
DIMENSIONS
MANIFOLD PUMP MANIFOLD DISTR. PIPE MANIFOLD MATERIAL. NO. DISTR. fSTR P IPE DISTRIBUTION PIPE MATERIAL & MARKING
ELEVELEVDIAELEV.PIPES A.'.
ELEVATION AND
DISTRIBUTION VERTICAL LIFT CORRESPONDS TO APPROVED
INFORMATION HOLE SIZE HOLE SPACING DRILLED CORRECTLY COVER MATERIAL PLANS
DYES ENO DYES NO
COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL BUILDING:
FEET FROM LINE
}}r OYES ENO DYES ENO NEAREST
l
~ L" I ~ 14 1 r I,, 1
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Sketch System on tain in county file for audit.
Reverse Side.
SIGNATURE= / TITLE-.
DILHR SBD 6710 (R. 01/82)
r
~•wlsconsln APPLICATION FOR SANITARY PERMIT
COUNTY
~ DILHR (PLB67)
oERRRTmenTOF UNIFORM SANITARY PERMIT #
In OUSTRV, LRBOR 6 HUMAn RELRTIOnS
J7 41 ?
-Attach complete plans in accord with s. H 63.05, Wis. Adm. Code for the system, on paper not less than 81/2x 11 inches in size.
-See reverse side for instructions for completing this application. PLEASE PRINT
PROPERTY OWNER MAILING ADDRESS
`EVE' W i D~, SAC j 4vE-1,rS7_&-2
PROPERTY LOCATION y CITY:
51f) /4 S~ 1/4, S 33 , T 7 N, R/~ E (or W TOWN OF.
LOT NUMBER BLOCK NUMBER SUBDIVISION NAME NEAREST ROAD, LAKE OR LANDMARK STATE PLAN I.D. NUMBER
i / ~'o vcf f L~N~ N
TYPE OF BUILDING OR USE SERVED
1 or 2 Family Number of Bedrooms: ❑ Public (Specify):
-3 THIS PERMIT IS FOR A:
New System ❑ Tank Replacement ❑ Repair
L Replacement Soil Absorption System ❑ Revision ❑ Privy
❑ Alternate System ❑ Reconnection ❑ Petition for Modification
IF THIS IS A CONVENTIONAL SYSTEM COMPLETE THIS BLOCK.
Seepage Bed ❑ Seepage Trench ❑ Seepage Pit ❑ Holding Tank
r System-In-Fill ❑ In-Ground Pressure ❑ Vault Privy ❑ Pit Privy
❑ Existing, For Which A Previous Permit Is On File, Permit # issued
❑ 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 V /T
/D ,tJ QC(C
Manufacturer: O," /
IF THIS IS AN ALTERNATIVE SYSTEM COMPLETE THIS BLOCK: ❑ Mound ❑ In-Ground Pressure
Total # of Prefab. Site Steel Fiberglass Plastic
Gallons Tanks Concrete Constructed
Septic Tank Capacity
Lift Pump/Siphon Chamber
Manufacturer:
PERCOLATION RATE ABSORPTION AREA ABSORPTION AREA WATER SUPPLY:
(Minutes per inch): REQUIRED (Square Feet): //PROPOSE (Square Feet):
41- IYj? ~ b ' ~3 Private ❑ Joint ❑ Public
I, the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans.
Name of Plumt s:SEPTIC PLUMBING CO Signature: W-/MPRSW No.: Phone Number:
P
INT. i IWNEIL RD., HUDSON, V4S. W16 33 0 (715 ) 3,P6 -,?I
Plumber's Address: Name of Designer:
I18S. MASTER PLUMBER LIC. NO, 3307 M.P.III
COUNTY/ DEPARTMENT USE ONLY
Signature of Issuing Agent: Fee: Date: ❑ Disapproved
❑ Owner Given Initial
L', /'y/G% _ U .Q / X Approved Adverse Determination
Reason for Disapproval:
Alternate course(s) of Action Available:
DILHR-SBD-6398 (R. 5/82) DISTRIBUTION: Original to County, One Copy To; Bureau of Plumbing, Owner, Plumber
INSTRUCTIONS FOR COMPLETING THIS PERMIT APPLICATION, PLB 67 - SBD 6398
To be complete and accurate the permit application must include:
1. Property owner's name and complete legal description, please circle the appropriate municipal government unit, (whether this is in
a city, village or town);
2. Indicate specifically what type of use is served, if public is checked indicate type of use (i.e. 10 unit apartment, 30 seat restaurant,
etc.);
3. Complete the block for conventional or alternate system depending on system type, check all appropriate boxes or blanks.
4. Indicate the design percolation rate listed on the 115 soil test report, the number of square feet required by code and the number of
square feet to be installed;
5. Complete the section on water supply;
6. PRINT the name of the master plumber or master plumber restricted who will install the system, circle the appropriate license classi-
fication, place your license number in the space provided and sign the permit in the signature block;
7. Please place the plumbers business phone number in the blank provided, if there is a problem or question this will speed review of the
permit;
8. Change of ownership or plumber requires a Sanitary Permit Transfer Form (67-T) to be submitted to the county prior to installation.
Failure to comply will void the sanitary permit.
9. This permit may be renewed, and at the time of renewal any new criteria in the Wis. Adm. Code will be applicable.
10. A new permit will be needed if there is a change in, estimated wastewater flow, (number of bedrooms, etc.), location of the system,
depth of the system, type of system.
11. All revisions to this permit must be approved by the permit issuing authority.
12. A complete plan including a plot plan, drawn to scale or with complete dimensions.
13. Horizontal and vertical elevation reference points that are permanent and clearly shown.
14. Piping detail including pipe size, separating distances, distances between beds if appropriate, tank locations, effluent line from tank(s)
to system, building sewer and vent observation pipe(s).
15. The permit issuing agent may require a cross section drawing of the effluent disposal system.
TO THE OWNER: This is valid for two years. Changes in your building plans or locations may require you to obtain a new permit. Private sewage systems
must be properly maintained. Have a licensed pumper clean your septic tank whenever necessary usually every 2 to 3 years. If you have questions concerning
your system, contact your local code administrator or the Bureau of Plumbing, DILHR, State of Wisconsin.
APPLICATION FOR SANITARY PERMIT
S `1' 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 and completed when the property is
sold and submitted to this office with the appropriate deed recording.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Owner of Property Location of Property Section !.j'.' , T N - R W
6
Township lLt
Mailing Address -cle
Subdivision Name
Lot Number
Previous Owner of Property - L2..~,~~~ l~~r
Total Size of Parcel
'•"i'°~[?~-~~
Date Parcel was Created
Are all corners and lot lines identifiable?- Yes No
Is this property being developed for resale (spec house) ? Yes No
Volume - and Page Number 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 CERTIF=ICATION
I (We) eetti.6y that at a.tatementa on thin loom cute hue to the best o6 my (out)
know edge; A& I (we) am KAQ the owner(s) o6 the poopenty dacti"bed in .thO
in6orunati.on ;6onm, by virtue of a wax4an-ty deed necoad d in the 06lice o6 the
County Regil teh o6 Deeds as Document No. d and that I (we)
pnezentxy oun the proposed A " e bon the sewage osc system (on 1 (we) have
obtained an easement, to Aun -Lth the above deb bed pnopelt✓ty, bon the
constlt"ucti.or o6 sald system, and the "same has been duty Aecoaded in the 066ice
~ 1 .
o6 the Count' y Regtis"ten o6 Deeds, as Document No.
L-Q
SIGNATURE (F OWNER SIGNATURE OF CO-OWNER (IF APPLICABLE)
DATE SIGNED DATE. SIGNED
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SFPT LC TANK MAINTENANCE AKREEMENT
LJ
SC. Croix County
IiOU'1'k/Bl1X NU1115l:1\ Fire Number
1 -
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PRUPF.k'1'T 1.r_)C:i"TION e L i N, 11
f i
't'own of w SL CIL)i:-~ County,
~J LuL uunll),:r
Su h d i vLs i u n`
i
Improper ut", and wa iutenailcc of your cpL it ystew could r. nUI L ill j
iLi 1irumilure failure LU Il.1WdIC WaSLCS. Plopur I llaitlLetla IICC Coil-
si:.Ls of pumping uuL the SUPLiC Lank every Lhrce years; or sooner,
it needed, by a Lic,:wn d stpt!y ,Any 11umpar. What you put inLU
L h e s Y n L e w c a n : 1 1 1 e e L [ he l " n c t i o n o f t h e p t i C t a n k a a C r e a t -
M v n t t d p w I" L h e w a L e d i u p o _..1 1 n y rs t- U M,
`;t. Croix County resident-ti mAy be eLigihle Lo receive a grauL Iol-
a Maximum of 6t)! of Lhe t_o:;t of rei:LaeewenL of a failinn system,
which w<lrs in upcraLion prior co July I , 1`1/ti. SL. Crutx County
ai!CepLed this program in A"gu:sL of 1980, with Lhe roquircmunt Lhut
"w"VLA ul :11.1 new SysLeMn . ,'Fct LO kupp thcil- AYSteAtn prupul-ly
ma i n L A I u',I .
The property owner agrec_, t~ wu ..AIL to t, i t-iX (UUMV A"ntPr :I
CaCtilicaLion torn[, signed by the uw"wr and by a wascur pl"Mbcr,
journeyman pluwher, runLri, tud plumber "r licensed pumper veri--
fying that. (1 ) the O"-siLw wasLuwater disposal- sysLew in in propel'
operating c"ndlL [011 and (2) after UnpCtL i ll! alld pLlnlpi"K (if "eC-
es_.ary), the nUPLiC Lank is fens L1Lau 1/) lull ul sludge and scum,
CertificaLion form wLil he sent approximately 30 days prior to
three year uxpiratiun.
I/WE, the undersigned, have read the above requirements and agree v,
to nlaintniu the private sewage dispo:;al. SvStem in accurdanCe with 1-,
the standards set forth, herein, as set. by the Wisconsin Depart- v
menr of NdaLuraL Resources. Cert-ifiCatio" lorw must: be ompletud
and returned Lu the St. Croix CuunLy Zon'u, i)lfi_ct wiLhin 30 d"YK
01 Lhc Lhrue year expiraLil" datu.
DATE
St. ( r oix CounLy Zoning t)l l it l.'.
Hawaii nd, WL 500L5
71.5 96-2239 or 715-425-8363
Sign, date and return to above address;.
SANITARY PERMIT I L "FW1 R County
GROUNDWATER SURCHARGE ` -
Sani~ta-+ry Permit No.
f D
On May 4, 1984, 1983, Wisconsin Act 410 was signed into law. This legislation is more com-
monly 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 included the creation of
surcharges (fees) for a number of regulated practices which can effect groundwater. The
surcharge took effect on July 1, 1984. All of the water that is used in your building is returned to
the groundwater through your soil absorption system or the disposal site used by your holding
tank pumper
The monies collected through these surcharges are credited to the groundwater fund adminis-
tered by the Department of Natural Resources. These funds are used for monitoring ground-
water, groundwater contamination investigations and establishment of standards. Groundwater,
it's worth protecting. - ?
Ground ator
(gnat roof Issuing A ant: Ground star Fee: Dal WISCOf~8~f1'fx
1Y 712-1 7- buried iCe>~etU#8
LHR SB13-7289 (N. 05184)
I
DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS
INDUSTRY, C DIVISION
LABOR AND PERCOLATION TESTS (115) MADISOP.O. BOX 7969
HUMAN RELATIONS
N WI 53707
(H63.09(1) & Chapter 145.045)
LOCATION. SECTION: TOWNSHIP/Ndf! r PAttTY: LOT NO.:BLK. NO.: SUBDIVISION NAME:
SE' '/a 33 J2,yN/R/% E (or)W //{yP-s:~ 12-0 Coat, ,~61PE
COUNTY: OWNER'S/RWIAER'S NAME: MAILING ADDRESS:
U,F W %DE®P s,~~ ~v~~ sTc~ ~v~ s
USE DATES OBSERVATIONS MADE
NO. BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: PERCOLATION TESTS:
Residence 7 New ❑Replace
RATING: S= Site suitable for system U= Site unsuitable for system
CONVENTIONAL: MOUND: ITANK: RECOMMENDED SYSTEM: (optional) 6/f
QS ❑U K] $ ❑U S ❑U ❑ $7U ❑ $ ~U C'ovvE-oT.'ov~G l sa•fT-
If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the
under s.H63.09(5)(b), indicate: Floodplain, indicate Floodplain elevation:
PROFILE DESCRIPTIONS /N Z,t6MAL FT-
BORING TOTAL DEPTH TO GROUNDWATER CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH
NUMBER DEPTH ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.)
B- 7.0 /0~9~ 247- > ~ 0 ' S/, . y2'
MV UE~ C S
B-Z /D(0 IF 7' ~3" Qa. S/, /o' 3N' 3 ?ill _ G S
17 ' nt. S /Y 7 13N , z a. ohM , s .ZS.
> • 7 ' Ox" ,3; . s/, • fl' H f5 N a 1, - 4,v 11,FXV es
cs 17'1,1, 13 v '6Y• ~a'a^ l
B- j 9. 0 /oZ . Y0 C I TAN v 6A)
B-
PERCOLATION TESTS
TEST Dr-pTH AWATER IN HOLE TESTTIME DROP IN WATER LEVEL-INCHES RATE MINUTES
NUMBER FTERSWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 PERIOD 3 PER INCH
P_ do IAI lefq
P-
P_ L
P- E~cartfL L,:,
P- 2-_
P-
PLOT PLAN: 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 6 F'-
_ _ row nor"
S71 ed Aete x r - '
a 3p + - j f
This test site APPROVE , N
J br a conventional septic system
'
13
3
3
13
J
coR~~R _
13V 70
Iva Ar
-y' L-6 T
Sp
Lye- 7; A r
-0 v. loa,o
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.
10 "4~
NAME (print): -ff0mTsm i E§ _ TESTS WERE COMPLETED ON:
i G TIONS PERC TESTS) +1 `tJ f 2'--1
ADDREftqT MINNESOTA LICENSE NO. W663 CERTIFICATION NUMBER: PH NE NUMBER (optional):
J,3,_ 0Z 41 f Z•-- /
J%O'jlt„~T,.,'T W i UASONs W1 Y 501'nr♦6 CST S GNATURE:
j,rL,{.+ j~ lz
DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester.
DILHR-SBD-6395 (R. 02/82) - OVER -
IN z aid„ C T3 , , _S FOR o t aPsa:~ tmY . € A M 115, 5~;Lk~D fr,o.
To bp a cunmWe and Ciccuia,,_~l soil tat, Yom Yvon t mum "W&W
3, M AX 111,1 iN uirn er Ct bo i or C'.}miTi l !>a usit "planned
'Cor Complete £pt SITE 001 t;ABLF RM A H0l,_DlCvK3 -AN ON Y I F ALL PLEASE s1 E, ow i i ,w2i. ms s?"iAYx hue for eJl 7 : ;-f€ a€,5e 4:S E: _,C;t;p E"L7=15
c?€7{':1 C;(ir2j'p4 e#€flg the Not (;?Ea#`Ir
"iii K E A HI:€?::St..,i _ 5 n som t > Y W...34 a y€ '..t€ > ;t €<pt. arthens.. € ing tc same @s ()t`t?I"£;£"rvit A
set y. s 3 , hs l 7 .:w@tn";
is€.a, r. satN ,',ata. :;,u €f..."nu<.. ,{'J..!f`:m £ x J,.i4£}i3 ~..Tt Y~~€ ;point are i;ci ctC y snow 'p, mid .,€C p=;€tiir.Y2E'£lt;
q. ,,,l ap l.,Cor,r"i,3£E t;`?xt"s JA t(l cf~i es ac;7- des" es, fiot-(l lain daia, pEo:-,)ia;.ior1 tesI £:S;E€i`p-
T'€£ 4 if Cit.? ?lj Ole:
10 0 own MOW r 0j, as AMC 1 F011, A ,.r.ednn) does agpply place N r,' _ tr Ole ap propiate boy;
@. ,,1t T €he'it.o m v, ;dN;€;x your ,:ti.di' ,it *4hus and yEs n _ Na?k n (?u a;
12 , ny c v and d it c os r°,&M AIL SOIL E r5; BF FILED V B H THE
LOCAL MUMMY VA WN 30 DAYSOF CONWLETH);J,
A,BE34REEVIATIONS FOR CERTIFIED SOIL TISTERS
' ` P_p a" m, =a'x'tit4'p:s 00§£;'t S xg9,l;.ralb
10NW 401 W) ER
Man, >mul ME: PYWAAn Rate
I d V", ;i1
r
L~=; nom Than
Pmv Silt Gay
Swmv My Low R Re
r
samy Smv clay it fun W1 fault
war, hard,
p iAc J aW
- € pa
;r_.,l r, in, 1 us! st .,i n .L, dpq , ,-E...,tx y Cat! n ho ov% cu top t ertt , ms € ay request
,:r,€ I of s „ scul W t @ o x VIA <Ii' £ x, h m „ _3. } W W r tK#, p. €vate
• ' scAlE (=3o
PL
PLOT an6
S& rl o f4 F 1AN5.
az~
a 3t'V
13 3 GO)
az ~3
13
C
0 fir` v~ U-) i
V n_4 I ~Xef f %A@
i . 3 ~ih Ili Fti 'ya 5:8f4
" 7•_, iT w ii-. (.~7 ~t~ L.F1r. r{~7, S,'Jll~ hi.G 1!
IT c ~ -
Fresh Air Inlets And Observes giccin Pip6
~f ys~ of t~f+pT~E sp~'t,0 6- y Approved Venj
RT-3, c;;`NEiL RC)t.
HUDSON, Was, sY4o16 Minimum 12" Above
Final Grade 14
4 Cas{ Iron
q~, „ Above Pipe -
Vent Pipe;
-To Final Grade
f
Morsh Hay Or Synthetic Covering
Min. 2" Ajole
,,E ,k SajL -TLS-j-% Over PipDistribution Tee
Pipe - 0 0 Aggr
Perforoted Pipe Relow
Beneath --Coupling Terminating At
Bottom of System