HomeMy WebLinkAbout026-1294-17-000
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County. St. Croix
Safety and Building Division
INSPECTION REPORT Sanitary Permit No:
600296
GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No
Personal information you provide may to used for secondary purposes [Privacy Law, s. 15.04 (1)(m))
Permit Hulder's Name: City Village Township Parcel Tax No
Overing Homes TOWN OF RICHMOND 026-1294-17-000
CST BM Elev. Inso BM Elev. BM Description Section /Towr/Range/Map No.
/Oa Q GS7 28.30.18.1499
TANK INFORMATION ELEVATION DATA
TYPF MANUFACTURER t qC CAPACITY STATION BS HI FS ELEV.
Septic
k/JZ,-0ff -7 r' r Benchmark 02- /Zon!5 5.1 (651
`/450
a 1 Alt. BM F~ Lit.- JFiV • 3
Aeration Bldg. Sewer
z.5 /~•cP
Holding SUHt Inlet
3.3 iol.~
TANK SETBACK INFORMATION St/Ht Outlet 3
TANK TO P! WELL BLDG. Vert to Air Intake ROAD Dt Inlet \
Septic Dt Bottom
Dosing Header/Man.
Aeration Dist. Pipe .~5
Holding Bot. System • S
V.3 8 B
Final Grade
PUMP/SIPHON INFORMATION -.Aj
Manufacturer DP ^and St Cover
Model Number
TDH Li Friction Loss System e TDH Ft
Forcemain Length Dia. Dist to Well
SOIL ABSORPTION SYSTEM
8ED/TRENCH Width _ength Nc. Of Trenches PIT DIMENSIONS No. Of Pi's Inside Dia. Liquid Depth
DIMENSIONS I O Z 3 A
SETBACK SYSTEM TO / P/L BLDG WELL LAKE/STREAM LEACHING Manufactur r ^
INFORMATION w CHAMBER OR G.
Type Of System ^ /O Si A), 1
".1111 - Qr1 I \7~) UNIT Mo I Nur(be C~R f
DISTRIBUTION SYSTEM (^J I!T Z$X3 - 7 S~J ~!S
I ieaderiManifol Distribution x Hole Size x Hole Spacing Vent If AiInt~e
,q~ Pipe(s) uje,8 a
Length 1 Dia Length Dia Spacing
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
Depth Over Depth Over xx Depth of xx Seeded!Sodded jxx Mulched
Bed/Trench Certer Bed/Trench Edges Topsoil
Yes No - Yes No
COMMENTS: (Include coded is cre pen cies, persons present, etc.) Inspection #1: Inspection #2:
Location: 1344 116TH ST 1 L'
1.) Alt BM Description = O~- ~3 !^oCJC.S Q rJ\
2.) Bldg sewer length = ZS
amount of cover d lk~k
Plan revision Required? Yes Use other side for additional inJformatio No
S6D-6710 ;R 3/97) Date Insep/Signatu, Cert. No.
RECEIVED X17-y~7
o~, xn County
raj s Safety and Buildings Division
EC 0 /
2,917 2r51 Al. lrrtasningtun Ave., P O, Box 7162 Sanitary Permit Number to be filled m'o Co.
~5 K ROD( COUNTY iiadi 1M 707 -182
Z cl
N1TY DEVELOPMENT ~C^-j
Sanitary Perry F H 2EPQW2 DTKYE stale Transaai Number
In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit Ak
is required prior to obtaining a sanitary permit Note: Application forms for state-owned POWTS are submitted to Project Address (if different than ing address)
the Department of Safety and Professional Servies. Personal information y rovide m2z ed :or secondary /
purposes in accordance with the Privacy law, s. 15.04( ] )~(m)_Stats_
L Application Information - Please Print All information )t 3
/ p
Property Owner's Name Pazcel ii
Qeo
e Z2
Property Owner's Mailing Address Property Location Q
g.
Govt t
city, state Z/ip Code Phone Number 1/4, , '/1, section
C i.1 circle 0
( -2 Z2. pe of Building (chec ill that app)y) ! Lot # - T N; E W
Family Dwelling - Number of Bedrooms / Subdivision Nacre
/
bck# Le/ - At, L
❑ Public/Commercial - Describe Use All- ' ( ❑ City of _
❑ State Owned - Desc1"be Use CSM Number i ❑ village of
W 126 own of
III. Type of Permit: (Check only and box online A. Complete line B if applicable)
A ew System ❑ Replacement System ❑ Treatment/Holding Tank R eplacetnem Only ❑ Other Modification to Existing System (explain)
B. Permit Renewal 11 Permit Revision El Cbange of Plumber ❑ Permit Transfer to New List Previous Permit Number and Date Issued
❑ r
Before Expiration - I Owner tL a !T/
IV, Type of POWTS System/Component/Device: Check all that apply)
-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil
❑ Hol o Other Dispersal Component (explain) ❑ Pretreatment Device (explain)- _
V. Dis rsal/Treat ent Area Information:
`D7o~pd) I Design Saiplication Rate(gp Dispersal Area Required (sfl I D al o (sf) S o
1
VL Tank Info r Capacity in T Total # of Manufacnuet a
Gallons Gallons Units ' o E
New Tanks Existing Tanks c m m
I w
n., U cn P cn C~
Septic or Holding, Tank
i
Dosing Chamber
VII. Responsibility Statement- a undersigned, assn onsibility for installation of the POW"TS shown on the attached plans.
Plum- 's Name (Print) Plumber' G MP/MMP/R~jS Number B Phone N er
LUXIb
Plumber's Address (Street, City; Stab,- Zip Code)
VT[L County/Department Use Only
proved ❑ /f~' Permit Fee Tate Msuedissuia ent Signature tLez,
Given Reason for Denial (S_r v 7
IX Condi ' sons for Disapproval
r . n /
1. ` ttitatc, tt+lf 3
m ad mat dil ,.td1i t!blal
et p•► qw1+ + &n pro 4d9d by Pk nW ",A oW 0a air
1 I 'Ai a rroq Jw. ft moat to ram* irA d j ~l ~o f M0.Teo~ r
Attacb to complete plans for the system and submit to be :ono my on paper notless than 88 in x 11 inches in sin
SBD-6338 11/11
System PLOT PLAN
PROJECT Oeverina Homes
ADDRESS 1433 Cernohous Ave Suite A New Richmond Wi 54017
NW 1/4 SE 1/4S 28 /T 30 N/R 18 W TOWN Richmond COUNTY ST. CROIX
SYSTEM ELEVATION 98.0197.6/97.2 3' below grade 12/3/17 BEDROOM 4
DATE
CONVENTIONAL XXX CONVENTIONAL LIFT HOLDING TANK
MOUND SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE •4 ABSORPTION AREA 1516 # of chambers 75
BENCHMARK V.R.P. Top of steel pipe ASSUME ELEVATION 100' Filter Lifetime Filter
❑ BOREHOLE O WELL *H.R.P. same as benchmark
12 B-1 81' B-2
455° r Scale = 1/4" = i Q'
Vents `ex 0& -3; ~R-~-Cells with >3' spacing
30' \
B-3
Slope 0 25'
I
0 30'
m
qt Pro 4
Bedroom
House
Vent 116th ST.
>6» Quick4 Standard
of Cover Leaching Chamber
with 20.0 ft2 of Area
5.6ft^2/pair of end caps
4' Long 12 "
Grade at System Elevation
34'
All piping shall be ASTM SDR 30/34, within ~ 0
10' of tank, piping shall be ASTM F891
134th Ave
Cover Page
Shaun Bird
Bird Plumbing Inc.
1432 120th St.
New Richmond Wi 54017
715-246-4516
Date: 12/3/17
Owner:Oevering Homes
Location: NW1/4 SE1/4 S28 T30N,R18W 1344 116th St. Richmond
Manuals Used: In-ground absorbtion system (version 2.0)
Page#
1. Cover Page
2. Plot Plan
3. Leaching Charmer Cross Section
~l
4-6. Maintanance And Contingency Plan
7. Filter Cross jc_tion
Signature
License number #226900
System PLOT PLAN
PROJECT Oeverina Homes ADDRESS 1433 Cernohous Ave Suite A New Richmond Wi 54017
NW 1/4 SE 1/4s 28 /T 30 N/R 18 W TOWN Richmond COUNTY ST. CROIX
SYSTEM ELEVATION 98.0/97.6/97.2 3' below grade 12/3/17 BEDROOM 4
DATE
CONVENTIONAL XXX CONVENTIONAL LIFT HOLDING TANK
MOUND SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE .4 ABSORPTION AREA 1516 # of chambers 75
BENCHMARK V.R.P. Top of steel pipe ASSUME ELEVATION 100' Filter Lifetime Filter
❑ BOREHOLE O WELL *H.R.P. same as benchmark
12' B-1 811AL B-2
45' Scale = 1/4" = 10'
Vents 3-3; X 102' cells with >3' spacing
I
30"
B-3 25'
% Slope
30'
Pro 4
Bedroom
House
Vent 116th ST.
>6" Quick4 Standard
of Cover Leaching Chamber
with 20.0 ft2 of Area
5.6ft^2/pair of end caps
4' Long 12"
Grade at System Elevation
34"
All piping shall be ASTM SDR 30/34, within
10' of tank, piping shall be ASTM F891
134th 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 5.6ftA2 pair of end plates To be >1' above grade
Finish grade elevation
Typical Installation 101.0'
Vent G rade Vent
4' 4" 4'
X30/34 Septic Tank
Grade at System Elevation
4' Long 111 5' 4' Long 1 3 4 " Grade at System Elevation 34"
Spacing 5'
3-3' X Cells
Observation tube/Vent
Same on other end To be located on end of Cells
%A
B
System elevations: C
A-98.0'
B-97.6'
C--97.2'
25 chambers per cell
POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of
FILE INFORMATION SYSTEM SPECIFICATIONS
Owner Septic Tank Capacity I ❑ NA
Permit # 0 Septic Tank Manufacturer ❑ NA
7ESIGN PARAMETERS Effluent Filter Manufacturer ❑ NA
Number of Bedrooms q ❑ NA Effluent Filter Model ❑ NA
i Number of Public Facility Units 4NA Pump Tank Capacity al NA
j Estimated flow (average) al/day Pump Tank Manufacturer 13 NA
i Design flow (peak), (Estimated x 1.5) ' gal/day Pump Manufacturer 13 NA
Soil Application Rate < gal/day/ft Pump Model NA
Standard Influent/Effluent Quality Monthly average" Pretreatment Unit NA
Fats, Oil & Grease (FOG) 530 mg/L ❑ Sand/Gravel Filter ❑ Peat Filter
Biochemical Oxygen Demand (BODs) 5220 mg/L ❑ NA ❑ Mechanical Aeration ❑ Wetland
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 ;AEln-Ground (gravity) ❑ In-Ground (pressurized)
Total Suspended Solids (TSS) 530 mg/L .74~NA ❑ At-Grade ❑ Mound
Fecal Coliform (geometric mean) x104 cfu/100ml _ ❑ Drip-Line ❑ Other:
iMaximum Effluent Particle Size Ya in dia. p NA Other. ❑ NA
(Other. NA Other: ❑ NA
"Values typical for domestic wastewater and septic tank effluent. Other ❑ NA
IAINTENANCE SCHEDULE
Service Event Service Frequency
-1 ❑ month(s)
linspect condition of tank(s) At least once every: )Q ears (Maximum 3 years) ❑ NA
(Pump out contents of tank(s) When combined sludge and scum equals one-third {'f3} of tank volume ❑ NA
Ifnspect dispersal cell(s) At least once every: 13 month(s) (Maximum 3 years) ❑ NA
year(s)
131ean effluent filter At least once every: /I ❑'meoar h s) ❑ NA
Inspect pump, pump controls & alarm At least once every: ❑ month(s) E] NA
year(s)
I:Iush laterals and pressure test At least once every: ❑ month(s) NA
_ ❑ year(s)
T)ther. At least once every: ❑ month(s) NA
❑ year(s)
6ther:
❑ A
MAINTENANCE INSTRUCTIONS
!Inspections of tanks and dispersal cells shall be made by an individual canying one of the following licenses or certifications: Master
(Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must
iinclude a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of
immbined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shat) 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
I-egulatory authority.
When the combined accumulation of sludge and scum in any tank equals one-third (f6) 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.
All 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.
!4 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
For new constnuftion, prior to use of the pOWTS check treatment tank(s) for the presence of painting products or other chemicals that
contents hems
may impede the treatment process and/or damage the.dispersal cell(s). if high concentrations are detected have the of thb
tank(s) removed by a septage servicing operator prior to use.
System start up shall not occur when soil conditions are frozen at the infiltrative surface. bp
During power outages pump tanks may fill above normal highwater levels. When power is the restored backup or the surface excess discharge wastewtew ofater will vAll efflue discharged
to the dispersal cell(s) in one large dose, overloading the cell(s) and may result O r to restoring Power to tnt
To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator Ped
effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels
within the pump tank. the area within
Do not drive or park vehicles over tanks and dispersal oils. Do not drive or park over, or otherwise disturb or compact,
15 feet down slope of any mound or at-grade soil absorption area.
Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the fife of the POWT
antibiotics; baby butts; condoms; cotton swabs; degreasers, dental foss; diapers; disinfectants; fat; foundation drain
er,; cigarette
(sump pump) water, fruit and vegetable peelings; gasoline; grease; herbicides; meat scoops; medications; oil; painting producos;
Pesticides; sanitary napkins; tampons; and water softener brine.
ABANNMENT
Whenththe PPOWTS fails and/or is pennaneri ly taken out of service the following steps shall be taken to insure that the system is propetiy
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 Operator.
• After pumping, all tanks and Pitts shall be excavated and removed or their covers removed and the void space fined with scpil,
gravel or another inert solid material.
CONCTINGE14CY PLAN code compliant
If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a
replacement system:
A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system.
he reps area should be protected from disturbance and compaction and should not be infringed upon by requirled
setbacks from existing and proposed structure, lot lines and wells. Failure to Protect the replacement area will result in the need
for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the ruleO in
effect at that time.
❑ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS tec hnofogV a
holding tank may be installed as a last resort to replace the failed POWTS.
❑ The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a sail and site evalua*on
must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be insWIW 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 biomat at the infiltrative
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 T
ENTER A SEPTIC, PUMP OR OTHER TREATMENT TAN UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE O~ A
PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE
ADDITIONAL COMMENTS
POINTS INSTALLER POWTS MAINTAINER
Name
/c~,~1 /
Name
Phone ' r`~ Phone
SEPTAGE SERVICING OPERATOR UMPER LOCAL REGULATORY AUTHORITY
Name Name
/A.v; ,'F / ! Phone
Phone
y t?~`
This doaaneetwas drafted in compliance with chapter SPS 383.22(2)(b)(1)(d)&(1) and 383..54(1), (2) & (3), Wisconsin Adminisivibw Code.
7 ON.
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527.08' 425.60'
N o, z
J^ 65.00166.00' / I N\ o I 974.9
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2.12 acres ° o
S 92,174 sq. ft. y w. E. =97J. w V ao 1.80 acres 01
z L. B. O. 975.0 I 78,420 sq. ft.
o /
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a T
N 589.56'27"W 521.07
220.00' 301.07' /
N89"56'03"E 441.04'
18 0 17
o
14
1.67 acres 1.82 acres w / w
_ GO 72, 898 sq. ft. 79, 363 sq. ft. 1.95 acres
N N N 84,826 sq. ft.
Cn
N 89'56'03"E 503.23'
(A 6; u
o
Ct / 6s, 13
ti 2.20 acres
196.40' J 95,760 sq. ft.
. 1 2' 44 04-IL
86
C13 S86'40'24w 300.53'
6.12' N89'56'03"E 545.92'
eye N86-40'24"E 300.53' i
~ ,a 6 - 12
2.12 acres
N 92,514 q ft.
ad a
1d Ncv\ alb N8320.40' E 477.99
1.68 acres N 1.73 acres 1
w
72, 979 sq. ft. 0 75,442 srJ. ft \ w:.A
ft.
292.15' = . J1
219.24 511.39' \ !J
? 2.05 acres
ST. CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
Owner/Buyer l Le, e lC
Mailing Address ~BTif,O ~ii2~ lL
Ile
Property Address / 3
`~___-~t
(Verification required from Planning & Zoning ll el} t for new construction.)
City/State - Parcel Identification Number
LEGAL DESCRIPTION .
Property Locatiol~ ~ . Y4 i ,
J . la , ec3 , T ~N R.~W, Town of
Subdivision i ? -
- - - - Lot#
Certified Survey Map #
- Volume , Page #
Warranty Deed # f--
Volume
Page #
Spec house(' es no
Lot lines identifiiabl ye no
SYSTEM MAIlVTEIITANCE AND OWNER CERTIFICATION
Improper use and maintenance of your Septic, s y
maintenance consists of pumping out the septic y
could result in its premature failure to handle
the System can affect the function of they ~tank every three Years or sooner, if needed, by a licensed wastes. Proper
you put into
responsibilities are specified in Co tank as a treatment stage in the waste disposal s tem. owner maintenance
§ mm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary ty Sanitary Ordinance.
The property owner agrees to submit to St. Croix County P
owner and by a master plumber, journeyman plumber, restricted plulmbernor al Zoning
punierr eri veer a certification h
wastewater r disposal system is i,n Proper pumpe form, signed by the
less than ~ of sludge. operating condition and/or (2) after inspection and ~g that the on-site
1/3
pumping (ifneeessary), the septic tank is
I/we, the undersigned have read the above requirein and agree to maintain the private sewage disposal system with the
standards set forth, herein, as set by the D
nunerce and the Department of Natural Resources, State of Wisconsin,
Certification stating that your septic system has hem Amer must be coin Ited and re
Zoning Department within 30 days of the three year expiration date. p turned to the St_ Croix County Planning &
Uwe certify that all statements on this form are true to the best of mylour 7mowledge. I/we am/are the owner(s) of the
property described above, by virtue of a warranty eed recorded in Register of Deeds Office.
f
Number of bedrooms
IGNA OF A~'PLICANT(S)
DATE
***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. *
faclude 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 of 41
Division of Safety and Buildings in in accordance with Comm 85, Wis. Adm. Code pU
County
iR,
"t , C I
1 inch S sae
Attach complete site plan on paper not less than 8 112 x _
include, but not limited to: vertical and horizontal reference point "(6, d' tSO Parcel I.D. G
U
percent slope, scale or dimensions, north arrow, and location and distance to nearest road. QL 0- /-7
Please print all information. R&viewe Date
Personal information you provide may be used for secondary purposes (Privacy Laws 15.04 (1) (m)). a D
Prroop~ertyOwnerj ~y S-1 .CROI fp~3Z"WGati
p g
Ge rGt-'tJ f`~1 t ZONIN ~ q 1/45F 1/4 S a$ T J(~ N R E (or
Property Owner's Mailing Address Lot # Block # Subd. Name or CSM#
-1// 9d -l1 0e - NW 7 rzt o f -c m6 c rc
city State Zip Code Phone Number ❑ City ❑ Village ® Town Nearest Road
[g New Construction Use: Residential / Number of bedrooms Code derived design flow rate GPD
❑ Replacement ❑ Public or commercial - Describe:
Parent material i v(n.`", t l -1' 11 1, '7/ _ Flood Plain elevation if applicable
General comments S 5 v L c . I` F 0~ L'r c.- r r
a
and recommendations: T t' q i T• Y U N ~Y► v~,~y r
e ► 7.a (9i..3f'~ S;-~~ o~ . T.~ C 95.9-1
r-+ t 1
e 9 f, -5 'r
5p Boring
Boring # ❑ ~j - - O
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/f?
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
® Boring # Boring
Pit Ground surface elev. _ " l J ft. Depth to limiting factor p s in. g*Eff#l Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence BoundarGPD/ff
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Effluent #1 = BO Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L
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Pit Ground surface elev. D0.9 ' ft. Depth to limiting factor 10 -in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff
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Boring
Boring # Ground surface elev. ft. Depth to limiting factor - in.
F-1 ❑ Pit 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 = BOD5 < 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)
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Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff
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In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Eff#1 'Eff#2
F-1 Boring # ❑ F] Pit Boring
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 = BODE > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD, < 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)
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