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HomeMy WebLinkAbout020-1342-10-180Wisconsin Department of commerce Satety Su8dngs Division 19 j GENERAL INFORMATION PRIVATE SEWAGE SYSTEM INSPECTION REPORT (ATTACH TO PERMIT) Personal Inrorrnation you prowce may be usea ror secondary purposes (Privacy Law, 8.15.04 (1)(m)). Permit HoldeFs Name. 0 City Village In Town of: rdine Jim /Lisa Hudson Township T 8M Elev.;. insp. 8M Elev.: SM Descript' 4ANIN%1 rVKMA1IVN TYPE MANUFACTURER CAPACITY Septic a 'ng Aeratio >2 > Sp t Holding Alt. BM NA TANK SETBACK INFORMATION TANKTO P/L WELL BLDG. ventto Air Intake ROAD Septic >2 > Sp t 4(-S Alt. BM NA - 1 Bldg. Sewer NA Aeration SYSTEM TO / Ht Inlet BLDG WELL S S ding Ht Outlet Type .1 m , 5 �� PUMP/ SIPHON INFORMATION MAQ ufacturer Demand Model Number G TDH Lift F ' n S tem TDH Ft Forcemai ength Dia. Di ELEVATION DATA ° V. Croix 382175 No.. State Plan ID No.: Parcel Tax No.: 020 - 1342 -10 -180 STATION BS HI FS ELEV. Benchmark S O Liquid Depth '?57 s-- Alt. BM , Z S' - 1 Bldg. Sewer SETBACK SYSTEM TO / Ht Inlet BLDG WELL S S 9 K Z Ht Outlet Type .1 m , 5 �� _� M e Num r: INFORMATION HA IT System: -3?' Header/ Man. O Dist. Pipe M p.tro #,30 9/.20 �i Ps Bot. System K ro•at t 89. Final Grade R, 9 , St cover 2. SOIL ABSWTION SYSTEM 1 j A L / _ _ DISTRIBUTION SYSTEM SED/IVR15 NCH Widtl Len th No. Of Trenches Vent To Air Intake PIT No. Of Pits Inside Dia. Liquid Depth DIMEN&IO 3 , Z S' t SETBACK SYSTEM TO P / L I BLDG WELL LAKE /STREAM LEACAINr Manua urer: Type .1 m , 3y '�"rDU _� M e Num r: INFORMATION HA IT System: -3?' Header / Manifold Distribution Pipes x Hoe Size l x Hole Spacing Vent To Air Intake Length Dia. /r length /• 2s Dia. �- Spacing _'� / I / 1 W___ 1 '> 3 I l SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded/ Sodded 1 xx Mulched 1 I Bed /Trench Center Bed/ Trench Edges l Topsoil ❑ Yes ❑ N (]Yes 0 No I COMMENTS: (Include code discrepancies, persons present, etc.) Inspection #1: f" W101 Inspection #2: I I Location: 508 Carriage Lane, Hudson, WI 54016 (NW 1/4 NW 1/4 32 T29N R19W) - 3229191834 Windsor Heights -Lot 18 u 1.) Alt BM Description = bptivw. oI 5 rr 1s I 2.) Bldg sewer length = # 2L / -amount of cover = «';141- el,d ad cove. Plan revision required? Yes []No Use other side for additior Ma information. Date Inspector's Signature cert. No. SBD -6710 (FL3/'9� � . k Over ---� _� low pro�;le 4"f: eev'('--e !�zra"Cc 4 bko — ey , O �� N�e� V'eU�Sca►t y-or a ir. �v(l e O� lBcc���b>._o 1-f 6� � ra 0 C loc&i P"r "4f An ef 4,e avrJ 4 14, ;Q;fl" ,4 5�$ C�v rt iAGE LAr1 43anitar• Permit Applicatian �, SC: rCYat�II Sdc ` ` : rtsc,•4..10 "5 i'.' �.^ � � =' ° b t'!�i 9C; DaiMrvr+tnt o f W motes fe:sonai i�for.�at�c� > �rcv�da rra� ba used { racnr,�e Fro Vac; ; &A. s 1 S fly', t )(M+)) ►u.wl r fkfAfk l- n II M ; tB tht M UEW tOOV 011!�_Q! C{ros J" r` rh ,sue �� �•d •�.� ,e n ana , ar ar T� ,r,/u�So,,r/kJ y0 /� •�f� l �' l�� ✓ aL Pa/ S .M i Ct i at x testy � � No, at 8asiroaml�...,.�.... W""� (davft use) : o { tC ally ono ox AiS t v Charek alt Ilno i : pp Ica fil.e !'�TCCI 1 i1R rrY+nvcf 1.T�IIw Sysn _, C� Ragf i�0�!libt 3 Iwf+ioces►S o f 4. v�ern Tmk n l7SLa>r (3� 3 Zs t uro �a. a9 • ! q. 1835 �A 0 Mood G: Sand Piltor C Constrtlew WOmd G HatdinS Tonk C3 WIW pul 0 Drip Lime i Q Aerobic Trestmvnt Ur. G Reeiret+ cries 0 t7tbor �11) 1,260 ,260 and I T i o _.. Qi�iia>es1 Tautks t� G V 8� ! � 1G11!l,ldgrhlR.!l�i� Mt4dutals} $ rer j � ( Cals• Con - I crua � sttr,�titd i *e ,Ar,— a- Qq4 Aj Jj 5- guvation �l 1M. �Ioas lsunQa «s 1 s OWN Iftitla Ad wroo F , 6D Caw AWWWAswu for ptovsfl rQ,C Q l jac �G s - j a i OA o. r Aej aLs s O ff w L . au� �i 2 `� . Q S S v a^ �i�nn� • ... ., n_..._„1� � /... _ �..`1,.: Sep ,... � o„ .,u � 0.�19•�t UA s ,VZ ,a¢ a $ubdiviaicM Nvau OP i G City 4illue Town of ; w *&Wnfty A %r 1 n-��3;. 's,,. r5, crrn !o aa:�:ty i'r '� _ �taaa ovine• UA s ,VZ ,a¢ a $ubdiviaicM Nvau OP i G City 4illue Town of 1 1 0 M c Slk 0 K YJ v A l 4 F, r a 0 �b ti Z h 0 Wisconsin Department of Commerce Division of Safety and Buildings Bureau of Integrated Services in a Attach complete site plan on paper not less than S 1/2 x include, but not limited to: vertical and horizontal referer percent slope, scale or dimensions, north arrow, and loq APPLICANT INFORMATION - Please prii Personal information you provide may be used for seoondary Properti Owner / City Mailing Address SOIL AND SITE EVALUATION Gorda witFt . 83.09, Wis. Adm. Code rls in a.�lan must County L rrt (BM Do and distance�9�t rood Parcel I.D. # DEC Worm m R ) IV gs�(Priva L i?�N�b4 (1) (m) `' i/ L Zip Code Phone Number Aot(t 1/4 ) 1 /4,S I Subd. Nam or CSM# i ❑ City ❑ )AIlage ® Town Page _ of , N , R /Gy (ora ® New Construction Use: lZResidential / Number of bedrooms Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Code derived daily flow gpd Recommended design loading rate t u bed, gpdfi? , � trench, gpd* Absorption area required _ bed, ft , 4 , . l trench, ft Maximum design loading rate _L_,�__ gpd4t 4,/,— trench, gpd/tt Recommended infiltration surface elevations) a7, .? ft (as referred to site plan benchmark) Additional design/site considerations Parent material :2�d --7Q Flood plain elevation, if applicable ft S = Suitable for system Conventional Mound In -Ground Pressure AT -Grade System in FlII Holding Tank U = Unsuitable for system s❑ u S U 9 S❑ U -as ❑ u ❑ s 0 U ❑ S 2f U QAII r%CQ1`0I07*1r% I DCDAQT Boring # Ground elev. 9.Eft. Depth to limiting factor in. Boring # El Ground elev. .oft. Depth to limiting factor us �. - . . Mo ® ® ® .. ®® .. M, Wa Remarks: Ir •S •S CST Name (Ple Print) Sign re Telephone No. e ��, Address ` Date CST Number t c — C7 PROPERTY OWNER PARCEL I.D.# Boring # 3 Ground elev. AV —% Depth to limiting factor .��in. Boring # Ground elev. ) Depth to limiting factor �Zy�in. Boring # Ground elev. /Lft. Depth to Y n. # El Ground elev. ft. SOIL DESCRIPTION REPORT Page of Horizon Depth in. Dominant Color Munsell Mottles Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots 2 Bed . Trench Q 6 of (o L 1 1 6 A) S 44 nS /� ✓ r 3• Z ca l� �,...�.Slp,e. ins , Remarks: Remarks: Horizon Depth in. Dominant Color Munsell Mottles Ou. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD /ft2 Bed , Trench S 44 nS /� ✓ r 3• Z ca l� �,...�.Slp,e. ins , Remarks: Depth to I limiting factor r } Sr ,j ' Remarks: SBD -8330 (R. 07/96) -97 .3 .,1 , z M f�4 w Private Onsite Wastewater Treatment System Mana,c9 ement Plan, ; S ep tic Tank And Gravity In- Ground Soil Absorpticom ; Int Pursuant to Comm 83.54 Wis. Adm. Code each Private Onsite a�tew & T�r"tment System (POWTS) shall include information and procedures for maintai ' ,the syv*M�O j the parameters of Comm 83 and 84, and the conditions of approval by t e�" pVel �gent, or govemmental unit. The approved plans and permits for system are on I, a qty zoning or health department. This management plan complies with Comm 83,54, Wis. Adm. Code, and the In- Ground Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems SBD- 10567-P (R.6/99). Table 1 • System Design Specifications Sanitary Permit Number ( tS {dumber of Bedrooms Maximum BOD (m IL) Desi n Flow - Peak ( pd) cc Estimated Flow - Average (gpd) Septic Tank Capacity (gal) Soil Absorption Component Size Type of Wastewater r V L. 1- 92 Q. H A k.&r..ntenn Rmmnnnant . Limits of Reliable Operation J 61"Nw i• w%oll 1Www. .sir. Design Flow - Peak pd) Maximum Influent Particle Size (ln) . —... —_____ Septic Tank Component U Soil Absor tion Component 6 Z_ a 1/8 Maximum BOD (m IL) 220 Maximum TSS (m /L) 150 Table 3: Maintenance Schedule Septic Tank Inspect and /or service once eveg are Outlet Filter Inspect once a year and clean at least once every 3 years Snit Ab sorntion Component Insoect once every 3 years f Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis, Adm. Code (Servicing Septic or Holding Tanks, Pumping Chambers, Grease Interceptors, Seepage Beds, Seepage Pits, Seepage Trenches, Privies, or Portable Restrooms). The operating condition of the se tic tank nd outlet filter shall be assessed at least once every 3 years by inspection. Th outlet filter shall be cleaned as necessary to censure proper operation The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the Management Plan for a Septic Tank and Soil Absorption Component filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of scum and sludge in the tank exceeds 113 the liquid volume of the tank. If the contents of the tank are not removed at the time of an assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. Manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced.. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into the tank. No one should enter a septic or other treatment or holding tank for any reason without being In full compliance with OSHA standards for entering a confined space. The atmosphere within the septic or other treatment of holding tank may contain lethal gases, and rescue of a person from the Interior of the tank may be difficult or impossible. Tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. Soil Absorption Component The soil absorption component serving this structure is designed to accept domestic wastewater from a residential facility. The limits of operation of this component are shown in Table 2. The longevity of a soil absorption component depends greatly on proper and timely maintenance, and system use within or below the limits of reliable operation. Good water conservation practices by all occupants and the installation of water conserving plumbing fixtures are key factors in extending the useful life of this component. The soil absorption component's operation must be assessed by inspection at least once every three years. The inspection shall include recording the levels of ponding, if any, in the observation pipes, and a visual inspection for any evidence of surface seepage or discharge from the component. On steeply sloping sites, areas of erosion should be identified and reported to the owner for repair. The surface discharge of domestic wastewater or sewage from the system is prohibited and considered a human health hazard. Traffic around or over the soil absorption component should be avoided particularly during winter months. The compaction or removal of snow cover over the component may lead to hydraulic failure by freezing. This type of failure is usually temporary, but is difficult or impossible to repair until weather conditions improve. In general, soil compaction over this component will reduce diffusion of oxygen into the soil and dispersal cell, which may lead to more intense, and earlier, organic clogging of the soil. 2 owner /Buyer 'T") Mailing Address 70' , Property Address s !(_el ST CROIX COUNTY SEPTIC 'TANK MAINTENANCE AGREEM. AND OWNERSHIP CERTIFICATION FORM C it<R.R.t A<A '4- e__ 1. (Verification required from Planning Department for new City /State! X d6'• -4j Lj Parcel Identification Number Qa o ° I3 y.2 - M I /Eel LEGAL DESCRIPTION Property Location eA 1 /4, A AAJ ' /,, Sec. 3a , T a9 N -R_& W, Town of . Subdivision GJ: Ups ern 1Sle;`g�'T� , Lot # /e Certified Survey Map # , Volume , Page # Warranty Deed # �35� /37 , Volume / SGG , Page # 4 1S'r Spec house El yes)( no Lot lines identifiable* yes O no SYS'T'EM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that( 1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I /we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, h in, as set by.the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating th ur Be p ' system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days o h three y at expiration date. V /f SIGNXIbRE OF APPLICANT DATE OWNER CE RT ATION (we) cer ' y that all statements on this form are true to the best of my (our) knowledge. I (we) Am (are) the owner(s) of the pr y descr' ed above, by vir a of a warranty deed recorded in Register of Deeds Office. l 9/ of / SIG ATURE OF A PLICANT DATE * * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department.****** ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed J IT. n , , TEIV ST CROIX - COUNTY ZONINGOFF" / ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed col- 1566FACL 448 STATE BAR OF WISCONSIN FORM 2 - 1999 Document Number WARRANTY DEED This Deed, made between West Lake Builders, Inc., a Wisconsin Corporation, Grantor, an James R. Dardi a and Lisa J. Dardine, husband and wife Grantee. Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum): Recording Area 0&3513 KA TL4[..EEhl H. WALSH REGISTER OF DEEDS ST„ (,ROIY. CO. , WI RECEIVED FOR RECORD 12 -12 -2000 10:00 AM WARRANTY DEED EXEMPT H CERT COPY FEE: Copy FFF: TRANSFER FEE: 198.00 pFUIRDTMr FEE: 10.00 PAGES: 1 Name and Return Address Lot 1 Windsor Heigh in the Town of Hudson, St. Croix County, Wisconsin. Together with the right of access over Outlot 3, Plat of Windsor EAGLE VALLEY BANK A Heights in the Town of Hudson. 1301 Coulee Rd., Unit 2 Hudson, WI 54016 020 - 1342 -10 -180 Parcel Identification Number (PIN) This is not homestead property. CK) (is not) Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. Dated this 3 G�b day of November 2000 West Lake Buil rs, AUTHENTICATION Signature(s) ACKNOWLEDGMENT STATE OF WISCONSIN -C n te�A ) ss. County TL authenticated this day of Personally came before me this �U day of November , 2000 the above named Westlake Builders Inc., a Wisconsin Corporation by * i'L tCi S 67 F J f its PA e S TITLE: MEMBER STATE BAR OF WISCONSIN to me knoyvn to be the person(s) who executed the foregoing (If not, instro 'enX an ac nowledg th same. authorized by § 706.06, Wis. Stats.) �- THIS INSTRUMENT WAS DRAFTED By * r ��ry^ I-e n `e- t n ✓l Attorney Kristina Ogland '' } li r `�N( tary Public, State of Wisconsin Hudson, WI 54016 " " + + + + +My Commission is permanent. (If not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not necessary.) 3 �� 1 oo I ) * Names of persons signing in any capacity must be typed or printed below their signature. information Professionals company, Fond du Lac, wi 800 -655 -2021 STATE BAR OF WISCONSIN WARRANTY DEED FORM No. 2 - 1999 " ui , N 2 1L Z2• �, ►� /h 22 a Q � U \11 1.056 ACRES ' 1 rn 45,989 SQ. FT.: ' I U i : ti` `' 1.07 A C RES i ° i to -•- - r• >- 2 46,885 SQ. FT. I I ----- m- - - - - - -- 1. a, I ` i►� i M 1 N '• r �3 : _N 85'32.06" 'E .. E ' — w I 85'58'5 _ I — 269.45' 100' -1 ► 2i i En 206.63' N I ,o• o ; 33 133' _. �._. -. -w �z 20 ' w 1.013 ACRES ' r : 44,116 SQ. FT.; 27 0 1.061 ACRES ,, ,' ��' S Go O I 5,221 SQ. FT. �— f \ 3 � ° I • �� AV / 33• 1.150 9 AACRES �' "' S 88'49'43" W 50,102 SQ. FT. rn G) , . 1 N 12.50'1 �(` I w I PUBUC / > 17 "E ' Y . ; 100' nn � - o' 17� o I 34.97' `�. �� �O.3Q�•� `' N U M JAN •� I \� f 7 1.456 ACRE$(�P'" • C 1.395 ACRES 63,434 SQ. F. s 60 SQ. FT. \ v N i j w I I - 1 I 16 �` : J N 8'49' 43" E 1 0 56 ACRES 57.75' -50 SQ. FT. SOU UNE OF THE \ N I - SE1,4 OF THEN W1 /4 -- -- - -. - �. -- -- -- -- -- - - -..__. 33' 33' 613.56' . • -� W I 59. 3' w -- -- S 89'11'05" W 672.89' -- -- - -• L7 .__ � - --� :ANDS 36' WIDE EASEMENT FOR INGRESS AND EGRESS I J e4 _ RECORDED IN VOL 766, PG. 200 -201 AT THE ST. CROIX COUNTY REGISTER OF DEEDS OFFICE. N O l 1 N I N � I NUMBER DIRECTION DISTANCE L2 S10 *36 *10 "W 232.44' o I L3 S62'57'00 "E 70.00' 0 1 �" - •i nn° L4 N40 "F 86.33' N • t Waconoin Department of Commerce SOIL EVALUATION REPORT Division or t3ataty aced Buildings in paordance with Comm 85, Wis. Adm. Code County IC Attach complete site pion on papar not lass than S 112 x 11 Ind= in size, Plan must include, but not limited to; veal and horizontal refer point (ROM, direction and P2rQ2l E.D. percentslopes, scale or dimensions, north arrow, and location and distance to nearost road. Please print all Int'ormadon. F - wed by Peraonai information you provide may bo used for secondary puilpows (Privacy Law, G. 15,04 (1) (m))• ) roperty Own Property Luuttion Page (;,,,, of C N R •]'a 'E Gov6 Lot Property Owner's Moiling Address Lot* I Block # Subd, Name or CGI N . t W r"VLSd� r 406 S tate zip C40 Ph One umger City Q Vitleve Q Town Neatest Ro (� New Construction Use: ® Resldentlal / Number of bedroom •- _ Code derived design flow rate _ 4e ad GPD Replacement ❑ Public or commercial - Describe Parent malarial G e AAjg:i % !r. flood Pi #in #I #vation if applla*le ft. General commm is �(- V. � h .4-f4 c. h fe. At wpf6- h S . i Ll AywC aiq W and roconunondations: a Boring # ❑ Boring lj pit Ground surface eteev. ft _ ft. Depth to limiting factor V _ in Sail Aeelicalion Rake Horizon Depth in. Dominant Color Munseli Redox Descrlption Qu. Sz. Cont Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots. GPEW Roots "EfNl 'Effl2 "12140 "E17#2 ir Z. 74 zz �c 3 30 -[� G► -� .s a.s r. z FZ11 Boring # (0 goring 5j Pit Cnround Wrfocs 1ipv. ft, Depth to limiting footor 443 in. Soil (ion Rats Horizon Depth In. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture structure Or. SL, Sh• Consistonce Boundary Roots 01209? "12140 "E17#2 Z. 74 zz 3 " Effluent #1 = BOD, 30 a 220 mglL and T SS a30 150 mg/L " E #2 = BOD, 1 30 mg/L an TSS , 30 mg1L • CST Nome (Please Prin>I - Sign lure r _ CST Nun*er Address Dole. F.-WIL Atl0n C:anduCled Telephone Number r - �� �(_T'�S � �� f �.t1 ` t � ... � f �l,.'�, r� e� ±�:-' "�r)r ��" r %'��K_��y',re✓�.'I'x/Cl <.1�,'S� Td wdgt; ®T 1002 ST •snu : •Ohl Xdd : WOHd Property Owner faa rd "AA Pv.rOGI 10 # Page �, ' of © Boring Boring # 3 Plt Ground uurface elov, . •. .._.._ R. Depth to limiting factor in. Horizon Depth Dominant Color Redox Description Texture I Strueture Consistence Boundary Root's trPDAf in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Ei�r�1 'Eff#2 Depth in, Dominant Color Munsell Redox Description Qu, Sx, Cont. Color Texture Structure Gr. Sz. Sh, YWbE r L "Eff#1 'Eff#2 M`34 le VW LVIL ckr . 1 7 ar t - --I r ❑ Boring # u Boring © Pit Ground surface elev ft. depth to limiting fadtor in. oi! ApgLbWM Rate Horizon Depth Dominant Color Redox Descripton Texture Structure Consistlan os Boundary Roots QPD/fE' in, MunsaH Qu, St, Cont, Color Gr. Sz. Sh, 'Eff#1 'E111#2 Depth in, Dominant Color Munsell Redox Description Qu, Sx, Cont. Color Texture Structure Gr. Sz. Sh, Consistence Boundary Roots "Eff#1 'Eff#2 t - --I r I El Boring Boring # ! ❑ r�lt Ground surface eler. I't, Depth to limiting factor _ in. C„tl d.,.,ttr�Hnn Rafw Horizon Depth in, Dominant Color Munsell Redox Description Qu, Sx, Cont. Color Texture Structure Gr. Sz. Sh, Consistence Boundary Roots "Eff#1 'Eff#2 " Effluent 01 ¢ BOO, } 30.4 220 mg/L and 1 SS *30^ 15D rngll ` Effluent 102 z 130D, - W ing1L and TSS �, 3D mg1L The Uenartnnnt of C;c�rnmarce is an cyuttl upporiunity 5grvice pmvidcr ttnxi omt,k,y4r, I r you need assistanco to aCVOSS sarvicus yr nccd metcrial itl an rtlternntm format, picaso cuttLect. the department at 608 -.64 -3151 or'1 lY 608. 204 Slll i•d ilk tlt Ir7tti0; Ed Wd9P:0T T002 no 'ON Kdd WOU PAGF_3 OF 3 1= �$. -, I _S L C Y 7 Z -f NAME Z6 4 5- DESCR N. H( SCALE: V= BM I ELEVATION Q HM 1 DESCRIPTION 8,11z ion a e ck, 14 BM 2 IF 757,95 BM 2 DESCRipriON -jo P o � la+-i (i " SYSTEM ELEVATION �fa ALTERNAn ULr:VATI0N_jL-q' CONTOUR ELEVATION '7 1 f Z•Ov, %Q•00, SIGNATURE Fd Wd9t 7003 ST -5 nU : •ON Xb-J : wodi