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HomeMy WebLinkAbout010-1068-10-100n. PRIVATE SEWAGE SYSTEM mn•�S.uanoo aen INSPECTION REPORT e (ATTACH TO PERMIT) GEn.1 ,,rFORMATION m-o I"es �a'yn' p9m)4 vSm11No1° the Wink cm "' °` TOWN OF E eM Ei... .o. /GLa Mc/3M1 __.. TANK SETBNGK INFORMATION NMiO B�n6. �^ Sepllc Z9 � noanq Z9 / g� CS i. s COMMENTS: pretest ppe eboePnAeape,sena presem. As) wswon: 240TH ST r// GOJK I)Allsmce¢Mpel" z)ewy ewum -7 4 Ran mlonn F¢qu,ed7 Eye 5�9 Use°)�,,,,a.,°,ean o°.Imlornebw iLy s,oe71°)nm 7) I. ple.J I l �_ L�CGeort NoL'J IM, Aw 1�PO 3= 1182 6nB.ryk9imllNmnb�+�(m/h filldinbYCW r+ 1SF1 1Q It / MAY am� Madi.on.N 0707-71U /_152J1i ��., pnn Y/ ✓ coma n I it Applicatiol • onNumbw mm� - 831all.mie. Aam. nbmiremn ,.Nm,mtia 61110160'hz-7 —�— Nnar, u. - - mdlvn wiury prim^. ° Ap lotion ram mvmeomrctl o. �IwJ.rmr�mur�r.�m.i °ne,°ram.rmn r«pm.m mnn°.erm....mem i5rerrayinmuliip Waiw mR„ S..II �"��✓� Z¢Oiin L ApoliWift lef°rm.rlon- flow, Pnn. IeN.s ,'N I•rp rel. oln— G661a—lao 7Am vmamanR.Mdimpaamr vmpanlmannn 3 6S l3a /Ni ten. wl ,✓EN.u�N.�� zs T 30 N B76f eI"& T�.k� F 4,11es l 4✓� r�R6(3 9!S-`tT1'OI(7 drrWaB.nei.ehkaknune.ppiv = mmnimn Nane �Im anikow.11mp-n,mo-,nrBwmm�r � ❑vmliaca°mnid-wo;n um 641 aA Bm ep ❑cnd wx. ❑smeamw-omeabek. LTmm�r �•e� o-LU / 7N6/E dMii9 b x l AD Ma ps 88 Id °f Check 111°rt box m lift A. Comkm line B Ifa IimWe vsy.mn ❑Rrplarvnw5y=ryn ❑TennnVNdalnw Tmk Replavnem0.iN ❑Oare MNiM1aenw Evniµ Syrian (upl.ln) B. ❑p It Pao.W ❑Pamir Pcvirbn ❑C W,f ❑P=mnTnrfa woo,, LIM Fcc,ous Ymmn Nombm W Ome lual mmre Evpimim omh plr IV. TofP kSYaewcmM eMOevine: I Clack ail @Ma ..f ❑Nm-xomiW gomia ❑erer.mW m.eww ❑nr-crna ormim ❑muma=yd i°_ofwiubl=nil M(ofSol?k ❑HdJinp TUJr ❑Otiv DaoeL., ap cnt(mpil) Pwemrvnr IXM to V.pr n.VM1mene t u«mInto, an How im='mn ® a ab.an°m �i,oral --- 9r % re 0671 9=ema3 vot VI.T..nfn Cwa �I� W _ @� _ sma=mo.uee-r.n Z on Jw Sd Rm ❑ Spe VIL RUnpomielllryffi4oenry 46e naen¢. mo, e msmHe.Nrkeegrm +n=(Fiml be Mr TWa�L Shur Inmhi'r AaNm.(s°egcbi ESEW omw ItW^pee MenieWi Wi Sd7511J1 VI11. a M artmenaijolooni p 15i OF mOnr 1a, i.l s 666, 00 ( / a conaxp (pJol.npprvv.l s� :h..rp F ukl 1 MMgk,srlgkylwp, . 1 �.dr4ilsbewb/.Mrnzu SII 6398(1003116) .'lY� l30' Fw...,..s � .�, �.,.. - /�, __ la�6199P� (( 4 I�4_ ___ �/— — — — - - __ W n-s�- 4 ��eas- ��epasa��vv.�e� 9P UU 9 f .k4 a�aL+aC-Fvmc.s � �w✓ti�— �, o rd 1>` �' 6c �.-lL� yffi� L'�ufo„- >`f P� ,�oo�, %�0 r, 3Z �n �� m`�� �;.. ,,w-a� •�d�aaa�sz� o�Feb..-� �'8 RI.�Pee:ti a�Fl��-y a.+z aii "CI^•'§8o�s.aflzc'= 0 ngrW� / � OIVISIONOFINDUSTRYSERARE5 315PN LUIIS PL AY VA SPEFNContact Socodlarywr cas IMNIIbm.m9e9Mo9mmfn JsnownNey ov Troy Eaton - announce CXm- announce April 22, A19 CONDITIONAL APPROVAL conditionally APPROVED Pwry APPROVAL EXPIRES: 201 Plan Rev'mw: PWTSO4190M3] C DEPT. OF SAFETY AND PROFESSIONAL SERVICES TODDLSMZ DIVISION OF INDUSTRY SERVICES ESW9]08th Ave Mammon, W154]51 vT 4 p/q SITE: Samamhe Wink 140th Avc - TownofEM9RALD SEE CORRESPONDENCE Salnt(Cmix County Tonl Amounts $25000 FOR: Mount Compmearl Mwual— Vtt. Suit SBD-10691-P (NLIro1,R IW12) Penetration: 600 CPD aso mwme Required The submitW demtibetl above was been miewed Er woriumantt with eppliwhle Wisconsin Admininmive Codes end Wisconsin SmNlee. Thembmiro bar been CONDITIONALLY APPROVPD. Thiz system it u m converted and museumucmNmcewitF we enclwW approved plans and wvh any component amounts) referencetl ebove.The ownequtlefined in ahepW 10101(10).Wismnsin $mnRinresponrible for compliance Both till code r qulmmema. No person may engage in or work m ploong in tie Ionic unless licensed to do, an by the Depot per e. 145.06, The bellowing III wall be me during II • Any call grass". levee. and shrubs umll be out shoo and terraced poor as doling the asurface for insmllalion to pmvrnt mmtlng under the dLspetssl men • Prior to compar ion of the diapered area, check the months re concept of the I to a depth of 8 inches. SmembgIml aompading of wet will will malt in refacing the mfi1rrimt capacity of the wd PRISON poll dommus, vn as,dalenrimnM by tolling a eml sample between the lords. lilt mlb into n 114-inch whe. 0e siceism wet W prcpme. If it troubles, site prepvaion can proceed. If me rile k tm wet as prepare, do not pmeeed until it dries. To meet Pow velacW" between2 to 10 fcarnmond: Ae tlwayst good workmanship and attention in desalt during the IRM[iation process k critical in achieving s Eoul product that will p"fmm as designed Ablation tie exiting system components per SPS Try 33 ElMrinl connections shall comply with SPS 316AO and NEC 300 All piping shall computer to SPS Tebk 384J" and SPAS Table 38430.5 formate wall uwm beyond30 Get per SPS3gDJ0 Tlast A wpy of me approval plans, specifications and Nit lmef shall be on -site during construction and open re inspection by consumers] repraeus less of the Department which may include local inspectors. All pcmits requited by the sere a, me local municipality goal Tomrmod prior to communications of consmtdionlinaWlanoNapention. In Treeing this approved the Division of Indus" Some" reserves the right to require changes or addition Obeid wMirime udm making them necessary for code eomplimi As MNay Nap 101, 12(3), inching in this review shall mps ethe deigns of the responsibility 6rdesigning a We buddim , swami, or activated, inquiries unceming thiswmspnnderrt may be made to me at the telephone number listed below, m at the address on this letterhead. The above top ntldressee shall provide a copy of this Ies, ard the POWT$ management plan m the owe and my oNers who sore opomide for the insWlalm, opmmioo or rmrwrma of the POWTS. Siwrely, U/v8nu Travis Wagner POWTS Wastewater Specialist, Division of Industry Services (M8)59&0715 trysts w a erfavi MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX ME) TITLE PAGE ConAiGonelly Project Name: G nranlba Wink Project. VED Owners Name: Damages Wink nFPT nv RAFFTYA DPROFESSIONAL SERVICES Owners Address: 2405130th Ave all OF 'him STRY SERVICES Glenwoo]Oi Wi51013 AaN/ �L�rlU Legal Description NEVC NiS28 T30N R16W Tovmsnip: Emerald SEE CORRESPONDENCE County: SubdMalon Name: Lot Number'. No Block Number: Na Pa¢el I.D. Number: Plan Trenaactlon No: Page 1 Index and t9le Paget Daly entry Page Mi dmwings Page Lateral and dose tank Page 5 System maintenance specifications Page Management aM contingency plan Page] Pump cunre and specifications Page 8 Tank sperilrallons Page 9 Plot plan Designer'. *Si7119 Phone Number 1152352W Slgnalure: etl Pursuant to the Mwnb Component MenuelforP TS season 2c sim 1area 1p N. n1sm R.1d10),aM Wm SSWMP Publlnetim 9 fi Deflgn o1 Prmsure ONblbWicn N¢Mwk¢ Ior STS S I01191)and Pressure Distribution Component lexi Ver, 20580.10706G IN. arm R. ID112) Version] 0 IR. 11112) Paget at 9 Mound and Pressure Distribution Component Design Design Wwksheel Bee Information (R or C) R Residential Cr Commercial Design rvm. sanen 1 AD) ulcuerme urvmea 400.00 Estimated Wastewater Flow(gp0) tech aesPI I all "red c� 1.W Peaking Fander(a g. 15=150%) fli BCO.00 Eater, Fare (go) 8.00 Site Slope(%) 96.og Contour Line Elevatin(n) z600 Depth to mmiing Fa for (in) OAO In situ boll Appluatlon Rate (gptl/n') Distribution Cell Information 100.00 Dispemal Cell Length Along Contour (n)= 6.00 Cell Width Ch 1.00 Dispersal Cell Design Leading Rate (spitel°) 1 Indeed Wastewater Quality,(I or 2) Are the laterals the highest��Inl ,, 'm Ne tlishinuticn u Prsssura Diatlbueon Information reMmk? Enter Y orN (C or E)I rorEno Maniloltll9pecng(fl)IfN aboveenter the elevedon�er of Lateralscf the highesteolometer(in)ated DhnmSo oneOft tz.00 it/orifice amDiameter IlnlmainLength)Does the hear mean back? Tank Elevation (n) Enter Y or N System Head(n) x 1.3 16J1 Foreordain Setback (gal) most Lift (a) 90.29 5x Vold Volume (981) 55 15 rind Look(n) tofi.60 Minimum Does Volume (gal) 1 ' 0.00 Ini Filter Less(n) 26.93 System Demand gpm) 2G.47 Tdal Dynamic Head(n) . ti Lateral Diffusion Selection in. tlian raphons, choice 075 1 1 ]5 150 Iffianifted Diameter `1 : FJob in 0 300 Gellanallnah Calculator (optional) T ash ant Tank Information Total Tank Capacity (gal) 126DW Ss tic Tarn Capari(gal) Total Working Llgule Depth (in) Huncun Manufacturer gall (enter resu0 in orchB 9) Dove Tank Information 75800 Dose Tank Capacity (gal) 16.85 Ode Tank Volume (gallin) Full Manufacturer Project Sometime Wink Picked. Effluent Fill Information Lifetime Filler Filter Manufacturer LT118 Filter Model Number Page 2 of 9 Mound Plan and Cross Section Views Mound Component Dimensions B 1000n G 10.5D 11 J 500ft W 12049fl 600 Co (X°) Dispersal Dell Area 1509.15 pit) Basal Area Available 8.00(gi Linear Loading Rate 10 DOh fryoB Obs. Pipe Plxxmenl Mound Cross Section View Aggregate Dispersal Ares, Finished Grade 100.63 (n) —e 98.83 (it) 1 1 G I99.33 (tt) Lateral Dispersal Can is raven Barest on L D pp —98 00 (it) Contour Elevation 6.a -A site Slope Cenci 11 trial Cover Barbara lay $$ DIp ICII 5 Itl allson El stall $e 15It ©®s T nilitdi'reankumb flateral0 ABTM C33 Santl Z i Z. R equally TIII tlLeyar g 0 _ l tlI the ©� A9gra9ale Wit. Gnt II's ra ne n We j--q� diaNEWion cal (AxPHB). Fort Samantha Wink protect Page3of 9 End Connection Lateral Layout Diagram areamw•e .wauu.vi.e wx—. e,.,.,ru.�x.a as uoa DnGce Dlameler Number of LateralsJ26 0.158 in Lateral Diameterin Defeat Spacing (%) •LOX Lateral Length(P)X Off sea per Lateral 25 Lateral Spacing(S)It Or?se Density 1200 X°brdice lateral Flow Rabegpm Manifold Length 3.00X System Flow Rategpm Manifold Diameter 150 in Total Dynamic HeadX Forstmann Well 275 Nsec Dose Tank information Loumero".r.,ln.eml"e el®,"e lewts"n ly dal p °'"� baexl --4 Talk 111i wm.mmm.e ua, Nurccu c ManOreourer ca 1st og Gallons Volume 1895 galllrich Dimension Inches Oallons A 246fi 4t550 6 3313 633 633 0 D 12.00 20 02 202.0 Total p0.99 )SB 00 Alarm ManuatacWrer SJERhombus Alarm MWel Number liank Nert Pump Manufa0lurer Zoeller Pump Mesa Number KINNYU Pump Must Deliver 28.93 gpm at 26AT ItTDH Pfoil Samantha Wink Pmlect. Note: Switches Containing marcery may not be used in this system. Page 4 of 9 MDMnd S"WM Maintannardage and Opergartion Specificaticurps Service Provinces Name I TL Sinz Plumbi Inc. Phone T15-235-2644 Pi Regulators Name St Croix Count Zonln Pllone 71S386i680 Bvetem Flow and Lead Parameters Declgo Flow - Peak 600 gptl Maximum lMluent Panicle Size V3 In Estimated Flow - Average 1 400 gird Maximum BOD51 220 mg/L Septic Tank Capeciry 12W gel Maximum I get too M91L Soil Absorption Component Spej WO f1° Maximum FOCI 30 mg/L Type of Wastrawastal Domestic Maximum Facet Cami 110E4 Cfu/f00 mL Septic and Pump Tank Effluent Flltts Pump antl Controls Alen Pressure Sytlem Mound Cmer Service Freedom Ins antl/or a3 Should lnecect antl cleans least prove ever words Test once every 3 were Should test mortal 1111 isi be peened and proddi testes Worry 3 blade Inspect firr radius and assume once mart, 3 a runs r L Smx Pwmaln forneeds, Mieeetlaneous ConswaWn and Manual Standards 1 Observation pipes are slotted and materials mMorm to Table 3P3 384.30-1, have a wakCght cap, and are secured in as shown In the mound component manual. 2. Dispersal cell aggregate Odamm s to BPS 334.30 111 Was, Man Code. 3. All gravity and pressure piping materials conform or the requirements In SPS 3M Ws. Adds Cape. 4. Tillage of me basal area is aemmmilmod With a mold board Or chisel plow. S. The mound structure and other disturbed areas pull be seeded and mull to prevent sell erosion and help reduce frost penetration. Lateral Tum-up Detail Finished ......MLOi ......... Grade v 6-6 Diameter Thi ailed Cleai Sprinkler Valve BunPlug or Ball Vase Cameroonp an Benette terrace Drunk Lateral Protect Samantha Wink Project. Page 5 of 9 Mound System Management Plan PMdmmI O SIPS 3e154, Wls. Al. code General la ap¢m anell be opeaeled rests Zanre with SPS382So Win axe mamthuxd m amodi with aP wmpcnem ale[SOD S met A(N 0V01. ), SSWMP PubllalOn 96 (0ne11. a d Wayne 0miago, rAmporod III Van c 20 SOD, mPIN.^1m1, SNO gre, .lwRll ar.a doles genl howl ,far a all I pump link ... AN tle nlnaosY¢tem malnlenenm and death ^p. Soli 'I PIMP abandonment shall be In acmroam, Sum the 31 Sc We. Mm. Oone Man lb lank, areal longer used a¢ or PIMP nine ingnme, near, arr all and anal Amass abegb(rdel mall0.repacel shallM voted wee gN emit Ins mmpblen ecI eoarvi �Any enpniy Assumed nuneeu�tl. ae ow.org¢ clock to omen aaseenlal or umulMeud emry Into a lankorormmpenem reater than Nea m tliemeur men he seared my an au We locking TOO somal u W en mead, al oenm� aetharaner ak.a ]a look $hill We nMI am.ramrte: me Ads NN t ts, WINAd, Cleo me aperan t,Xan t mmm�ramt nor as de A W n, ng aonarac. of In, mnx .axe wtln hoer has de The 0 M Whes am mi 10 mew shall be llwllld It asset wi el ersd as nonsua to that may dipole Fa^epremgr cpmallcn ID bldge ¢Pon10 fiO be nmo,M Wha s prorbrom fitter e"Nv IltM 910"1memomramarmy. Nl mean room filler come m A,Mlnitosage ley m affer AN annYmpind Path Ad lam I endl alp Wall make he shall e Seeoul anx call Mal¢ mbr nno ,od whop the wlumeat9ldeep Ohio Al in the lank exweda to the liquid vemme of the tank If cOmi tithe they are not remaye at the In, of a rarrial acco ment, hainunance dememl,M1all prel lM loner of Well the li nxan�ea Im01 hp mmmt mtimlaces bmnl ae than maeikuse Scum and sludge acpperon In the lankThe andagaren rer it au a ere used they shall be nme"Amplumx ureby the Npmrsencyag enl ofday .e tom by B emry nth regmred. we ash podu at The (dmingl tank shall axe."pmI al east an,, r M n�nwummghm, alarms, one pas aALl be lenbdlc vMryProper opanuePump I(m eMuenl filler m lnalallM wiOIn MS IanF NxMube lmpx'Ied aM xenime nnwaary top Net scrsh bs$Muld NponWcnthemeum m maeam,ndtMmounPaaenmx and Nemmnd,hI as mi und Moody asnary bpnuenl War mrlbprwltleammepmlul tam fmxlgnetrenm. irerac(AlarPan Or ngMllre Imernni on the mound l¢ nth reWm,,MM elnce sdl mmprtben may Armen III Wide ingXnrlue mean tMMn the winterral and any, mramourn in Ins b act mmlraln 0 be ly mlcme n�muaMbhmoudaysWGeYOtt¢ 22019c8O0. OG15N0w1 nhlAeir9 lnaYllnlom FdeNr-FeOmraunaMdidrrltlneeleAPulami loere " general omN c mIprythemni,naem Ww ry otene maximum dig, ew wIOM wN aOu¢AingW mr tliM enddacM1 bbral. an WlI wthistersympermatel relalW bedmrm a Xowe bpOtnB Aa¢ mcmno and darMcecemiry a mquree to mamum epual tllselrlONlan Ieuets adore 6rpmMe Ameretl a95 an lmger,tl xM lrytlnuk fa'ure regwlry eddpolo,l In eh 16,hlmollonng�lorh,wnecandany �aeemWlankm aIndsollo tom pnem¢bemme Memre IM padilankarcemrml enearM g or, x d to keep lee srilem In addedParker If the mall up IN I'm P Pulp wmarld, 'Imer, or 1.1 Q hh all alleged I he deredNe MMPonsmlq a hall be lmMI okb help, lead or mpl,I AM A hall of IQ' mra, or If in' Morris w1i rate M moot wMigage o„M1A ins to vas Siimite' IQ Page 9 dheard d in An small and I Post said M eNmPonmla a Eeemthe Nal eo �eceas@he In hung rM aysta and probed �mgcoMYbry pe far phonehum as, N you r Ideal PDWTS repultla end urvbe premMrThe 1-�wliln old li use OF 8nanagem . all o: on a daW�ndm Pmml main¢ Such as Iambic Management unp¢ Of possession units am aNxbed as 6pI&W documents and arec the all manage l plan far this immure perlPage 6 Of 9 Flow -Mate In nigh head doornail or •xluam Ipploatl0n, We e pu Thine illthis other family of pumps le known for mlietiliodurabililyandp•xcrmxim. Theaepumpumnpeuallvesulbdbr harsh Orimmmend. Zoi over pun design and recall owder eoeWd Mercury finish add up making lanln6.noumHseproduat f PRYCP"On enatlnns RCIRKAPONS'. �• A dub capacity m,Ce our impeller eollda Srnvonin) lluh le" To mmbpn,aml wllaa opexrywlm "n" murder liable U35»rl®I _ • version ale 1451 soh h»aa aft,. n,."liab. for added pmr.mlen 01 memodels ggm,o mf»r,a,.l»Iwr, sere hrensz F,xnv hargeirmalhishores go B� u a 0Pll aenYn»ma. ZOEUG PUMP Sa f52 1,5 Dose -Mate p This is our Ir•m•1 growing line of oli pumps The 150 m •.Is truly In wrn nnee designed for sensitive d Interacting .=nnamrnrinanemhem erviromment 1 Eos. wide range or: Mo.e a hhnudThlyions F with l re preell suited pipe applications wren low pressure STEP pip• ILPPsZo era ...trun design and corrosion. nth run ,•been and awash maep, into p auctionThin.hm, Impatywemup to a long cloggingfreevamex Imh.n.,.aa he m r one-bnm9. boom¢ tree pm,pot. rVUCATION9: • XfOlourbignal Available in nonautomatic or with a venetla I ... I ki!' W(13 mmlmpelM1r,no, eaherwnh mnmount9m brummur For more lnhre lert aMlaarmhiml.real frivi , AGO■■■■■II■rim \■■■■■■■■ URVEN■■■■■l, ��h—WEEM■■■' . ■WNWEIN■■■l ■■NIONW■■■■'. ■■■■�►\\■■■ ■■■■W■RNI■■ 778,2231 1 Structural I wmrmxl.,mm HUFFWTi% ® �1,250 750, FARK LABEL 2' HIGH FORMER LETTERS COOLED SIDE ELEVATION (TAW BASE TOP, L COVER) WARNING LAPEL EISCIDED INTO CONCRETE CGVUC READS AS FOLLOWS FACES COULD CAUSE GAS Z�29 DIARETER CONCRETE COVER (TYPICAL) L� ACCESSORIES �101TIAR COVER OPTIONS EGG LIGHT CAP �162 GAL II =1EN (TANK BASE, TOP, a COVER) 55. C ol�asa/y�ft h I ��--3 � z�F ry Odd c. .tntRoi/j 96 R 4w°ea �o.�q MPs/ /- a^uarq1ah/ ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND p,, ,,ll�,, OWNERSHIP CERTIFICATION FORM wm OrlBuyer 0 knlny-& I r11ItO Mailing Address 241 IZIPI' PcA2. 0)IONII Mel Ill 5'Mss Property Address /32S24U"'a ediii2ill(`' (verinwionnqulredfmmpbnningAr^'ning oe vnmem %. rcwamuvuui I CLLyallalo PRmelldenllfieatlon Number LEGAL DMCMnION Properly Location b,ky_Y., $ee. Z$',T yTD NR)(a W, Town of 611161 Subdivision Plat: , Lot a Certified Survey Map Ioa4D I$ ,volume _,PI lotSn (before 200CVOlume Page A spec houu Oyer�(w IF IWer NrmiOehi'llym0no Impoper use end menwware of yomep6c ryemm eovld else In IsrynmYu,a be ua to Fondle wider OFF nasv ofm ul she wip" III every thee, C if needed, by, lumand p risen Wba you Pt mo Ilse FluorntlhG the Poncnn of the epee to 'Me'1'Nv111 alspaul aynet.Own maultai ate espomlbilaws nos ryele'd... ?L19]s0)and In Chapter la- St. Doll Came Salley 0klnume. The prepaMorvwr arm, to subm It b on CFO I X Cowny planning6IDning@pmrmmt ate C11111 EL ell by be I by am IF plumber, jo,iwyman stir p mottled plumber or a Hansad pumper vMfying that (I)the owner disposal system I, In IMF, opendng eond ow a auto, Ne, sa ) me, am puropise(if necmveyJil hlank aptie is Iess thanany In full of O mil, Awe. Jos nnaaragned he" a" the I mrs,rowlist, ono Rafe[ nine pre wage alspalyli who me mtlM AI6tllehere tbythe fro t of HaRty And Noce aptlSery and the Oepetl IOrmat sale ofwiw n. Cnnten IIthat yw mherbeeand a ompltled msd memed W the a prime Covey ng&IDoing Dep^'t mt within 30 Feesofthe the, year mmarloo data pl@eaertl fy that all naenaso h as wmthe for ofmyes, Ilwe aml then Map) at the pmpeM1y davlbetl bow, by vim, ofe war deed mOHnow6Jge. med In moss, !Lewis Offs Numbe,ofbedromate- 3 SIGNATURE OF APPLICANTS) DATE Any Inb ploamn full Is mompmscnhd may molt In it sudury perms both{ not by 0.e Planning ® ZI Oe Wnmenl. laterite whb this epprculal a moo, had amay dace feet the aegeMsnoll Off ee e.m a copy of the r ever ,an if rtemnee need[ be the entmnw dead. (REV. at MIDA T WIN Mw7 ��iism Mil .:nsl:eoim es.:.neysgs0uliei:RcUiIMMU:!i^e::.voaensosnc ZW 716-H 1676 Approx 1140 Sq. FL • �m+.��- •-r as i I C5r-e6I?-d.W oxmYnO - � n95wYv PI yNlon Zp18 SOIL EVq UATION REPORTI QCj l9 IneuwltlxmxlNSPbY5, VJe. bn. GAe COI .5f-c elb Wncn PY P5'AbNBNn 1I3x111npgeln etre. PlenmWlnclOM. h7ll�� rA notlev Wm xmMelepe. Per®II. G. :..T. evew Olm� bl nanLdNrnxx xe�W e Grp_ /0/ xae prlMail lrrtormetlon ReW by Ga Pelonxllnrclmenon o0 MI EavuO beemgeu PM la.'e. 15.041 m / Re r9 Pro ry I:bvwr popery Levan $ // .Sfj-� Cj (KF GM Let A)G'%S. T D IN E (or) W Probe"Onmale MCONOPM WIN Me&Y emC6W o`r %3o ueq 3 R�ras wry. PlltJo�C: am zm cooe Pnore, rveme.r ❑c ❑W ST N.n.nR.m (r( SYu —GI Jol Aue ■Newconnr�on ux:fRedmmlevuemoxae.eMonv'�.` YeMmrMelanno„mm�T�Po Z X ❑Replammeni Pepllo or wmmemel-gglb* p'6pm _n Y2 11, FImb Plan eYwllon X appllapN AA-R General comma era lemmxne.eorn / ` /, sf41 i�tX�G�IIr.Grl♦i�QrYio�+2-fy Sagyst(�WhDUM /O.Y v (o�. �O� © SwNgY ❑111 C Eye GmuMeulHaelw l6�0. lamxmilmlxnnxrn.2 gi. �IWAN e�ors�rs� MI��������o�ll �eonrer. Vii'rL:...,'�L ppSmM 8 n / ■Px Gmona.wrxY�_. o.Plnmlemmsrm�C m. Xollmn Ceplb In. WmhuMCebr Munxll Rebx Meulpilm pu. Pi. Cora. Cg0.v TWun SI Gr. 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