HomeMy WebLinkAbout032-2174-05-000
PRIVATE SEWAGE SYSTEM St Croix
lately auJ 6u.cmq Graor.
INSPECTION REPORT fW'nn No
GENERAL INFORMATION ATTACH i D 1-Rn'1 T' aar PI3r h, Nr; 607037
r'oro^a ,nl'vnuaton v.oo provlJe m:ri rK .,sp 'C ~.r:,nC.Brv G'~IyUSC'. =nva -.y Laq S Cd 1 vm,l i
Fetn•it FulOe•'s Name ,:,-y ','illaua -an-°:'R Fa•ca Td,. Nc
Brett Ellingson TOWN OF SOMERSET 032-2174-05-000
BM lieu ,n~o 61. c~ev 31,1 Drs.rnn'nn SccLOn'nuxn:knny-rflac Nc
1✓T~ Qb~vn OS~ V\o S~ Coll
22.31.19.1460
TANK INFORMATION EVATION DATA
TYPE MANIFACTUREF' c
,.IIY JiA. H;]N ~Q HI F.>°LEb"
Seotlr ` l~. 3 y~ Bencnmatt. QO F b
Hr , 1 D
UDSina (J
AI: itvl
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St;Ht Isle[
TANK SETBACK INFORMATION :iwome- IT. llcl q
f v _ 6LU:1 `:'cn: lc A'im,kr FSLi4C: F.1 Irlr4
rn t rug e h S S~~►^ 5
Svpur
foa Pr It~O ►2.
Dosidc / / ( ngaocdlvlan
00t 7. 2 !01,50
r+a:auon
Holding
tot. Syslcro . PUMPISIPHON INFORMATION nat Gradc in) IhianD'actur!:' [le•na'1C
IN.
st --over
✓ 5 Zp•`q
Id:1dl',I NJnIJC'
'DH Lit Frit]Iior LOSS I System dean r7H I • t~
.171 (o
Forcemain _Cnylh 1 la. / Dst m IV A
SOIL ABSORPTION SYSTEM
BED~TRENCH 0.dt- n / -e.911 ~ Pis t, 1-nnhr5 pIT DIMENSIONS hD C' Ih:! P•: nr C - -
DIMENSIONS 5 G F I ly ~ionr'_-..
SETBACK \';?.TF_:r i:. rr Vy 'b'CLL :fY "tAla1 LEACHING Ida^ul5_I /
INFORMATION
„ -yyerl CHAMBLR OR
'gr:r'~~~ NLrw_~` UNIT Moan NurnI.., I
DISTRIBUTION SYSTEM rl ✓ ~-(„1 = y3
IUdCCf:1.13n11:.1 [I 13 11 F.ul Or ~ / y HJ,E :.lie > H91° ~seaClrlC 'r 0l'tl p 1`ta.C
pIL a,~
I nna,l" _ _ L a___ _ on4.h O on ` GV 1S
SOIL COVER X Pressure Systems Only xx III Or A -Grade Systems Only
m -.e- II ~onm :•,n,. xr -:rf::t~ ar ~ll - .=:endls'oaaea
"c:1 nor ;,enlc A ac:i/-ronc1 JJf" l o .v r_
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COMMENTS: iu¢:nlne oooc ;hs::renencies. Person€ Dresca: atc. '.nspcrhnr xt Irspeamn s2
Location: 2.110 5?TI I S'
'.I All LIM')ecnDI,ur II.V V` ✓ lX.(_.6..~..\) L/
'iHltl • Z~1
- amounl of covet = ll , cv-_
tan revision Required-, ~ZN(
Iq 14 -71
Jr_ she 'fe fo' aWflmnainiorn:
. !lr 1 5.4/, Gate 1 a/ri ~at..,e ;;nn N.
4
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Nfjdiion' 1)" 5;711, 7
162 (~~?o37
\In, ILIn'a'tl Il \um'kr
Sanitary Permit Applicat
In I ,ord nct with SI ~ u I "11, VA t ( i,. .ub:m : m t It., 1"-T, 1 (h, cppr , ix~ r Icn nI nlal urnl
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the D I %.1o I.m I s sl; ::n E I r i' ' I :'v J I ni.'c'. n .•.r I.«n.IfI. m..\ b< UWJ for r ,n J:ns 1
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IV Condit casons for Dicapproral \ OV,
M pQ- God PA.
1*pw,al cell roust all be ',...a ' - _ /
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rper rp krbh ulC'si:rd'-ar;a 4) luR 7-6r9-6t(L
AuarL to r.~rnylcm pWn• for n,c>utan and .broil m the (form. nnl• ^n f((I{a~~,~l'Ier^r not IL... than a 11 inch,,' /'m C
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CONVENTIONAL COMPONENT DESIGN
Residential Application
INDEX AND TITLE PAGE
Project Name:
Owner's Name c3 ~v
Owner's Address P 7 U
'~tu t V AZL Q M I t\ t~
-egalDescription. )ILI L2_ j! N IZ/'I Ii
rownship: C fZ.S G j
:ounty. K l
7 ,
subdivision Name:
.ot Number.
'arcel ID Number Z1 7~
Page 1 Index and title
Page 2 Plot Plan
Page 3 System Sizing & Cross-Section
Page 4 Fitter Specs
Paae 5 Maintenance Information
Page 6 Management Plan
Page 7 St. Croix Cty Septic Tank Maintenance Form
Page 3 Warranty Dead
Page 9 CSM or Plat
Attachments, Soil Test & House Plans
asigner/Plumber. License Number
ate _:5=51F Phone Number 1 5 7~~J- J`ISE
3nature
signed pursuant +.z the In-Ground Soll .4bsorpbor Component Manua for POWTS Versior 2.C SBD-10?C5-P (N.01V).
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Manuieobm And Moda► Qr I IrtR~U cz l i C' IC
BSA RW*V . L~. eq ft p'ercbanher Sol Apps rom Rds _ 7 go" it
(~OC% Wd Dwipo flow e Sol App§Cafiw Raft + Z EISA = `f3 Chembera
z rows of 2 I -1,
drawbars each.
pne of
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N'.P Ci4,L ~F, C~: J~5 _EC-10!J ANC) S?ECIF ICA T I OX.IS
(NO SCALE)
TT 'JCAP
Y"C. _T. VEU- PIPE WEATHERPROOF APPROVED LOCKING
JUNCTION BOX MAIJHOIE COVER
25' fR0•"'I DGOR. I
WINDOW OR FRESH I2,MIU.
AIR INTAKE
I
GRADE I T
Y0 MIN.
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CONDUIT
IB"MIN.
INLET PROVIDE I
-T- AIRTIGHT SEAL I III
1 I I
APPROVED JOIN A ( III APPROVED JO147.
W/C.T. PIPE I III W/C.I. PIPE
EXTENDING 3' I II ALARM E%T'ENDIUG 3'
ONTO SOLID SOIL B I 11 OMTO SOLID SOIL
I 1 .
I I ON
C I I
85.5
ELE\C FT. PUMPS
OFF
0
CONCRETE FLOCK
SEPTIC F SPECIFICATIOAJS
DOSE
TANKS MANUFACTURER. v SF IZ - - IJUMBER OF DOSES: PER DA!f
TANK SIZE: 11Lz~ ;ALLOKIS DOSE VOLUME
ALARM MANUFACTURER: L)L'"1\I INCLUDING 6AGKFLOW: GALLONS
MODEL NUM6ER:-~Lp CAPACITIES: A = INCHES OR GALLOU5
SWITCH TSPE: f) V1 L.Ba_-_, JJCHES OR GALLOL!`
PUMP MANUFACTURER: - LLC C= u1CHES OR ,.ALtOUE
MODEL NUMBER: 1C4 D INCHES OR ALLON'.
SWITCH T`JPE: NOTE: PUMP AND ALARM ARE TO bE
MINIMUM DISCHARGE RATE 'S l~ GPM INSTALLED ON SEPARATE CIRCUITS
Irv
VERTICAL DIFFERENCE BETWEEN PUMP OFF ANO 0157R1BUTION PIPE.. FEET I L 74 ICI
FEC7
+ MINIMUM NETWORK SUPPLY PRESSURE
. . . . . . . o
+ 115 FEET OF FORCE MAIN X ~F/ocrtFRICTION FAC70R_._ - FEET v
TOTAL D4WhMIC HEAD = BEET
s
INTERNAL DIMENSIONS OF TAUK: LE.N4.TH ;WIDTH ;LIQUID CCPTH
CAT E: _
51WJE0: LICENSE NUMB_R:1'IP0Oa724';1526
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PUMP m
POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of FILE INFORMATION SYSTEM SPECIFICATIONS
Owner Tank Manufacturer: 'vl. IC JC ❑ NA
Pormit It C4 Septic ❑ Dose ❑ Holding Volume: JZ(t t' (gal)
DESIGN PARAMETERS Tank Manufacturer: tr-IC`->C t` ❑ NA
Numbe, of Bedrooms: ❑ NA - eptic'Dose ❑ Holding Volume: ~Z C' (gal)
Number of Public Facility Unzs. 9NA Vertical Distance Tank Bottom(s) to Service Pad: (7 (f,)
Estimated (average) Flow : y ;galeay'r I Iorizontal Distance Tank(s) to Service Pad: S (e)
Spcroifc servicing mechanics must be provided if vertical is >15 feet or
Design (peak) Flow _ (es6matad x 1.5): !yavday) if horizontal is >150 feet. Specific instructions to be provider) on back.
In Situ Soil Application Rate [✓l^-_~l (gairdayet') Effluent Filler Manufacturer. L•) r67) 4-\, U NA
Standard (Domestic) Influent/Effluent Monthly average Effluent Filter Model: -
rats. Oct & Grease (FOG) <_30 mgrL Pump Manufacturer Z.CJE.U.<; IC
Biochemical Oxygen Demand (BOD.) x:220 mg+L ❑ NA ❑ NA
_ Total Suspenced Sclids (TSS) a1.5o rngil Pump Model: .->J -s
I figh Strength Influent/Effluent Monthly average Pretreatment Unit
(ro(3) >30 mg/1- Manufacturer: ^1
SOD,) gill
(TSS) _ ,150 mgrL NA ❑ Mechanical Aeration ❑ Peal Finer A
- ❑ Disl Dismfnfe•-1ior. ❑ Welland
Pretreated Effluent Monthly average ❑ SardiGtavel Filter ❑ Other
(6000 '30 mgrL Soil Abs=orption System
(TSS) 130 mg;L NA
Feral Cn!dorm (geometric mean Qf~n-Grwmd (gravity) ❑ In Ground (pressure) [ NA
h,1axirr um Effluent I'artice Size ;4 At-Grade Mound
in dia ❑ NA ❑ Drip-Line ❑ Otner
--Other: - - ❑ NA Other- - - - - ❑ NA
MAINTENANCE SCHEDULE
Service Event Service Frequency
Pump out contents of tank(s) B~Whairi combined sludge and sego equals one-third of tank volume
❑ When the high water alarm is activated
Inspect cenditon of to^.k(s) At least once every: El month(s) (Maximum 3 years) I!NA
In_pect dispersal cell(s) At least once every: F1 1101 tits) (Maximum 3 years) _ (t pars)
Clean effluent filler At least once every 1nurith(s) ❑ Yea(s)
Inspect pump, pump controls & alarm At least once every-. year(s)
s 11 years) ❑ NA
Flush laterals and pressure test At least once every. ❑ Inor'tl'(s)
_ _ ❑ yea ❑ NA
Others ❑ month(s)
At least once every. FI Y zrf ❑ NA
MAINTENANCE INSTRUCTIONS
Inspections of tanks acd soil ab=-o-prcri systems snall h> rcaae by an individual carrying une o` 1::e rello•,virg licenses cr certifications:
Master Plumber Master Plumber Restricted Seaver. POWTS Inspector, PO'NTS Nlainlainer cr Septage Servicing Operator (pumper).
T ark inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identity any cracks or leaks,
treasure the volume 0f combined sludge and sctrn and a check for any back up or ponding of effluent on the ground surface. The soil
absorption system shall be visua fy inspected to c(teck the effluent levels in the observation pipes aid to check for any pending of effluent
en the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate
notification of the loom regulatory authority.
When the combined accumulation of sludge and scum in any treatment tank equals one-third O5) or more of the tank volume, the entire
contents of the tank shall be removed by a Septage Servicing Operator (pumper) and disposed of in accordance with chapter NR 113,
Wisconsin Administrative Code.
All other services, including but not limited to the servicing of effluent fillers, 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 loom regulatory authority :vithin 30 days of completion cf any service event
GM'vv firs (02fir5)
Page_ -__of_
START UP AND OPERATION
For new construction, prior to use of the POWYS check treatment tank(s) for the presence of painting products, solvents or other
chemicals or sediment that may impede the treatment process and!or damage the soil absorption system. If high concentrations are
detected have the contents of the tank(s) removed by a Septage Servicing Operator (pumper) prior to use.
Pump tanks may fill above, normal highwater levels prior to startup or due to pump failures. Start up or restoration of power under these
conditions is riot recommended, as the excess wastewater will be discharged to the soil absorption system in one large dose causing an
overload that may result in the backup cr surface discharge of effluent and damage to the system. To avoid this situation have the
contents of the pump tank removed by a Septage Servicing Operator (pumper) prior to restoring power to the pump or contact a PlumLer
or POWTS Maintainer to assist in manually operating the pump contro;s until normal efftuenl leve s are restored within the pump lank.
System start up shall not occur when sell conditions are frozen at the infiltrative surface.
Do ncl drive or park vehicles over tanks or the soil absorption system. Do not drive or park over, or otherwise disturb or compact, the
area within 15 feel down slope of any mound o, at-grade soil absorption area.
Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the treatment
tanks and soil absorption system. acids. antibiotics, baby wipes, cigarette butts, condoms, cotton swabs, degreasers, dental floss,
diapers, disinfectants, fats, foundation drain (sump pump) discharge, fruit and vegetab:e peelings, gasoline, greases, herbicides, meat
scraps. medications, oils. painting products, pesticides, sanitary napkins, solvents, tampons, and water softener brine discharge
ABANDONMENT
Vdhon the I'OvV I S fails and!or is permanently taken out of service the fouow'ng steps shall betaken to insure that the system is properly
and safety abandoned in compliance with s. Comm 83.33, Wisconsin Administrative Code,
• All piping to tanks, pits and other soil absorpten systems shall be disconnected and the abandoned pipe openings sealed.
• the contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator (pumper)-
• After pumping. all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil,
dravel or another Irert solid material
CONTINGENCY PLAN
If Use POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant
replacement system.
[.1 A suitable replacement area has been evaluated arid may be utilized for the location of a replacement soil absorption system.
Itne ieplac:ernent area should be protected from disturbance and compaction and should riot be infringed upon by required
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 win the rules in
effect at the time of their permit issuance.
A suitable replacement area is not available due to setback anu'or soil !imitations. If the soil absorption system cannot be
.
rehabilitated and barring advances in PO -1I S technology, a holding lank may be installed as a last resort
i-' The site has not been evaluated to identify a suitaUe replacement area, Upon failure of the PO'!WTS a soil and site evaluation
must be performed to locate a suitable ieplacement area If no replacement area is available a holding tank maybe installed as a
last resort to replace the failed POWTS
❑ Mound and at-grade soil absorption systems may be reconstructed 7n place follcwwing rer:ioval o+ the biornat at the infiltrative
surface- Recorstructens of such systems must corn ply with the rules in effect at thzt time
WARNING TREATMENT TANKS, PUMP TANKS, AND HOLDING TANKS MAY CONTAIN POISONOUS GASSES OR LACK
SUFFICIENT OXYGEN TO SUSTAIN LIFE. NEVER ENTER ANY TANK UNDER ANY CIRCUMSTANCE. DEATH MAY
RESULT. ESCAPE OR RESCUE FROM THE INTERIOR OF A TANK MAY NOT BE POSSIBLE.
ADDITIONAL INSTRUCTIONS:
POWYS INSTALLER POWTS MAINTAINER
Namc___I [ f ) T- C' game
Phone
SEPTAGE SERVICING OPERATOR PUMPER LOCAL REGULATORY AUTHORITY
Name Name, r - ~•l~ 1-~k'-j~=,(-~
Phone Phone !5 _ 38~ - Y(o$b
This document was diaeed by the staffs of the Green Lake. Marquette and Waushwa County POINTS iafu'alory agencies in compliance with sections
Conim 8322(2)(b)(1)(d)&(f) and 83.54(1) (2) & (3), Wisconsin Adrrminiskalive Code_
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the W'ar til::c C1 t9_ .
tTX . (14.'i.^)
ST. CROIX Community Development
,rte 110 (_ar•n!([I aVI Rcad Hudson WI !)4016
Co _wPNT Y TOeohone 715-386-4680 fax 17 5-386-4686
www.s((bvl. qOv
Brett E Amps rr
"t3tt; _)cll•wood Rd.
>li!Iw,nc' MN Y,i.i
R; Condi*.iora ~c:r'ta,a I I I Lh )019 01)
inletI(',%aLO ?0~')InI. • ~~_i,
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it
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nglc to ly (rvel r-q: Alathed cl,noge and dnvoway it the Nhorer:rd .•may Zor n,, '~i
r~..Ia r t') (l-aP;er 1730. I he MIPA .I ho oepu (ordaunally aplnovec based on 1!'v a:;❑ I
~nisti(n ar<I tlw 1;'Io,vinu Ividmgc
• The nrolxsed sDuGU e rrcel: hr ?5 I: ml srehar< tc h'e o din.;ry h -r u i
1!IUtT1ne S":Jfl' alld ;i'fl Li( ~
hr prnpcs.~d sir,u tu~r meet (he u•l:)acks Ic t•,c ptir.;cu ty i ur.
"Dtal anc sami1xirwe a approx mately 10.000 saaare `eet
• III ult eIvI(%A Mahn P jq : a wwwon resah((1 ul 00z, lutal r'rp;;'°:iotrv. -rna:u {Iiule'<r wit yalle..
r :all nor bet q(ared
f :a on and sodirier•t contra: pldrs have veer aionnlted loaf mept Wwr mr DepaIn1wN o'
_u.ra! Resow(cs I(rhnual 4andards liest maraicl(i practices v d s:o^ ,r. ate rraragenni
• Inc n(rnpolared
• : (n.rty san'ia'y pe"ra W d nvw Iniano or^dle'Ano wmPr nPrrl•riPnt sy`Lpin r\ Ivowled a W
t..
• f..) lan:1 drsturhar;p Ic) slolx: grealN U ::n '999''-', was lropux•a.
• I' Ilou;p rs a • paean 'ol, hovvevoi to aNAwanl does nol to prolxn(. ally vegela"lot, o, Lice
'n)VdI twill Ale "k
MY or these hrd:nyN aopr(rral at the Lana Use 101rrt is sayect ;w the lolloxirg coed ili
'rinr to t o,)sliw hon. rie loot blafft'ne setback must oe flagged and erosior control measures.
a(.h as ,III fpn( Inn, a dauert. loos. o, berms must be IwAalled proi to all land distui barce activity
n pre-construction inspection is required to validatp setbacks and verify wosion and sed PTlpnt
control hat. iwen installed rinw zqw O1 : om.nu( Lon a(tiv I P% Plemp :_all IN, hw:xq %Y A t ((1ti;
;£!6 1'it- tr,'..)n•dLI trio u!_l_((.!K)')
Nicole Hays
N ( (,le IMYSZOsILCVM gov
17. 5} 386-4742
A post-construction inspection s re(I.)ired Inr I~ n,I I v I 1, is ,:u I rr.:,ea
I'1':) rurasur r} plea`.,- , r:11 tiW il l t'ir sh)h V` r to h(Al- e '.It I'r~pe; time
t r roix coulvy reserves thew •1!)hl , equirci additional sedimert and Prosk:o I(x) Uol nu:dsulcS to
'stalk d II ou.I:i na(ctitialy 111w !o tide ~I:e( ih( : rol: onx and well he docalrrcrtcd in an as built
II l• plan.
I temporary erosicr control r-c isures stall ue 'et- it pace and r aura nec on-r'hP Site hail
reared a pohtt of at least r1:7L pcnranent vogoLfion 1'crmanccnt vege-atio) ;ha'J he em,lblMled
final gaup IS red( ha:: ul a`. u;r:r 1% apt)F(a;:.. per plan
It ' the apph,dn:'s lesponsbil ry to secure any other requ rep 10: a. '.tale (,f ler•efal p -mill's; and
n;1)Iovol;tij pr of to land disto•:mwn w acivi'y
F,=',ire to :ortply %.%itF- th,e o nns da condition,: above may result jr, the rev! it I ' 1' 1 1 ci of f,;
ter.- 7onrrg Achninrtillator nursuan- to i_rapter 1--1 and chanter 17.30'.
I Ins appfoval is x(hledt to the cc••d -Ions I'S:Pd apove It does -lot v: till err°':
S'rllltDn, sil U(tl.l t"., O' Ill. dlnq heyG c. the in':Cs of t"IS IpiuPv Yo.r J'': )IIIL;14 )II vol I
ilia a 1'(v it ( r:)Ix i o.InPj Con mul -y I?rvelopnu'..l Dvparlrnlcrtl ](dtc. It 4 vOd.r reSponsrbl c,
,tile (orrTwme vAll any f)Iher :r.;r ,lair of tc'deral pi'I'rring or
raet in h'c lovan pt 'x: nerSet and 'he ftepartme^* of Vahrar FPCnuue. ngueo if addrti'
'r . •n ,r(: rc'gune(1. I hn pP n'r va e1 for <vc yom wi:11 :he IX)whi r, tit tic Do tvic)
h` xtrnso's if tr'e a:,pl rant s.lbr -.s the appropriate permit extrnslr;• :ee area dccumen-. -
'hc Lcniny Ar-infit, SlIxol. A, copy of 0% _0110 use 'efmC p adard shouln be Suhr-rttan Ic. 1
:"rt s focal dwlcmy Inspr( W. .11:,n ap{, yl .:I fill I(;•.an ho I(Imq pcrmts,. Tito orange pl,tcar:: r i
I ,:or.lod on t"e loll :rte anC'.risble 11,111, p.lbhc
I l t
%r Hay-.
I I.
Ni( o tiay%
Ni( ole I lay,Cmti( ( wl gov
(II S) 386-4747
• ,(;fq rsr~^~~, tc - evil
.l Zhu r
Wis~nsin Department of Commerce OIL EVALUATION REPORT Page of
Dwision of Safety and Buildings Q j
m accordance h Comm 85. Wes Adm. Code - -
County ,
Attach complete sito plan on paper not less tlsarl 8 1!2 x 1 inches in size. Plan must
include, bud not limited to: vertical and horizontal Werenpe point (BM), direction and Parcel I.D.
percent slope, scale or dimensions, north nu vl, andkication and distance to nearest road Q
Please print aff information. awed Dato
Pmsonal rntorma9on you provide may x osed for secondary puiposes (Privacy Law, s. 15oa (l) (m))
.
Property Owner Property Location ',o^
r Govt. Lot j 1.4 1A S _ '7 T = N R C! a{ w
Property Owner's Mailing Address, Lot # Block # Slbd. Name or /CSM#;'
~ i
✓ J,.
Clry Sttale ^ Lp Code Phone Number ❑ Cdy ❑ V llage ~E3 Town f a rest Road
/
New ConsWuxion Use 13 Residentiall Nurtnber of bedrooms Code derived design flaw rate
GPD
❑Replacement ❑ Public or commercial Describe:
Parent material________
Flood Plain elevation if applicable fl. -Al
lt:+-pd (OJr:~(r`= L
and recommendations.
t ~ Ll~,~`<fi~yt E'er S -{Pry. /CLIi+-n~a %a-a1a
❑ Bonny l
dng #
' Bo Q pit Ground surface cloy. Sal
✓ ft. Depth to limiting factor in. Application Rate
Horizon Depth Dominant Color Redox Description Texture gz.S istence Boundary Roots GPD/fF
in. Munsell Clu. Sz. Cont. Color 'E##1 'Eff#2
/-X
-26
Boring
^9 Iyy~
w pit Ground surface elev. _~Y' 1 f1. Depth to limiting factor -in. y-
oil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM
in. Munsell Cu. Sz. t Colo Gr. Sz. Sh. 'Eff#1 'EfN#2
11~ 2, X 1--4
'00 ,r2, IM 70
Effluent #1 = BOD > 30:5 226 mgfL and TSS >30 < 150 mgX ' Effluent #2 = BOD < 30 mKA and TSS < 30 rtxyL I pb~ 1
CST Name (Please Pmt _ - nature CYST Number r 1
3
Address - Date Evaluation Conducted Telephone Number ~1
Property Owner Z /r . Parcel ID Page ~J of
Boring # ❑ Boring
ph Ground surface elev. /A ft. Depth to limiting facto in.
Soil lication Rate
Horizon Depth Dominant Colo Redox Description Texture Structure Consistence Boundary Roots GPD#f
in. Munsell Ou. Sz. Cont. Colo Gr. Sz. Sh. 'Ef1#1 'Eff#2
r~ c
/A /A
< L
❑ Boring # ❑ Boring
❑ pit Ground surface elev ft Depth to limiting factor in.
Soil Application Rate
Hoizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff
in. Munsell C1u. Sz. Cont. Colo Gr. Sz. Sh. •Eff#1 'Eff#2
❑ Boring I j Boring
❑ Pit Ground surface elev. It. Depth to limiting factor in. Sal Applicatiori Rate
Horizon Depth Dominant Cola Redox Description. Texture Structure Consistence Boundary Roots GPD#f
in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. •E##1 'E##2
I
Effluent #1 = BOD, > 30 1220 mg4 aril TSS >30 < 150 mg4. ' Effluent 42 = SOD, 130 oxA and TSS 130 nVL
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.
Sen#110 n. 6q0)
Property Owner i 1.Z;/ parcel ID ft Page of
E Boring # I❑IO~II Boring . .
ld pit Ground surface elev. f,. Depth to limiting factor -5-/ in. Soil nh:ation Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GoD, f
in. Munsefl Do Sz Com Color Gr. Sz Sh. •Eff#1 •Eff#2
r - I
i~
❑ Boring # ❑ Boring
❑ Pit Ground surface elev ft. Depth to limiting factor in.
- Soil AppliCahon Rale
r-- -
ri-u,wn Cropu, uurriir,anl CGi- R.rdoA Ueacnpl;.o TeAtuie Sirwiwe vnirAcni.c iriNridnfy Ruuia GrDnf
in. Muruell Ou. Sz. Corn. Color Gr. Sz. Sh •Eff#1 •Eff#2
i
I
I
Bonng# ❑ Boring
❑ Pit Ground surface elev. fl. Depth to limiting factor
Soil Apolicatbn Rate
Horizon Depth Dominant Color Redox Desorption. Texture Structure Consistence Boundary Roots Gzh
in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2
- -
_ I
Effluent #1 = BOD, > 30 < 220 rnryL and TSS >30 < 153 mgtL ' Effluent. #2 = BOO, 1 30 mgL1L and TSS < 30 mglL
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 605-266-3151 or TTY 605-264-5'
seu-urn M sm)
P: e i of -~oi<~ -/~<`l!_S'/~=-- Brian Parnell
- - c ssr 3131 ~
- Date_ !•s'
/
_
2yG - Om i~
fob -
0
- -
LO4
131, 758 sq. ft.
3.02 acres b^ \ \ ~ \
y Ooh `a EQgem~` LL k - \ \
,5$18 V hM yti \ ew.l \
OT28
S 10 57e. b
17
. ~ _ - L \ \ 130, 9 35 s ft.
.08
• Jz:_: ~ E° N . \ ' \ J. 01 acres
rt
~~'`2 LOT 5 V. IC
z--- ®
l o.._., .._.....,'131, 831 sq. ft.
3.03 acres 55a \
%
\ \ `U)
\ X
LOT6 ® \ \
\ \ 132, 706 sq. ft. \ \
3.05 acres \
49~ .20` \
\ i S 04'59„ W \ 33'~ \ 'g 79°58'49" •
c„
4 \ A ve.
39°58'49" •
X21
EC. 22 \ N 89'25'49" E \ }03 A6' ~
- 1324_47' LQI7 - - - • -o°
>30, 985 sq. ft. w • g N wA
6: J. 01 acres U a
SEC. 27 \a ~cF; w m
0
~ \ Q 384.94` ' a m f
\ \ S~3~p6j5 N
•o
92 ® ® \ 33'
\ LOT8 / \ \ 6
130, 747 sq. ft. \
\ \5D 3.00 acres \ \ •
\
7JO:YO..O O
26882
Drainage '
124At Eos~e*