HomeMy WebLinkAbout03317 --�� INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION
OWNER J CK 1/46-- s nn
ADDRESS 029 GLEN PEE ,Ch. /7SPEN PHONE 9620- 30z7
CONTRACTOR ZOu /✓foo,eE
ADDRESS /&h // 141. 92 r. 8o#4Att PHONE ? S-00f Z
PERMIT REQUEST FOR (X) NEW INSTALLATION ( ) ALTERATION ( ) REPAIR
Attach separate sheets or report showing entire area with respect to surrounding areas, topography of area, habitable
building, location of potable water wells, soil percolation test holes, soil profiles in test holes (See page 4).
LOCATION OF PROPOSED FACILITY: n
Near what City of Town IL TeREG Size of Lot 7 < /9caes
Legal Description or Address 497 ` / ENG41/412) A _�ll13.1>/ V/S/ ON
WASTES TYPE: 9() DWELLING ( ) TRANSIENT USE
( ) COMMERCIAL OR INDUSTRIAL ( ) NON - DOMESTIC WASTES
( ) OTHER - DESCRIBE
BUILDING OR SERVICE TYPE: ?ES/ b6 NTi',4(.
Number of Bedrooms z Number of Persons Z
(X) Garbage Grinder QC) Automatic Washer (x) Dishwasher
SOURCE AND TYPE OF WATER SUPPLY: ()c) WELL ( ) SPRING ( ) STREAM OR CREEK
If supplied by Community Water, give name of supplier:
DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM:
Was an effort made to connect to the Community System? 1V /4
A site plan is required to be submitted that indicates the following MINIMUM distances:
Leach Field to Well: 100 feet
Septic Tank to Well: 50 feet
Leach Field to Irrigation Ditches, Stream or Water Course: 50 feet
Septic System to Property Lines: 10 feet
YOUR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT WILL NOT BE ISSUED WITHOUT
A SITE PLAN.
GROUND CONDITIONS: ii
Depth to first Ground Water Table H .U2itcib LC %LE gore 7 / e 9 � .i 4 y
EN /1 / //y c o umirEn. , Gn« k/47-6-07_ Se-E PST PAGE x/8
Percent Ground Slope EU kit ;AM c; .n rc,47-
2
•
BORING 1 BORING 2 PROFILE BORING
ELEV. = 6318' ELEV. = 6318' ELEV. = 6318.5'
. — 6320 6320
— ,: ':
E ll 4/6.14/6
6315 r^ w�30.7 3 e 50/7 6315
3 0 r '1 - 200-43 = . 35/12
7 /12 4 1, wC =7.2 � ■
.
_ /A/ -200 -7 iH "i
5�
5/12 6/12
Ti ,� 6310 km : WC •26.9 6310 - v
1 0/12 6/12 - I
P C t4 ES' o MY .4 xvx
--- 12/3.10/0 - 200 - 54 s4 6305 F, w — 6305 —
50/7
1
�� 6300 6300
., 6295
6295
Note: Explanation of symbols is shown on Fig. 3.
198 152 -1I H E WO CHNICAL, WI LAK LOGS OF EXPLORATORY BORINGS I Fig. 2 C.