HomeMy WebLinkAbout026-1294-44-000
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM
Safety and Building Division County:
St. Croix
INSPECTION REPORT sanitary Permit No:
GENERAL INFORMATION (ATTACH TO PERMIT) 592245
Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)].
Permit Holder's Name:
Oevering Homes, ~L~C City Village Township Parcel Tax No:
CST BM Elev: TOWN OF RICHMOND 026-1294-44-000
Insp. BM Elev: BM Description:
Section/Town/Range/Map No:
TANK INFORMATION 28.30.18.1526
ELEVATION DATA
TYPE MANUFACTURER CAPACITY
r. I S STATION BS HI FS ELEV.
Septic u, .iw~ I-
Benchmark
0LJ OL1.5 00.00
Alt. BM
Aeration
Bldg. Sewer 3
Holding ~~,p
SUM Inlet
St/Ht Outlet q '
TANK SETBACK INFORMATION
TANK TO P/L WELL BLDG. Vent to Air Intake ROAD DLIP~
Septic Dosing
Header/Man.
Aeration ,
D60
ist. Pipe G['y _
Holding ~ 7~
Bot. System
~ ok_
PUMP/SIPHON INFORMATION Final Grade
y'
Manufacturer De
GP; and St Cover Z
Model Nu 3' j 6
DH Lift Friction Loss rh' e TDH Ft
Forcemain Length Dia. Dist. to Well \
SOIL ABSORPTION SYSTEM
BED/TRENCH Width 3 I Length, No. Of Trenches
DIMENSIONS ^ PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth
SETBACK SYSTEM TO P/L BLDG WELL LAK TREAM LEACHING M nufacturer: f
INFORMATION R
Type Of System: t ~j I CHAMBER OR
, S
~~+j UNIT Mo N ber:
DISTRIBUTION SYSTEM 1
Header/Manifold Distribution
777 x-Hol 1Ze Spacin g r Intake
Length$ Dia y p Pipe(s) - ` 1 x bole
Length s~
pacing -
SOIL COVER -
x Pressure Systems Only xx Mound Or At-Grade Systems Only
Depth Over Dept Over
Bed/Trench Center Depth of _ _ e e Sa r d.' 4
t
Bed/Tre Edges Topsoil
Yes El No No
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:
Inspection #2:
Location: 1149 132ND AVE
1.) Alt BM Description = 5<0 L
2.) Bldg sewer length = ~
-amount of cover =3 n' C A ~ A /I ~
Plan revision Required? E] Yes No I J
Use other side for additional information.1 ' -J
SBD 6710 (R.3/97) Date Insep 's Sign re -
Cert. No.
a~'r p County C
r~I Safety and Buildings Division v , C•
8 K f J j 201 W. Washington Ave., P.O. Box 7162 Sanitary Permit Number (to be filled in by Co-)
07 7.162 a
P Madison, W1
fiN
~
r I • V 'I I
CRCIX COUNT,)'
Sanitary Permit App] Transaction
In accordance with SPS 383.21(2), Wis. Aden Code, submission of this form to the appropriate governmental unit
is required prior to obtaining a sanitary permit Note: Application forms for state-owned POWTS are submitted to roject Address (if different than mailing address)
the Department of Safety and Professional Servies. Personal information you provide may be used fo n
oses in accordance with the Privacy Law, s. 15. 1 m), Stats.
L Application Information - Please Print All Information ! ✓t~.
Property Owner's Name Parcel
x;11 ( - dZ22A/4
Property Owner's Mailing Address Property Location . ~ a 3 c, I 15.9
a
City, state Zip Code Phone Number Crj;
Section
/f l
T_e0 N; R/ or W
II. T e of Building (check all ihat app)y) Lot # /
r 2 Family Dwelling - Number of Bedroo Subdivision Nam
v Block ~ , ~ /
❑ Public/Commercial - Describe Use Qb ALA_
P ~ ❑ City of _ I
❑ State Owned - Describe Use CSM Number ❑ 4 e of
own of /r
Z CeA6 dAa
III. Type of Permit_ (Check only one ox on line )C Complete line B if applicable)
A- System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain)
List Previous Permit Number and Date Issued
B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New
Before Expiration Owner t I G. &-t
IV. of POWTS System/Com onent/Device: Check all that apply)
~KNe-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil
J
Dispersal Component ( Pretreatment Device (explain
❑
Holding Tank El Other expl ) El )
V. Dis rsal/Treat ent Area Information: C
Design flow (gpd) Design Soil Application Rat dsf) Dispersal ea Required (s Dispersal Area opod (sf) System Elevation
/ /
~j
VL Tank Info Capacity in Total # of Manufacturer 16
Gallons Gallons Units ' `Z5 g ✓
New Tanks Existing Tanks
( { t U v c G
Septic or Holding Tank
Dosing Chamber
VII. R~sponsibility Stateme - the undersigned, assu esponsibility for installation of the POWTS shown on the attached plans.
Pltpn 's Name (Print) Plumber' azure MP/MPRS Number Business Phone Num er
Plumber' Address (Street City: State, Zip Code) t
County/Department Use On
pproved ❑ Permit Fee Da Issu Issuing , t Signature
IS !fg ~i f 7
tven Reason for Denial v I u ' "
B Condition ggor Dis P
ar y r
94 .
nC~•t)
i. W Ei u¢ntilte <rnf 3l )er
uispera:su cell must all be s. is?s 1 r^ n~ _;:5 J 1 41 ~
i
aissper mnagement plan pro tided by pluinbei. w~ WA,
2. A t ' 4'p*rvm must,txe p aintr it _d 444
as pir vVpftrbM cods / adrul,1u.
Attach to complete plans for the system and submit the County o yon paper ao s thaan g 11 ioc5es in I
ct,11'i G 'ro ~ Ae6a
pr I
SBD-6398 (R. 11/11) I
~Itk44
Y l
System PLOT PLAN
PROJECT Oeverina Homes ADDRESS 1433 Cernhous Ave Suite A New Richmond Wi 54017
SW 1/4 SE 1/4S 28 /T 30 N/R 18 W TOWN Richmond COUNTY St. Croix
SYSTEM ELEVATION 96.2/96.1 4' below grade 3/19/17 3
DATE BEDROOM
CONVENTIONAL )00( CONVENTIONAL LIFT HOLDING TANK
MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 651 # of chambers 32
BENCHMARK V.R.P. Top of survey iron ASSUME ELEVATION 100' Filter Lifetime Filter
❑ BOREHOLE O WELL *H.R.P. same as benchmark
132nd Ave
Scale = 1/4" = 10' 270'
Pro 3
Bedroom
House 25'
51
T
30' 2-3' X 66' cells with >3' spaci g B-2
1% Slope
Vent
>6" Qu1ck4 Standard 82
of Cover Leaching Chamber
with 20.0 ft2 of Area B-3
5.6ft^2/pair of end caps
Long 12" 40'
Grade at System Elevation
34"
Vents 50' B-1
All piping shall be ASTM SDR 30/34, within
10' of tank, piping shall be ASTM F891 45' -VV B.M. *
162' Property Line ~7 uy-
Cover Page
Shaun Bird
Bird Plumbing Inc.
1432 120th St.
New Richmond Wi 54017
715-246-4516
Date: 3/19/17
Owner:Oevering Homes
Location: SW1/4 SE1/4 S28 T30 N,R18W 1149 132nd Ave Richmond
Manuals Used: In-ground absorbtion system (version 2.0)
Page#
1. Cover Page
2. Plot Plan
3. Chamber Cross ection
4-6. Maintanance rid Contingency Plan
7.Filter Cross Se on
Signature
Licens umber #226900
System PLOT PLAN
PROJECT Oeverina Homes ADDRESS 1433 Cernhous Ave Suite A New Richmond Wi 54017
SW 1/4 SE 1/4S 28 /T 30 N/R 18 W TOWN Richmond COUNTY St. Croix
SYSTEM ELEVATION 96.2/96.1 4' below grade 3/19/17 3
DATE BEDROOM
CONVENTIONAL )00C CONVENTIONAL LIFT HOLDING TANK
MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 651 # of chambers 32
BENCHMARK V.R.P. Top of survey iron ASSUME ELEVATION 100' Filter Lifetime Filter
❑ BOREHOLE O WELL *H.R.P. same as benchmark
132nd Ave
Scale = 1/4" = 10' 270'
Pro 3
Bedroom
House 25'
T
30'
2-3' X 66' cells with >3' spacing B-2
1% Slope
Vent
>6" Quick4 Standard 82
?4' er Leaching Chamber B-3
with 20.0 ft2 of Area
5.6ft^2/pair of end caps
12"
ong 40'
34" Grade at System Elevation
Vents 50' B-1
All piping shall be ASTM SDR 30/34, within
10' of tank, piping shall be ASTM F891 45'
B. M.
162' Property Line ~7 'CY _zl~
Cross Section of Infiltrator Quick 4 Leaching Chamber
Typical cross section for 2 of 2 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 ~ 100.2
Vent ACI Grade Vent
3' 4" 3'
A;'30/34 Septic Tank
5' Long 1 5' 5' Long 1
36" Grade at System Elevation Grade at System Elevation
Spacing- 5'
2-3' X 66' Cells
Same on other end Observation tube/Vent
At end of cell
A
B
16 chambers per cell
System elevations:
A-96.2'
B-96. 1'
POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of
FILE INFORMATION SYSTEM SPECIFICATIONS
Owner " t Septic Tank Capacity fj„ro al ❑ NA
Permit # Septic Tank Manufacturer ❑ NA
XSIGN PARAMETERS Effluent Filter Manufacturer ❑ NA
Number of Bedrooms 13 NA Effluent Filter Model / r~ ❑ NA
i Number of Public Facility Units >4,NA Pump Tank Capacity INA
Estimated flow (average) 4 gal/day Pump Tank Manufacturer l Design flow (peak), (Estimated x 1.5) ` . J) J avda Pump Manufacturer Soil Application Rate
d Pump Model gal/day/ft' p
Standard Influent/Effluent Quality Monthly average's Pretreatment Unit NA
Fats, Oil & Grease (FOG) 530 mg/L ❑ Sand/Gravel Filter ❑ Peat Filter
Biochemical Oxygen Demand (BOD5) 220 mg/L ❑ Mechanical Aeration ❑ Wetland __)IIA-. Total Suspended Solids (TSS) 5150 mg/L ❑ Disinfection ❑ Other.
Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA
Biochemical Oxygen Demand (BODs) 530 mg/L 461 -_Found (gravity) ❑ In-Ground (pressurized)
Total Suspended Solids (TSS) 530 mg/L ❑ At-Grade ❑ Mound
Fecal Coliform (geometric mean) 5104 cfu/100ml ❑ Drip-Line ❑ Other:
Maximum Effluent Particle Size Ya in dia. 1NA Other. ❑ NA
(Other: NA Other: ❑ NA
'Values typical for domestic wastewater and septic tank effluent Other ❑ NA
IAINTENANCE SCHEDULE
Service Event Service Frequency
(Inspect condition of tank(s) At least once every: month(s) ~ (Maximum 3 years) ❑ NA
ear s
(.Pump out contents of tank(s) When combined sludge and scum equals one-third ('!a) of tank volume ❑ NA
linspect dispersal cell(s) At least once every: month(s) (Maximum 3 years) ❑ NA
ear(s)
Olean effluent filter At least once every: ❑ ,month(s) ❑ NA
year(s)
Inspect pump, pump controls & alarm At least once every: ❑ month(s) NA
❑ year(s)
l=lush laterals and pressure test At least once every: ❑ month(s) NA
❑ year(s)
Dther. At least once every: ❑ month(s) ❑ NA
ether: ❑ year(s)
NA
MAINTENANCE INSTRUCTIONS
:,Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master
Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must
linclude a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of
izombined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be
visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface.
The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local
Regulatory authority.
When the combined accumulation of sludge and scum in any tank equals one-third or more of the tank volume, the entire contents of
j:he tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin
Administrative Code.
Ill other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units,
land any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer
lk service report shall be provided to the local regulatory authority within 10 days of completion of any service event.
Page of
START UP AND OPERATION ntio duds or other chemicals t1*t
For new construction, Prior to use of the POWTS check treatment tank(s) for the presence of are de ailed have the contents of ft
may impede the treatment Process and/or damage the dispersal cell(s). If high concentrations
tank(s) removed by a septa9e servicing operator prior to use.
System start up shall not occur when soil conditions are frozen at the infiltrative surface. oNrer is the excess wastewater will bye
During power outages pump tanks may fill above normal highwater levels. Mien p in the storup or surface discharge of efttuenl»
discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result
Servicing operator prior to restoring power to the
To avoid this situation ceo lumber POWof the TS Maintpainer~to assist in manually orating the pump controls to restore normal levels
effluent pump within
within the pump tank. disturb or compact, the area
Do not drive or park yehides over tanks and dispersal teas. Do not drive or park over, or otherwise
15 feet down slope of any mound or at-grade soil absorption area. nnance
and prolong the life of the POVvT$:
Reduction or elimination of the following from the wastewater stream may impro v.e the perfo disinfectants; fat; foundation drain
antibiotics; baby VApes; c1garetk9 butts; -condoms; cotton swabs; degreasers, dental floss; diapers;
(sump pump) water, fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting PrOduc*
pesticides; sanitary napkins, tampons; and water softener brine.
ABANDONMENT shall betaken to insure that the system is propetlY
When the POWTS fails and/or is permanently taken out of service the following steps
and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code:.
• All piping to tanks and pits shall be disconnected and the abandoned Pipe openings sealed.
• The contents of all tanks and pits shall be removed and property disposed of by a Septage Servicing OPam'tlr'
• After pumping, as tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil,
gravel or another inert solid material.
CONTINGENCY PLAN code crornptisnt
if the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a
replacement system: soil absorption systelm.
suitable replacement area has been evaluated and may be utilized for the location of a replacement so
and should not be infringed upon by requirled
The replacement area should be protected from disturbance and compacOn will result in the need
setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacerent must area, comply with the the
e:l in
for a new soil and site evaluation to establish a suitable repiacement area. Replacement systems
effect at that time.
❑ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWfS technology! a
bolting tank may be hv"led as a last resort to replace the failed POWTS.
of the POW in a sal and site evaluation
The site has not been evaluated to identify a suitable replacement area. Upon failure ldin
[3 must be performed to locate a suitable replacement area. if no replacement area is available a hog tank may be installed as
a last resort to replace the failed POWTS.
❑ Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biornat at the infiltraiive
surface. Reconstructions of such systems must comply with the rules in effect at that time.
<<WARNING>>
SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO O
ENTER A SEPTIC, PUMP OROR OTHER OF ATTRE MAY NI UNDER ,R° MCI~IBLEANCES. DEATH MAY RESULT. RESCUE O~ A
PERSON FROM THE IN
ADDITIONAL COMMENTS
POWTS INSTALLER POWYS MAINTAINER
( Name
r
Name t ! &c z o i^ 12
Phone
Phone~~_r
SEPTAGE SERVICIGN~G` OPERATO PUMPER LOCAL REGULATO Y AUTHOR"
Name Xv v..1
Name
Phone Phone
Administrative Code.
This document was dratted in compliance with chapter SPS 383.22(2)(b)(1)(d)&M and 383..54(1), (2) & (3), Wisconsin
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589`49'16"W 600.C~C~` ~
(R=EAST) _ L O F 1 ' 968 a2-
EF FIf ff SUR 4I`E ~l MAP ~
VO 2199
Alk L E G E KIN' D
Section Garner Monument of Record N89'50°2
fi`r' i mei 1" it nn Ping
_ ST. CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
r
Qwner/Buyer Qeve; w
Mailing Address
Property Addr J~ 0
(Verification required from Planning & Zoning D _
ep nt for new construction.)
City/State _ Parcel Identification Number ^ L/ `tY sr~r-€~ ` ~ - ~ / LEGAL DESCRIPTION
Property Location 4~ "r
l4 } L: /a , Sec. , T~ f r,
N R W, Town of
Subdivision-
Lot #
Certified Survey Map #
r
Volume Page #
Warranty Deed #
Volume , Page #
Spec house~
yes no Lot lines identiflabiT
yes no
SYSTEM MAINTENANCE AND OWNER CERTIFICATION
Improper use and maintenance of your septic system could result in its premature failure to handle wastes proper
maintenance consists of pumping the
~Pc tank every three years or sooner, if needed, by a licensed
the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner
responsibilities are specified in Co P~Per- What you put into
§ mm. $3.52(1) and in Chapter 12 - St. Croix Coup S maintenance
t5' Mary Ordinance.
The property owner agrees to submit to St. Croix Coun Planning
owner and The
a master plumber, journeyman tY & Zoning Department a certification fo
wastewater disposal system is in ro plumber, restricted plumber or a licensed pumper veri rm sigue
fWng (1) by the
less than er full of sludge. P Pe operating condition and/or (2) after inspection and pumping (i#' f that necessary a the on-site
the septic tank is
I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the
standards set forth, herein, as set b the De par stating that your septic system has een maia
ommerce and the Department of e,,, SUce
tamed must be completed and returned oethe St- Croix of Wisconsin,
Zoning Department within 30 days of the a year expiration date County Planning &
.
I/we certify that all statements or ' form are true to the best of my/our knowledge_ I/we am/are the owner(s) of the
property described above, by virtue of a rranty deed recorded in Register of Deeds Office.
Number of bedrooms
p
~IGNNA APPLICANT(S)
DATE
***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department.
Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if
reference is made in the warranty deed.
(.REV. 08/05)
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Wisconsin Department of Commerce SOIL EVALUATION REPORT Page j_ of
Division of Safety and Buildings
in accordance with Comm 85, Wis. Adm. Code p
County
Is t C iRU I
Attach complete site plan on paper not less than 8 1/2 x 1h inches' ie.~?yiIgqa~
include, but not limited to: vertical and horizontal reference point (1 dir~etiorY~' Parcel I.D.
percent slope, scale or dimensions, north arrow, and location and distance to nearest road. 1,21 -6 Ob
Please print all information. eviewed _ 4-Date
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 1) (mC6
PropertyOwne`r j ,y "~C> ~?Eol{)iELicatio
T { iM ZCNIN OFF`(et 1/45E1/4SagT30 N R E(or
Gera~Q
Property Owner's Mailing Addre Lot # e `Bllockk## Subd. Name or CSM#
)90"' %)e. NU-) q`i 1PIeLt o F ~c m Acres
City State Zip Code Phone Number ❑ City ❑ Village ® Town Nearest Road
F-UC R~~ R SIN 3e ( 1- K;cv\ V,\ PJ ah"e At) e .
New Construction Use: Residential / Number of bedrooms Code derived design flow rate GPD
❑ Replacement ❑ Public or commercial - Describe:
Parent material s ♦ _ _ Flood Plain e;evation if applicable ft
General comments
SS~P~ 1 Ca`' sir"f 8~c 1,. ~ t r^ n
and recommendations:
s.4 I : T 57.33 S- e- 7, D
EE(F s- Boring # ❑ Boring pit Ground surface elev. ft. Depth to limiting factor 7 in. -
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 `Eff#2
~ r
y r
❑ Boring
Boring # Pit Ground surface elev. Jb~ a ft. Depth to limiting factor in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 'Eff#2
` Effluent #1 = BOD > 30:S 220 mg/L and TSS >30:S 150 mg/L ` Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L
T Name (Please P ' Signature CST Number
rl -7 q(0
JqA drgss a C Date Evaluation Conducted Telephone Number
44rr -7 as I $ ✓59?
'sle~~~
era Parcel ID # Page- of
Property Owner -
❑ Boring
F3-1 Boring # OG, t3 ft. Depth to limiting factor IS-5 - in.
pit Ground surface elev. Soil A lication Rate
Redox Description xture Structure Consistence Boundary Roots .Eff#l GPD/ff
Horizon Depth Dominant Color Te
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh.
PL
L. i ? y
N
Il.v
❑ Boring
Boring # Ground surface elev. 7 ~V Depth to limiting factor in.
❑ Pit Soil Application Rate
F
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fg
Gr. Sz. Sh. 'Eff#1 'Eff#2~
in. Munsell Qu. Sz. Cont. Color
F Boring
Boring # Ground surface elev. ft. Depth to limiting factor - in.
® Pit Soil A lication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots *
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh.
Effluent #1 = BOD5 > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BODE < 30 mg/L and TSS < 30 mg/L
The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or
need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777.
SBD-8330 (R.6/00)
Property Owner Gera l i( Parcel ID # Page C~_ of _
® Boring # 1:1 Boring
pi~ pit Ground surface elev. ft. Depth to limiting factor ~v - in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
d
r~ rl
Boring# ❑ Boring
® Pit Ground surface elev. Alf~ Depth to limiting factor in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF
In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Eff#1 ff#2
1~ oil K, 9LJ
r -
Boring # ❑ Boring -
❑ Pit Ground surface elev. _ ft. Depth to limiting factor in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BODE < 30 mg/L and TSS < 30 mg/L
The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or
need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777.
SBD-8330 (R.6/DO)
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