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HomeMy WebLinkAbout032-2037-20-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 600224 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. L City Village Township Parcel Tax No: Permit Holder's Name: Garret & Jennifer Belisle TOWN OF SOMERSET 032-2037-20-000 CST BM Elev: Insp. BM Elev: BM Description: K.JVNN ` Section/Town/Range/Map No: f6 (0. 3 LJa(L O Jk- -'0:;,%M 10.30.19.616 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Z Z(4 Id 6 Alt. BM 1 ( v , /47. Lq r~:t Aeration Bldg. Sewer • 4 14X!T1. 9 Holding St/Ht Inlet c( • O(Ji, `7b 7 "~P T St/Flt Outlet ~6aL TANK SETBACK INFORMATION 7 T TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet \ 10, i ^ Septic Dt Bottom J Header/Man. Dosing Dist. Pie Z Aerati p 2 CO Hol Bot. System /0, 5 y~'7 Uzi Final Grade S. 3 PUMP/SIPHON INFORMATION U '103.20, Manufacturer Demand St Cover I GPM '1.~ /Q7 ~6 q 1 i Model Num 1:364_0 2! lv~ 7 $ CD /65- 7 TDH Lift Friction Loss ead TDH Ft Forcemain Length Dia. Dist. to Well _ SOIL ABSORPTION SYSTEM Liquid Depth PIT DIMENSIONS No. Of Pits gD BED/TRENCH Width Length No. Of Trenches DIMENSIONS fe yr, G~ SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING r INFORMATION CHAMBER OR Type f System : , fA_ UNIT ' ~o rev e J DISTRIBUTION SYSTEM 3 4-6 ,e x Hole Size x Hole Spanf.t AIntp Header/Manifold / Distribution C.~ Pipe(s) ~ Length /4 Dia Lengtw._,, Dia Spacing d~ ~ S SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only ~lo'S De th Over Depth Over :txx Depth of xx Seeded/Sodded xx Mulched p o soil Yes ~FF d/Trench Center Bed/Trench Edges p YES J No Be COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1. inspection #2: Location: 651 170TH AVE c1/~ a L p 4~ 1.) Alt BM Description = 2.) Bldg sewer length = 7,Z - amount of cover coo ~ ? G Plan revision Required? -1-1 Yes o ~t i f Q I i J I ~J/~ Use other side for additional information. - -Date 1 uJ nsep s Signat Cert. No. SBD-6710 (R.3/97) 762- - ounty '7' Y Safety and Buildings Division C2Q1 W. Washingian AveO. Box anitary Perm Mt it Number (to he filled in by Co.) 13 2018 Madison, INl 53707 -7162 7 test c7 APR ~~YS1~ ecs am n . - _ - _ n Nttm er Sanitwy Pen-nit Application State ~ Transaction ~ In ;n,cordanoc with ST'S 383.21(2), Wis. Adm Code, submission of lhis form to The appropriate governmental unit i= required }xior In obtaining a sanitary permit, Note: Application forms for state-owned POlirrl:~> are submitted to Project Address (if different, than mailing address) the. 1 tepat9incur of Safety and Professional Servics. Personal information you provide may he nsed for secondary imposes in accordance with the Privac} 1-aw, s. I s..Q_ (1)(tn), Stan. 65 I c, 1. A t Iteation Information Please Print. All Information - - - Propcrty t wne.r's Name Parcel # 61 4 s.2 - ;&Q-Y 7 2 C Properly Owner's Mailing Andress Property Location '70T_ i1 Govt. Lrn - (.tl~, itaic Zip Code Phone Number Section _ (circle one) ccri_` yC9 - T. `i- N' 12 j~'- EorC,) - - ll.'Type of Building (clieck all that apply) 0k ,,h Lot ft Subdivision Name PkI (11 ) Family Dwelling— Number of Bedroo - t Block #t 1 Public/Commercial--Describe Use, ❑ Cityof_- f-- - (I Stair. (honed - I )esrribe t Jse CSM Number' Village of - Town of ill- Type of Pernlit: (Cheek ouiv one ox on line A. Complete line B if applicable) , t Ncty System ❑ Relrlf -'roent System ❑ Treauncnt/tlolding Tank Tteplacement (My U Other Modification to Existing System (explain) - 1s I t'rnnit enet a1 Petlnn Revision ❑bangc of Plumber List Previous Permit Number and Date lssue lt d ❑ Permit 7'r-nsfer to New Before - Before Expn"+n r Owner IV , 'I'y_pe of POWTS entlUevice: (Check all that apply) Neu-Prc.scuriz <I In -'wound ❑ Pressurirsd 1n-Ground 0 At-(undo. I Mound % 24 irk. of suitable Soil ❑ Mound < 24 in. of suitable soil i I 1 loldm ti I _I other t)t persal Component (explain)_ Pretfeatment Device (explain)- Ar:±~ V Vesper sal/Trtat ent Area Information: ~3 art 1~~. t• h l 'Y" he siren I Inv (gpd} Dr-sign Soil Application Rat clsf) Dispersal /tren Required (s Dispersal Area Proposed (s>7 System Elevation q 4 1. 'l'ank Illfo Capacity it) Total 1i of Manufacturer Gallons Gallons Unit's ° New T-aka Hxisung Tank% 1:4 d' d,J^ R U fn ~a rn ~ ii, C7 rig Senor rn 3lnlrltn[ Tank X /~-0 / I / Uoattif= (hnn,llcr - v1t. Responsibility Statement- 1, the undersigned, assume responsibility for installation of the POM'TS shown on the attached plans. Pinothet s Nanx: Print Plumber's S! -tore RS Number Business Phone Number Plutnher's Addirss (Street, City, State, Zip C:ode.) VIIt. =.ounty/Iiepartment Use oniv - - pprnvecl Uisappr vn cd Permit Ff-c Date suet Issuing nt Signature oven Reason for Denial a~jn,_ •t-a---- -f - 1R. ('omit easus for Disapproval (',,once, tern / 7. lr Lark, ecdit;t n ntte en i (jKpei , cell must all be i' ° Ic •s i se per ijtar.3&emen' plan p! v ciae 1 t,v Nluinbe:. t l I/' I 2. 'A&sg M* rtllg4,;irst.,etm5 inuut.ver mart, WE ~ a per 1~iasW~ c:adr=/:rtii~n~x;c~. Attach to complete plans for the system anrt submit to the County only on paper not rem than 8 )n x 11 inches in size SLID-6398 (R. I 1 /I]) ~ u - i. V 9 \ ~t v I a \1, `-C f O Cj tiI d o 0 Sot] Abis9rptlon System Gross Section 4" Schedule 40 final Greda PVC Vent Pipe YWlth Vent Gap ft beaching s Ch>atnber Mr f G~: ft ----y--- - - system Eieuatlnn ft T ft tt Soil Absorption,& stem Plan View Q.~~ fz ti it Leaching Trench 1 Chambem " - 11I1rill3~ 4" Die. _ Trench 2 Header Vent Or Qbsewation Pipe Trench 3 Leaching Chsei n"r Apecificaftans Manufacturer And Model F-ISA Rating obi sq ft per chamber ;rail Application Rate -/gpolSq ft '7-5'0 ,lpd Desi n Flaw + -Y Soil Application Rafe l !Sr = Chambers 3 rawg of ~31. rhambarg Pack. Page of 1 i~~ POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of FILE INFORMATION SYSTEM SPECIFICATIONS Owner Septic Tank Capacity 4' ~ S gal ❑ NA Permit # A Septic Tank Manufacturer r ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer ❑ NA Number of Bedrooms ❑ NA Effluent Filter Model ❑ NA Number of Public Facility Units` f~lA Pump Tank Capacity § gal ❑ NA Estimated flow (average) dd gal/day Pump Tank Manufacturer Ld t'es*~- r ❑ NA ❑ NA Design flow (peak), (Estimated x 1.5) ?sue al/day Pump Manufacturer Pump Model _ El NA Soil Application Rate - gal/day/ft' Standard Influent/Effluent Quality J Monthly average* Pretreatment Unit CJ NA Fats, Oil & Grease (FOG} <_30 mg/L ❑ Sand/Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BODS) 5220 mg/L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) `150 mg/L Ci Disinfection ❑ Other: Pretreated Effluent Quality Monthly average Dispersal Cell(s) 17 NA Biochemical Oxygen Demand (SODy) 530 mgiL ❑ In-Ground (gravity) ❑ In-Ground (pressurized) Total Suspended Solids (TSS) 530 mg/L © NA ❑ At-Grade ❑ Mound Fecal Coliform (geometric mean) 510`' cfu/1 OOmi El Drip-Line ❑ Other: - Maximum Effluent Particle Size in dia. ❑ NA Other: C7 NA c3ther: 0 NA Other ~ ❑ NA Other: ❑ NA *Values typical for domestic wastewater and septic tank effluent. MAINTENANCE SCHEDULE Service Event Service Frequency - Inspect condition of tank(s) At least once every month(s) {Maximum 3 years? ❑ NA 3 year(s) F°ump out contents of tank(s) When combined sludge and scum equals one-third (Y3) of tank volume ❑ NA s) year(s) (Maximum 3 years) NA Inspect dispersal cell(s) At least once every: 3 0 month(s) _ [3 month(s) ❑ NA Clean effluent filter At least once every: 1r Wyear(s) - - ❑ month(s) ❑ NA Inspect pump, pump controls & alarm At least once every: ❑ year(s) ❑ month(s) ❑ NA Flush laterals and pressure test At least once every: ❑ year(s) ❑ month(s) - - Cl NA Other: At least price every: ❑ year(s)_ Other: - 0 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 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 check for any hack up or ponding of effluent on the ground surfacer. 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 the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Lode. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of <12 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. i'ege of START UP AND OPERATION For new uonstruction, prior to use of the POWTS check troatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and/or damapmj tFfa ciiitperoo! cell(s). If high concentrations are detected have the contents of the ttankls) removed by a septage servicing opetator prior td use, System start up shalt not occur when soil conditions are fris;reri eat iihp Infiltrative surface, During power outages pump tanks may fill above normal ItlllhWa eb lovola, When power is restored the excess wastewater will be disehargod to the dispersal cell(s) in one large dogb, oNsNO,i0ing tflo oe11(rl) mgnd may result in the backup or surface discharge of o-ffi~,errt. To avold this situation have the contents of X(tp pb~p toplk rsir4ldved by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber ar PaWT l1/l~llriimiInor to assist in manually operating the pump controls to restore normal levels within the rump tank. Do not drive or park vehicles over tanks and disperr @I .cplis, pd n;gtrive or park over, or otherwise disturb ar compact, the area within 15 feet down slope of any mound or at-grade soil obsurpxign 40.0x. Reduction or elimination of the following from the tMa kayvrttar ra4rin- may improve the performance and prolong the life of the POWTS; antibiotics; baby wipes; cigarette butts; cprllfrarnsl as tan syvab ; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water,- fruit and vagetalsla p*lnosl 940a)t"ne; grease; herbicides; meet scraps; medications; ail; painting prodtcts- pesticides; sanitary napkins; tarnoona; and water 964k or brine. ABANDONMENT When the POWTS fails and/or is permanently taken out.rrf saryide the following steps shall be taken to insure that the system is property and safety abandoned in compliance with bhootor ,~UmM' 68,3.3; Wisconsin Administrative Code; m All piping to tanks and nits shall be disconrlacted And the ahoh40,ned pipe openings sealed. • The contents of all tanks and pits shall be ram TIoved and prnparly disposed of by a Septage Servicing Operator. • After mopping, all tanks and pits shall be excovateq And removed or their covers removed and the void space filled with soil, gravel or another inert solid material, CONTINGENCY PLAN tf the POWTS fails and cannot, he repaired the following tnsai'Gres have been, or must be taken, to provide a code compliant replacement system: 1:1 A suitable replacernent: Area has been evaluated and may pe utilized for the location of a replacement soil absorption sysrom. The replacement area should he pr¢tonted from dlsfurbanee and compaction and Should not be infringed upon by required setbacks from existing and proposed 8'0146ttr'risi; lbt llnei> . aitid wells. Failure to protect the replacement area will result, in the need for a new soil and site evsluatloh to eotiawlofi s suitable replacement area, Replacement systems must comply with the rules in effect at that time. A suitable replacement area is not avail&flle dud tp tdotbook and/pr sail limitations. Barring advances in POWTS technology a holding tank may be installed 8s a lpet resort its replace the failed FOWTS. ~)Q The situ es not en evaluated to identify a sykable r00,1406njant area. Upon failure of the POWTS a soil and site ovaluation be performed to locate a st4ita6lo replappiriont airoa. It no replacement area is available a holding tank may +~e-irr~'iafle s a last resort to replace the Pallid P70 'WTI3: ~J Mound and at-grade soil absorption systerrms lrlay be reconstructed in place following removal of the biomat at the infiltrative surface. Raconstructions of such systarna rrtvet comply with the rules in effect at that time. < <WARNING > > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY (NJ(q"tA,llli4 ~C m~aS3ES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK LiNDI1p ~lj iw"tWUit STANCES. DEATH MAY RESULT, RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE 6100111 I.'tl' 60 lhlrOftL419LE. 110DITIONAL COMMENTS ry . 'OWTS INSTALLER TAiNER N7,n. Ph- ---Q z 1•ld~lii fa ~T3 _,,31. i'hons! EPTAG E SERVICING OPERATOR IPUMPERj ULATQRIr AUTHORITY _ - Nstpe - lilahte Phone_ its Ctomiment wn.: drafted in comr,lianc.0 I'Vith chapter Comm 03,$$(2)(bll1 iid)&(f) end 93,54(1), (2) & (3), Wisconsin Administrative Code. i o e u a ' s ~Alo 4 D~ I~ "M t~ ~ o rWED C5~'-901&-oat Wi& Dept of Safety and Profs d $e 1$ SOIL EVALUATION REPORT Page I of D•wision of Safety and Buildings cu;~ SPS 3135, Wis. Adm. n t County S c l0 ""e, in Attach complete site play dtl-pzipekot}essitreur7x 11 # !Mg. include, but not limited to: vertical and horizontal refetbce 1 38 Parcel LD. percent slope, scale or diversions. north arrow, and oration ~XV 3N _ .,,ad 3~ 7-' Please print all imbi v V,GN`' ~r Date Personal information you provide may be used for seeonda _ . ,poses (privy Low. s. 15.04 (1) (m)). Property Owners Property Location /"re t J 4 A,` e - l r s /e Govt Lot -5&j 114 S l T N R ~ I E (or)0 Property Owner's Mailing Address 1 Lot # Block # Subd. Name or Gift' State Zip Code Phone Number ❑ City ❑vflage ElTown Nearest Road ©m~~ser jtJT S-VG~ZS c ) SC'me`1c'r /71~t~c~✓e ( New Construction _ 6sw Residential i Number of bedroO Code derived design ilaw rate ~S GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material Flood Plain elevation if applicable ft General comments 13e6 -se o f2 oz 6~- ""rAe C, 1L and recommendations: / gC Z~I /+l S reA Boring ❑ Boring F # Pit Ground surface elev. % Depth to 5rrr~g factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Stricture ;onsistence Boundary Roots GPD/ft 2 in. Mansell Qu. Sz. Cont Color Gr. Sz. Sh. ff#1 ff#2 3%z I T14 S L rrr m L a-5- a m 6 i. D -Z - 16 1110 -'/6 insb/~ m w m 0,6 0,,S /164 Z- 6-33 -7,51 61 lI/ S,'L amsbit ~ c w m , G Dr 8 M4 -0.6 ® Boring # ❑ Boring / f Pit Ground surface elev. / v ft. Depth to inciting factor in. Sot Application Rate Horizon Depth Dominant Color Redox Description Texture Struclum istence Boundary Roots GPD/ft 2 in. Munsei Qu. Sz. Cont. Color Gr. Sz Sh. ` ff#1 8#2 /nom ccS m Or 6 /r O MO- C w m O 0, 45' l --/9 7 -r X .S, Z ~2 rns/.✓; c cu /m 0,6 O, ' . A ` G, ~G-lb X //"V5)A y~ /Q/ Uf ~S /a✓C~ ~ Orb/ O' Effluent #1 = BOD > 30:5 220 mg/L and TSS >30 < 150 mg& ' Eftient #2 = BOD < 30 mg1L and TSS < 30 mg1L CST Name (Please Print) - - Signature CST Number Vf- .2-3 /3 / Address Dade Evaluation Conducted Telephone Number L! SG, ~~s e lcr - -71f- 2 t'7- .?Z OS SBD-8330 (Rt 1/11) f ' Property Owner Parcel ID # G .S Z Page of Boring # &Wing pit Ground surface elev. 7 S ft. Depth to timl factor z Y im Sod Application Rate Horizon Depth Dominant Color Redox Description Texture Structure :43in~e Boundary Roots GPD/ft 2 in. Munsefl Qu. Sz. Cant Color Gr. Sz. Sh. 7- C/- 79 IYA 0, 3 15'-2y 75-1V L/ rnshk O 0,-7 1,6 FTTI # ❑ Boring pit Ground surface elev. ft. Depth to knifing bCtDr ;7 in. Sod Application Rate Horizon Depth Dominant Color Redox Description Texture Structure :.ons~ence Boundary Roots GPD/ft 2 in. Munseti Qu. SL Cart Color Gr. Sz. SK fflt 1 _ fw 2- 0 L/ 0, 0• yYc 0.6 C~ 3V-90 -7, N /8, 11,4 ms s 6~ mil, - /v~ U< 61,6 6"As ')-`Y( 2,SY~ V I-I-S L M L- ,lz ISrn % -7 A 6 ❑ Pit Ground surface elev. ft Depth tq li n V factor in. ° Soo ficahon Rate Horizon Depth Dominant Color Redox Description Texture Structure ce Boundjuy Roots GPDfft 2 in. Munsefl Qu. Sz Cont Color Gr. Sr- Sh. *1 EIWI = ff#2 Effluent #t = BOD s >,W:5 220 mg& and TSS >30 < 150 mg/L = Effluent #2 = BOO , < 30 rng& and TSS < 30 nKA The Dept of Safety and Professional Services is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, contact the department at 608-266-3151 or TIY through Relay. sao4330QUI/11i Property Owner de Parcel M OS 2_ Z03 1-66V page Z of Q Bodng# ❑ $Orng pit Ground sine elev 7 S & Dep1u to brib i z Y in. Sol Appk3lion Rate Horizon Depth [ rd color Radox Description Texture Shucl re Roots GPDIft ' in. Munsell Qn. Sz Cont. Color Gr. Sz. Sh Z y- Is jDY~ C w D, o ,8 3 lS=af3 7, y/ ,~/f S,'L Insbk In GL,-, /fli 0,6 O.,Y /4 q s a4~ y„ 2.5YR.. Vas - - 6, q, 0(6 S so- /z Y4; 5,15 ms /-77&- al 1.6 FTTI Boring # Boring L ~ J PPit Ground surface etetir. l6 t5r U I Dept, to 6.0 betor 7 11-7 in. spa Application Rata L~ ❑ Horizon Depth Dart Color Redox Description Texture Sinudixe Boundary Roots GPDAt 2 in. Munsel Qu. Sz. Cod Color Gr. Sz Sh v-11 l D" rv4 SG In G a- S m O, 6 O 2a 31 7,5-rg 4 sir/ ms,6X /~1 G w. l m D.6 1J,4 61, ~ IV,4 !nS S ~ 0. -7 6 Boring # ❑ Boring F-1 ❑ pit cma surface elev. fL Depth to ` sod Applicaticm Rate Horizon Depth Dom Cow Redox Description Texture Struduas Roots GPIIJft 2 in- Mu nsell Qu- Sz. Cord. Coles Gr. Sz. Sh * Eflf Mt#l = 8W 30 <220 mg& and TSS >30 < 150 ffQ& J2 = 80D s S 30 ffq& and TSS 30 mg/L The Dept of Safety and Professional Services is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alter format, wintea the department at 608-266-3151 or M through Relay. sansr3otattnt) of mw Sew SOIL EVALUATION REPORT paw I of 3 in accowenae trtt SPS 385, Vft Adm. Code Attach canplele sale plant on paper not less than 8112 x 11 k0ves in size. Plan must Ctastiy S r0 j( mducK but not holed lo: vertical and Itoriaordtrt robvence point P. aracrion artd Paaed tD. percent slope, scale or (kmerss, north a rmw, and location and mice to nearest read. 032- 03 7- go- 06o Please P&d an edorr muo L R iewm by try Persona W=wrAon you porire may be used for secondary prposes OW-1 taw a. 15.04 (1) (m)} Property Owner Property Location G 4 ire t 4- Re k s /e Govt Let Sup 114 A619 s /D T 30 N R ~ (or) l~V Property Owner's Mift Address Lot Block # Sub& Name or 6S SA d~ CSM# City - State Zoo Code Phone Wxv6er ❑ city ❑ VEage g[Town Nearest Road D►~ne~ser' A)T .!57V02S t } -S0m' e1-re r- / 7DTAcc~ B. New Coon _ ttsw O Re*1enW 1 Nurrec of bedrooms Code dwmvd design tow rate GPa ❑ R ment ❑ Pd*c or eorrairenaal - Vie: Parent maw t Flood Pin elevation if able R aGe~ Q~~/ ~orr Loma j I~~fc l3 e tr Est' ©12 2'% fe f~ i ~e.~clzl y I~e /o C-s ~ ~ To ge T. ~r 915 Y c ffo-~ C'o ~~tr ~ •1 s i`t-e Ryu~ yc~~i-i•t} f c •y P I Bori9 ~ ❑ Bo>tng Bo Pit Ground surface elev. 10 6- ft. Depth to hTfi ng four 1 j8 in. Sort Appkm'mn Rate Horizon Depth Dorrarawtt Cdor Redact Descrk)bo n Todd re Stnichue Roots GPD/ft 2 in. t1At916011 (1u. Sr- Cod, color` Gr_ Sz. Sh 40 z -16 io 3/ msbl: M--Pr w 2 M 0,6 Ot e d-33 -7,54 s;°~ am~b~t rn ~ C w t fn 0, 6 8 7,IriA msw` ~oS r~~ - i~ ©,Y 0.6 F,~-Js y„ , s R N4 r). v>rs S a y 6 Bofkv# ❑ &s JJ~ (j Pit Grotuxd stake edev ! / S ft. Depth So kn&V faetor_ m. Sol Horizon Depth Dorrtirtrirrt Coloi Redwc Lion Rate tksaipmor Texture Struckre Roots GPD/ft z in. - AkursfA (h. Sr- Cont Colo Gr_ Sz Sh 2 O, C--/9 tO L hY. m~~ c w m 014 OJ S 1 g" `/8 7. S StL s/.~, i('- t v /rye 0,6 0, Y. L/ "T/yR VA In 01 unr s y" 215-1114, y/ i¢ 1)[5 OS f`17r 01(/ 0, 6 • t #t = BOD > 30 < 220 mg& acrd TSS >30 < 15t) mq& • E tmmt #2 = BOD CST Narne (Please Pratt SPlature Fri,6,A Addii-ss Date E, duabor cold d a 1 e S6 t r ef^yc ` T Number 1'7,--~ y/,? ~is~zy~ 3za3 - S8D-~ zt) (Rl t,l i ) OWNER Page 3 of 3 Name 6a~r,'t ct J~^^ `ems /~e~~rs/~ Brian Parnell Address,399- CST 231314 So ryie,.r-c> fat SY02s" Date ®Bench-mark 1 Fot N Benchmark 2 TD C P; _e e 0' a ❑ Soil Boring _ Suitable Area 1" = 40' Scale lip i ~n Z' e I I I I i 0810 I I t i l i ~ I 0,0 i I toe , 7-7 I- l - i ~ f ~ ! I I i i ~ I I I ~ I I I f l I i 1~ 10N U- won 11 ~ a ii ma , ! i I~ F7 !I i G ~(n I J'ra~/Pvu/u~~•~~`,c i I t C t t ~ \ 5i,\U ~ ~ l~roPosE-d1:.JrC.z~.~Ca.+crr~f~~='IS":.S-at F; }v~ ~Z 5/`3o3v'✓. C. /Ecru °4~/.f y~ 5 7 \ \ ~ ` ~ ~ro fb6e~ uJ~ eS¢I Can cr~.Et t~7 ~ rx-n ~ii~ 1i 63 \ \ rorce ✓✓l vl i• J, L i ~ ~roPosLcl rKou d a( 24, 77` .S4r{,~~c elegy.` = /ea.yZ'a~//"a 6au~ eel -&o Ali ~ S~rctc/c~ 2.31'~2~//ncr/aL'crx/~. I i i I - COPY I ~ rca dot