Community Assessment Report - Onsite Sewage Treatment ...

!>03.01358.18470th St!>SB 4935.649SB 5938.528SB 2940.654 Soil Boring!( Other!A Deep Well!A Shallow Well") Holding TankWell SetbackNote: All points located near center of referenced objectExisting SSTS Type:_________________ Depth of sand in mound:___________________Depth to bottom of effluent dispersal area:_______________________ Elevation:____________Depth to seasonally saturated soils from soil boring:________________ Elevation:____________Existing Separation:_______________ Existing Tank Compliance (Compliant/Noncompliant)Dispersal/Treatment area compliance status: (ITPHS, Failure to protect groundwater, Compliant)Notes:_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________For Wenck Data Tracking only, data in blue box does not relate to ISTS compliance.Setbacks met: (yes/no) Future:____________________________________________Setback not met from tanks to: Well___ Buildings (10’)___ Property Line (10’)___ OHW (75’):___Setback met from absorption area to: Well___ Buildings (20’)___ Property Line (10’)___ OHW (75’):___Path: L:\2797\01\mxd\Inspection Maps\03-00104-40 Blank Map.mxd