HomeMy WebLinkAbout040-1285-40-000 (2) r
VMsconsn DaFamm~ntmCo:nrnrrcr PRIVATE SEWAGE SYSTEM ..oumy St. Croix
lamp D,ve: or
Safer' and
INSPECTION REPORT A•i r Pe: r+` 607048
GENERAL INFORMATION iA' IACH TO PERMIT' Ssae:'ISnILI No
Fersonal mi0'nct yo.. P'nv:': I:e us2U Im :F•_v"ssq 'vurp052F "nv'a:, LaN'. S :w I 1 t:ml]
PcnaA Holue's Na r4C e, 'Jtlla Pt Taw•nstvp P.rrd Tar: `.v
Jonathan and Ashley Wire TOWN OF TROY 040-1285-40-000
End Lieu ins( By Fine Bfi h+r-:r:;N nn Secbnm'7oxnrS2unpC••.^Aa; \c
oc CQ 09.28.19.1618 eacp- TANK INFORMATION ELEVATION DATA
I YPE NANLIFAC-ORFR CA'A;;I'Y 9IA"ION RS HI -S ELEV
Septic !-i en. Genenmari,
/L5~ 9;95 162.3 92.38
Dosing - All BIA
r yt. (ALA. Z'Zlo 66 •6-7
Aeration r,( • RItlO SZWef t Ri
Hoidinn SI:H1 Intel
SUHt Outlet
TANK SETBACK INFORMATION
TANK trr P'_ :4'LLL Ei-Dl. rare is N' inLikn ROAD D, eiel
M
Septic / DI Holler.
I5 7
/ 7.5 7n
Dua ng i la:aaet?PAau. 3.31
Aeration Pipe
q.e
Hadnlg Rot s Aenl if O. 4D9Z• 31 b~,
PUMP/SIPHON INFORMATION renal O'adz AJ.L 97. 6 1
Manufacturer DCntand St Cover
GPM
Nadel
T:1H : dl nClmit Loss Sys few t1 T:1H rl
Porrernam L&II Dla. C^•::n NnP
SOIL ABSORPTION SYSTEM
BEDrTRENCII Vwatn / r.o. 7 l rencnes C. PIT DIMENSIONS N. i:' Prt= I^sioC Dla omd Geptr
DIMENSIONS 3 yf !ems
SETBACK SYS IF1.1 V P.•_ 6'.)r... :NLL_ LAKL!STREANI IFACHING Man,,farr.:r
INFORMATION lYa~ Ut e, stLn CIIAMBER UR ~H
6ledci Numdar 1- S
O 71S lam) UNIT Cl
7~ • - ~i-
DISTRIBUTION SYSTEM Z LjeP L
"eaC^NLlandop Dlslnautxlp r ~clz iiae r Ham Spa<:c_ 'lent IcYa'~YaMe
PipaisI ` Sa E S
c.ptrv to r;n_pr Oi i_ spsnn5
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
e;An ienr Jean, (.•rv xr. De>m tl I X, o..•nnd/ odoeu rJumnud
`N Hxu'Iremr-apes ` topsail ~.`sn. Plc -yes Nc
COMMENTS: (Include Cale dscrepen0I pzl\nnS. ele\ent. elc.; Inspectlor #1 Inwp lion F2
Location: 536 ORCHARD DR rr q~ C
1.) Alt RA1 Des: npnon = ~6 (Ne Ckv C,. i / I I
~j0.(agZ GoC ✓ ~O ~L,
z. eldq sewer length - U C ^ ~ 0 ~~tt A
amount of cover = E7~~ _ry s~~ O t ~r/ ~I I, • 7
Plan:evision Reouire0 Yes> No Z~'', ~G V 1 /~~~ls
the wnv, tdde ror acldluonal mformannn _ / _YI
Idle In^.cn:a ' . +ianal Gen. No.
3FP ,`ti. iP -
W
s iodootrY Services Divtmm
Ave 5T. rid lx COLY4 P.O. am 7162
-7 -soEry Permit Ntnaba (l0 be isu.d in by CoJ
(a6-704 ~6
Sanitary-Permit Application4F Soft
k tcWdsse sps 3R)17(7J. Wis Adm.code-atb.nimiion dins faunm Aift
r m9akd error Daabmun~ a sxnrlwy pemut Nast Aprb m 6naa 6 +pPtaptaaD rauanetmtV nut
Deptt.mwd of $olrty wd Pmkssimd Savicer. Peasant ioewmrtiott Ym ppmxk =my ~ f "ad'a Pw~t d" dns.d
m eamtdYlCe with dte - law S IS. 1 ® am& Y
L IeaM~ntlne - Pkaaa Pelt M lafor>.ealaw ~.]IaME~ ~ f~✓ O V r~.(dJ
Pmpary Ovntw'a Nacre ~ J L
' Peed t
l+aPary Owrw'e S4rlvts Addaa
5~3 f? Dk d M r~ f R Ptnpaty Lac~m
far. sere zip cam ~Nb. Govt La
_ er~e~A
IL Type ntBiiie6 (ekeek d sYt apply) ~ tat Y T 2 d N: R --tj:~E
1 ere 2 Femdy Dwdlies -Nmtbw dRedaana - Name suhd~ ❑PkbinCu-.W-D...b. U.
❑ ciq•d
❑ 9me Q.wed - Derwibe (be CSAI Nt:m6w
I ❑ V Rte wf
Z 3 S w LS+Zrotrdr_j4-
5!5
IIL Type dPtv»it (Claett rli • Bne A. fwd mm B itnppsmbk)
A. ❑ New Symm
~9V•~eenSyrtem' ❑ Tmeaao.. lNddwg Twti Rapituemmt DdT ❑ Omer Mc&altm
Before E S• ❑ Pa Rmewel Pami R..vieim ❑ ChOW dP►mba ❑ Remit 7vartNew e.iPanc Nw V MW D ft lmad
ugtapm Onma
[Y. _ Chu* a0 amp
NODAessertmd bC~
00- Pi,,,d 1,e ❑ At•Oram ❑ Maad>24 m o(WmA ad ❑ M.W <24 a der O*k
V. Dmpa C- mtea(.Wlem) .DA• ( ) 4nrt~~a~'7fj,~ CJ~~
~ Ara In
t>. Clow fw'Ytioc / I
Deryao sail Appimmebm Dapuar Ara Ragtime (at) wf t/S Gtr 1. iS
Dapaal Am. Ropcsed (at;/ bymm Daysum I
VI. Tuk lnb
MM Tf e]c.uerw a • (iellom Utra S I 1
wtdsTnhi61'+1nCt `A Vd yy y3~
smsa «bltslT~- - ) rI » yy t„
VIL Shaeaeat- Lme
Pleoeber's Nam (Print) Pltmb~r s e for l.aYarr .rge Po" s... o. se numcmd
i 7H AI,1A)6.S Ntmbw Btm=Ph= Ntmbw
PI •S Addeea (stma~ c r. setts 2w cam) , ` zZ41)37 715- 579-zd
CS HI S7 LIACO T S(472vtn um
' Pa md Fee Dose tars SWNDW
Reetaon 6r Deaid s 56b-00
3 Z4 ~cJ
• t. cn; t •nDt(wrtoYa Y`a.•~ ~•a JW : , S P c8 ~o
ohprr. vt cvtl suit dl /
As per awrayentrC plin p•wldva Lv Au,noe~. 4) [~„•,~p /..o leiv"re_D
I 2. AY xM,v;k rnetitnHerts maul w a,r.:. ~i e .
f a Wr rti+pi'crbti rrx:•s i :.rA; ^n rt 1. !5 ~J fide' ~-p L 11
Amt.nm.ptie PM.. for
VI~~ S
.l.b W s~0sft is ~e Cj y~ r pip .a y. a ~t a 11 1.~4 m alx
SIID-6398 (lt 09114)
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In-Ground Gravity Plan PAGE 1 OF 4
Index & Cover Sheet
COWWWOnt V ~0~p~ 1/Reftw"w
012)
Pg 1 of 4 Index & Cover Sheet
Pg 2 of 4 Plot Plan
Pg 3 of 4 Dispersal Area Cross-section & Plan View
Pg 4 of 4 Management Plan
Athichments:
POWT'S lical for Review
Soil Evaluation R Site M
SEPTIC TA+vK Acc<r -MeAn
Project Name / Description
Owner Wine(s): _Or[,v Phone: _
Owner Address: 53,! Ok •NARD -LC V T!_ V
Zip 5~/oi Pa Address: Mt-
Govt.
LA* N E_ 114 of N VI 14, Section 09
Township: T 2-8 W-R__f E]or WEfl
Project Parcel ID ~t irKp: 5T C RorX
Designw Information
Designer Hams: ~ ~,li~V ~ f)uPr't27
71S t-~_ l77~
~9~'Addrsss:-ZS4g7 Kl~1c~.QR71lu C+ llaera ,p, Phone.
Zip'.
E•rrgY' h01
e-5 G ,,.~i__✓ P' eovk This
r
License Number _ J C~1- op 7 > ,1 I uamp.
V~ZV
Remarks: [_o-r ._y Tf~ /1f 'a -1 'L ••Q • V a'.
HUPP.,
Signature: -7--7'
/ 1pM
cow
orw' o,oo.o Date: i
0
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In-ground GraPAGE 4 OF 4
~Y Management Plan
The aaemraf"in9,a,a,d
_ pe _
regiiaaierr, ~ ,P.,,,,,
SPS 3er~,~,, =Wb ►r- . ahap ba
m%="& a fartr
~ f WS 30M
~
Nm"" haft cfmn w .h.,'o~o~o'`"°'.i, (z) p1 mb (n Vftr. acmrdr,aa ae7~ WS sew Adx*L ~ Pwfaaud by *a Mmand
a =:rab in
AMPWBftL&bAW Din F~o.►• ~
~4S?!3moL-~ ,8SS159N O,' FOGS 30mWO
° type of ure /BPBCT EVMV 3 YE/IRg
° 9Ya of etybm
O mob" 9011" "comkak% bm attPufnpet vabraa, w~iWae, monk ea:)
° iArvakaaein amodam eic)
o a dd ft^ a wpm and
apeclaW d eyieja' '~O1Ickpsaves)
ooak g b"Ulw - ifs dewr~p
asfaos d ye of aiiust or waapa bBd`-&W kft mbwckms m vWp"m" - am"Pme 1D dmdW ~ePeCti C.I n)
o rAN EVERY 3 TEAM (CW VAM MMMW
bYa 8° mom sd by w as www ~ ~ mew ~4 °PO~~r ~~d elder a Z81.~8 Wis
0 o~r~ of oarwae abd be Phu mt to NR i ~ °fc ) or
m aofdsa~aooa~4b arfe~a amadjWPrfodWalwslrabb&gwprSven12
=Wftftbd
M AdWwCOdL anew y""wmw**W=w Mno bmmx wh
Plsmea/kbyidnoly°omPwy, arEefii o
~;J%f}/J_ r, _=N"•;,, / t
L oN~ ult T.
COAAAt ■ y! ~I~l OPM Enrr
Loud povanaaaa Ura addaat H u Dso--~, E Pliant 715 46
An
Cad& y doba)ve pat of flits syalem" ahd be
PlRAP for meant of bbd ar~w~.a..~a. ~~w4 or wApyb ptaauaat b ws 3st51(fl YAW_ Adein
accPftW r MM*arpA" dri~PtIWfS bs~!' uiedu~i* VAW-Adm6LCode.
Cpft"ft, dePa~baeat h be t"v~ 11 WW be °~d"epkmd by O ° ~eOwawd "pow~A &W bV. W dbp r.a Ywp4aad Puww~k b
PUw~a b a pA~d awa stdiable be
9r~es
t use of Oft POWrS'a dos o +ed R dW b ap'41,d b a MOWM aAM SM 3831M WIM AdniL Code
ST. CROU COtNW
SEPTIC TANK MAINTENANCE AGREEMI W
AND
OWNERSHIP CERTIRCATION FORM
(honer/Ruyer
Mailing Address : OR fbl k'
Property Address I S M~
(Verification 6qW~ from Platen &
(:tty/State I I I , ~ Z4()O1°8 DWarmrmt for new oom tr,
~ I `E Parcel Identification Number
Ova- t zs5- yp_ d 00
LF.GAi Dtte~-oio~ON
Property Location / )F
NU~/.,Sec., G. T ~NR l
~ W, Town of TiC p
Subdivision Plat:__ THE
. ~
Let
Certified Survey Map # AfA- # -
Volume -
WPaw arranty Deed # # -
- (before 2007)Volurne page
sure boom ~-7a ~ to
Lof ban idmbfiable yapno
SYSTEM MAINTENANCE A_N~ _ CER ATTtDN Lmprow maintc ,mace Co~eo f ~~out ~of h~a septic sYsoem could ranlt in ib Pn~e failure to
the System cao affect the fuocpon of mP c tack every three year: or sooner , if needed, by !handle p~ P
racPoosibititia we p §SM 3 2(i Iiink wit in ~ IZs4SgteC~~ ~ m~ yc n m ma,
otur,er annZyMa
mpa"skr" Woes p ro submit b St. Croix CoU* Planoiag g
wacmwatm disposw ay~m p Plarabcw m*icted plumber or a ol,,d a eatificatiom form, signed by the
less d= 1/3 full of sitdge, o"a'g condition and/or (2) after itt Put verifying that (1) the oa-site
Vecbm and 8 (If YX the septic tank is
St~ i, was set by the Dip tmmt of Salty. A~ ar~ $0 `b°intain we private se"V b~al sy~em with the
Comfy Plaoaing 8 canon, sbnng that Your septic sYsfam has bem mamta~~ m"ms wW &a
w be DRS of Nn..
t~txs
7'onm8 D"parm,mt within 30 days of the three yea oOiraboo do, mnV tad reftanad to Ilia St Crnlx
Uwe comfy dw all ~mmts on
Property desuibed move 6)virtue of a Fonn y deed rooorded in Rt gtstet of Deed4 office
1/wo +udare the owner(s) tithe
I emkr of bWmona J
C! -
SIGNATiJRE APPL (S)
"•A,ry information that is UATF
rndade with this apP(icaoon a "Y malt io the samrrY Petarr being reaoked ty the IMarming g .a.
ttfetetee is made in the warranty dcwi warranty dced from the Regisaer of Deck Office and a copy of the cerh aw~Pa
ST. CROIX COUNTY ZONING OFFICE
CERTIFICATION STATEMENT
FOR UTILIZATION OF EXISTING SEPTIC TANK(S)
This is to certify that I have inspected the existing septic and/or dose tank
presently serving the following residence:
(Street address)- OF'CgfVIP t?D
at: Section D9 Town located
Town of 9' N, Range_ F1
Upon inspection, St. Croix County Wisconsin.
pection I certify that I have found the tank(s), to the best of my
knowledge, will conform to the requirements of SPS. 384.25, and it (they)
appear(s) to be functioning properly.
Most recent date of inspection or service _ / / r'
- -
Did flow track occur from absorption system? Yes No
(if no, skip next line.)
Approximate volume or length of time: gallons minutcS
Tank Capacity: -
Construction: Prefab Concrete Steel Other
Manufacturer (if known):
Age of Tank (if known): -
Permit number (if known) - -
' ~J7fi !7r~r•?/;!ice
Ains4lu4m~4r ign tore) (Print Name)
title) ` - = ~1
(License Number)-MP/MPRS
/U
(Date)
Form to be completed by licensed plumber (Dept of Safety and Professional
Services Chapter 305 and s. 145.06, Wisconsin Statutes) or licensed disposer
(NR 113 Wisconsin Administrative Code)
Rev. 2/2012
c L.ov MG. NI . g i v
ID V)
L4 l C~ N.B. 109949 sq. ft. "I i Of Q ; I N
w I I
/ g / / / / I ; co I S 39 314 3" E
66.00'
0 1Sa.?4 S 72'59'17" W ,133.00'
/ S 12
C5
.
OT 03,71 ^ 33.00 14 31
10 2 o ~S~q Ft. ? F \ 113 tt ~9~65 0X
\
B. 2.08 AC. LOT 21- ~
N. B. 90810 sq~-it. r, \
' 109484 Sq. Ft. \ r
_ W 2.51 Ac.
10 p2 `3 ! N.B. 2.51 AC.~ 'p ' J
484 sq. ft. v\ ~'pp ~ \
4 45 5 r N.B 109 2
32 MATCH LINL
3 LOT 25 25 457.43' S 89'43'28" W ps'
F
O O1 \
o j 109435 Sq. Ft. LOT 24 ~.A CI
Mo 2.51 Ac. a
_ N.B. 2.32 AC_ _
N.13. 101044 sq. ft. \ o ~0 113914 Sq. Ft. `
- 2.62 Ac.
~S=~etisa4 w F N.B. 2.62 AC.
20' DRAINAGE Jrb'28 N.R. 11 914 sq. ft.
$ EASEMENT 4~"E DEDICATED TO
o U~ THE PUBLIC
408.71' 'v. 11 414.67'
1051.99 S 88'45 38 W
- cbi- - - - - - - - - - - - - ORCHARD DRIVE-- - - - - - - - - -
I 1051.99' N 88'45'38" E
294 297 00
- .0 - - - - .00 - - s . POND IIwE _ 292.
f
904.40'
LOT12 LO 13L T 14
CA 84.13
109112 Sq. Ft. j 110514 Sq. Ft.s 89.34.04• E 109006 Sq. Ft.
2.50 Ac. 2.54_ Ac. 2.50 Ac.
- - I I r~ I
Z N.B. 2.25 AC. nVi N.B. 2.44 AC.
N.B. 2.50 AC. 0 N.B. 98014 sq. ft. 'I N.B. lT220 sq. ft.
N.B. 109112 sq. ft.
_ct
L - - - - - - v> I_ -
N p
Ln
~ N
SEE DETAII A
m
oa nn'
=sin'DePnsncnl of Commomo PRIVATE SEWAGE SYSTEM County. St. Croix
lately and Building Division
INSPECTION REPORT Sanitary Permit No:
395201
GENERAL INFORMATION (ATTACH TO PERMIT) Slate Plan ID No:
Personal infomretim you provide may be used for secondary purposes (Privacy Lew. a. 15.04 (1)(m)!,
permit Holdofs Name'. City Village To«nsNp Parcel Tax No:
Miller Sam Troy Townshi 040-1285 00-000
CST BM Elov I1 p BM Elev ant Descdpum:
112 el I / 6 v r
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic lL w Benchmark 0 - /O
- - - - - - Alt BM S. za _
Aeration - - Bldg. Sewer It Q o/
Holdln I Inlet / D
J/Q - ;101 5r- 9 a
t Outlet
TANK SETBACK INFORMATION I(. / • a16
TANK TO P/L WELL BLDG. venue Airhtake ROAD Inlet
Septic / Ot
yj2 I I~.S~
Header/Man.
_ l2. a0 j, ~
Aeration Dist, Pi L /l."o
R 9Yis
odding _ Bot. System L /y. 5- 2 - s7
= T 2.3 T-S~7
Final Grade
PUMP/SIPHON INFORMATION 9~ 73
Man er Demand St Cover
C,PM S 2S /00
Model Number -
I
TUH Lift Ion Loss Syste ead DH Ft
j
ForCenlayY Leng01 Dia. Dist to Wen
SOIL ABSORPTION SYSTEM (l
BEDTTRENCH vII0, I.engrh No. rentlles PIT DIMENSIONS Nu. Ot Pda Inside Dia. Lieca+d Depth
DIMENSIONS 2 : ' Z
SETBACK SYSTEM TO PIL BLDG ELL LAKEISTREAM LEACHpiO Manufacturer
INFORMATIO C BE j
Type Of System: _ Model Number
Lr T
DISTRIBUTION SYSTEM
FkaderlManifald Distribution x Hole Size x Hole Speang vent to Air Intake
f Pipe(s) i i-} n
LenpM t~Dia Ltxgth Una Spadng!2, ~Op
SOIL COVER x Pressure Systems Only xx mound or At-Grade Systems Only
Depth omr Depth Over xx Depth of xx Seeded5odded Mukha
Been ranch Center Badrrranch Edlles Topsoil I-01 Yes ■ No INJ Yes (J No
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:_ (D ! L3 1_,CZI Inspection 02:-
1/Z
Location: 538 Orchard Drive Hudson/ WI X540116 (NE 114 NW 1149 T28N R19yy/~ The Orchard Lot z4 Parcel No: 0938.19.1618
l
1.) Alt SM Destxipbon = r { t 4./ i~ y-~ /Obsc/ vtaT'.y,--p /•y"o • s" rid 2r~ 444. eU
2.) Bldg sewer length = / S r t Yh.~ !<.rit~ &4(
- amount of cover =/'N'
3,m will a.~ 4~ (
Plan revision Required? is Yes .10 No 7-6
Use other side for additional information. e - C -
~~/ll/ Data 111111 ( Ix lure cad
SBO.6710 in 3/97)
F
II
o
Cary
Wild DwIllialm ~ ~ 201 N. NBUAigBOd Avg., P.O. Boa 7162 3r Ad1
NI 53707 - 7162
31ddi11ad. i'
5 ovcwowt pR.
Do nt of Commarod _ sdaiwa hdril 1, '
Sanitary Permit Appli 3 9 S~ 01
Y Bmr11 d• aB. 0.21. NY. Adm. CBde. rai.o.l ) ra 0 Crds rawww
r 11x arBB Rai LD. "wMd
L yPrcrr. i3re0d11hd - P+r... PAd AN F.CEI
rByBBO OWWB"drB pwod"0ar - aDU
5 /1iB%l 1 /1'/ L L Ei L - ` PtepaOr
f
PArpP~rfBlWrtAYBr t<M ~w'3 Bleot"aailBe
Chr. " B/ B
jJP cob rYOM Naalbed I,r" a~Eed Z C
. am
C3M "nailer
/ E ~CffAR
v N wl -y0r Sr .774
arPb7 don
IL Tyr •r Willing (ebd all dot
jJr3PewDwBrl-"BBdr@f-'
❑ IIi11elOBoolossolol - DBdrM tlr Nang Rood
IM OWMA
11 1 1
iz t f ~oD)fr~t~i~= 1~ 1 f721 yu,6~ OK[Ng2p 2l1/E
(2)3v ?JS
D2. hrB at POda (L1eeh lonly Ms M aide A (.mbrrs tw r+rdd Now). a'te' B"' D r dPP~
A. 3 ❑ ap.aBaierai 6 ❑ Adarr.e .alb ! 5 i /-00 0 i
: ❑ BBpBaBaiBr>rrr Took
Dar aired
n..+l"..e.r
B. ❑a.ararBOrP•srr..l..Bb'rB.'°
iMrgPb)h ~ri'B■'rtarlet0dald11d e 3
1V.1yPa K rafla l~k 4713 3011 PAW S6 ❑ Coruav d Ndled
0A N.. il❑ MaOd Sl ❑ DrlpUO a -T2LNUaE 5
220 > "Le 410 Bowa'>mt a ❑ uede n.
30❑osr
V❑MOlele 460 AnaE C Tmuo d tak *0 3 K 9 3, 7 S
V. ABr Ind lBdoalailw RBM Ar°° ®erailoo Pi01 OndB
DMIAP lbw (00 D~ AM ~ AM ~ .R) OAWJMW / BMrrra
(opp SDo S3/ .'J(i,2 q2 ,S `~(o S
PI" so 3MBi PMr Ph11dc
VL Tmk Lb Cwmft r Tad "mar 1d+aidW~ COMM Cusaaiolad Orr
awam OJBO o(T=b
!Iw ■rhat
(c0 3F 2 '
MdBrerWd7f~ - -a
Fr Tf r7 .
a er,-e air rBddaihn at din POWS des" a as ailed"
vII
r~eBd . sl6■leae wnuns "mbr arrer rrrB "d.er
9 Z--
IbsbBr (rrro o N E L 71'! d1v -Z Z, O 3 G ° 8 6- Fe I
pd,BBr, CIV. 3mB. zlr Cade)
70 Nu NT .,z le DGC Rorly NvU;c ~U! s
0
VUL un Do JUNIOR
3.airq rrr a. (Iry11B. oeBed.BBr
IkAMM-d ❑ DWWM d Sad mop tb)
❑ 0ew alwa IoW Adm" CIS
Dsdrisd0
u,~orWdd11 t APPa••dYlfdrmB ar Dr.PP....1 FA-
dBa~rrB ~eBB dcBOyeedD d.r~wO A/BrrrrMau rBlai
wag
CRD-6398 (R. 05/01)
Nrscorah0eprbrwsulCarawce SOIL EVALUATION REPORT 1402
D AI of S@My end tkddeps POP - 1 of _ 3, -
h aoWMXSMh Comm 85,1Nr. Ad m. Cods ACE. Sod a Stn E%dueBors
Atra aenplele sr glen a+ na lee em 8%: 11:dss: eaa Pter sad CassY
nabs. and m raked Irc e i & ar0ao aaeel rde a peel (ajI arc , eM St CAoh
wc" s:pe• scdea dkaealar hoft arras, ad bralfa, eM dktara b Surat reed Paod I.D.
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rut 9 T 28 N R 19 W
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PO Box 151 ~t ' 8789 T Plat Of Mier s Orchard
City Stale - _1 City
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w l 5~9 T. . Bauer Road 8 Orchard Drive
✓_J Nov Cawbudlun ilea #1 Resida,a/ / search at baaoons 4 Coda dshad _GPD
_j pepla smut flow raft 600 -
J Pubscaasmardel-Daaa6ec
Parent new Glacial ouhNash Flood plain aWI M qVi c" na
Genoa tanalrab
and rarxnanatlellarr: Recommend installing 2 trenches at 3' x 90.825', uskrg 29 high capacity BioDMuser nftn* r chambas at
system elav. - 92.501.
BarYp i Barkg
f6 Ps Grel.d Supra elev. 98,1_5 R Depth to Filkrp (attar >133' In. Sol sppYia Rer
FlarQm Oedlh Danirv Cobr Reds Descrgeri Tad" Skudw Casla,n Bondy Reoa _
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CST rear-(Pleas PI'M
James K Thompson _ CST Number
Addeo AC -E Sad d Sae Evdudtas - 3802
Oela Evakiekor,Ca,dulsal Telephone Number
340 Pa on labs tars, Okcecla. WI 5402D 4123/01 715-248-7787
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Pnpwvc)ww Mier~sam Ppt _010-1039-60-OOD,IDf918.19.132_ Pep 2_d-3
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16 Pit GrouhdSh6lacadwr. 97.60 R Depth to! AN room >129• in. $0Appk16aRrte
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2 2734 10 - if 0.5 0.9
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5 51-03 i 10yh5AS - - none 6 069 ml cs ? 0.7 1.2
8 81129 IOyr5N none a 009 ml - 0.7 12
4 eam9t J ea:,9 a~r
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DSO lytmihrt Cab Rader Datop6ah Tads Seuya Coneelnoa Bandty Rom
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Bonehdsy i Rook
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116 Dq.rmrent of Cemmace is an equal gy014roq advice pro,kkr end eropiow ff you need aaieanoe b arm aervioat or
need material in an alternate ldao . Plem cooled the deturboeol at 608-25b31 M m TTY 608-264.9777.
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