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HomeMy WebLinkAbout026-1119-17-000 . \ � \ \ 0 69 o � c A} } 2 $222 : . 77§\ % R2c f ¥�;7 cl a E 27 0 k \ ]ff: / ( K) & . �fR \ / ©�& ;! § k \)ko) . \ ƒ �$a )& © \ k \aL / 7/2§§] § ; J � z c E E % i . 0 I . / § k « 0 R u\ a 2 5 ) 0 , 0 § k � 0 r # 2\ c k { '0 @/ n / = 9 2 > 2 � % z / \ - . f z § . § r m E ^ , � e C ® i / 0 kk a. D } I ,= 0 0 0 } $ �.0 a a a J i _ a k 8 ;z � s o � � �z / k E 0 2 §= df I C L # \ a to § o - . c E 9 �}[ l j § C 6 5 -0 § ca , 2 J 2 §! U) d 2 5& . ■ aE c aa� - §] t§§ 2 o e t a g o04 2§ o r o z_ y ■ n § , . � a § 2 » ! � I o 0 a o U) v , Pc. Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM St. C roix Safety and Buildings Division Count INSPECTION REPORT G ENERAL INFORMATION (ATTACH TO PERMIT) Sanita 90'0.: Personal information you provice may be used for secondary purposes [Privacy Lawx3.15.04(1)(m)]. LJ O WAAIme: 11 city ❑ � '*VM drT6wnshi State Plan ID No.: CST BM Elev.: , Insp. BM Elev.: BM Description: Parceld2w9.119 -17 -000 CO . 0 (� .O 5 U'CuiS�w+ gvu► TANK INFORMATION ELEVATION DATA `rt L TYPE MANUFACTURER CAPACITY STATION S HI FS ELEV. Septic C WlW \ Z pp Benchmark q o 1 ao. o r Dosing Alt p 3.15 IMI l Aeration Bldg. Sewer l 99,g3 Holdin St /Ht Inlet TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/ L WELL BLDG. Aiir Intake ROAD Dt Inlet Septic ti 5 2 �'�� NA Dt Bottom `--� Dosing NA Header / Man. Aeration NA Dist. Pipe Holding Bot. System PUMP / SIPHON INFORMATION Grade -- no+ Ma nufacturer mand Mode u GPM TD Lift Friction System DH Ft Forcemain Length Dia. F{ Dist. To well SOIL ABSORPTION SYSTEM BED/TRENCH Width r Length No f T enches PIT No. Of Pits Inside Dia. Liquid Depth D IMENSIONS 3 3 DIMENSION SYSTEM TO P / L BLDG WELL LAKE /STREAM LEACHING Manu acturer: SETBACK CHAMBER INFORMATION T pe0 02 3� ----------- OR UNIT Mode Number: System: T r DISTRIBUTI YSTEM Header / Mari p Distribution Pipe(s) x HOIe Size x Hole Spacing I Vent To Air Intake Length ia. L Dia. Spacing SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched Bed / Trench Center Bed/ Trench Edges Topsoil l nqnp a in #1p Yes q No I No / -CO MMENTS: (Include code discrepancies, persons present, etc.) A%' zi Location: 1291 146th Avenue, New Richmond, WI 54017 (SE /4 NE 1/4 22 T30N R18W) - 223018712 Pondview Meadows -Lot 17 1.) Alt BM Description = 2.) Bldg sewer length= - amount of cover I ' _ p � FCC �a°a 96.31' cj. 6 0 • °IS = `IS.eo an revision required? Yes ❑ No Use other side for additi ormation. Da / ignature 1 SBD 6710 (R.3/97) ' '� 1>�w D a ct I Safety & uildings Division Sanitary rmit Ap plication 201 W. Washington Ave. r'Y PP PO sox 7302 In accord with Comm 83.21, Wis. Adm. Code Madison, WI 53707 -7302 Personal information you provide may be used for secondary purposes (Submit completed form to county if not [Privacy Law, s. 15.04(1)(m)1 _- - state owned.) Attach tom lete plans to the county copy only) for the s st „on paper not less than 8 -1/2 x 11 inches in size. Coun < State Sanitary Pe it Number 0 Check if v"Zfo o previous application State Plan I. D. Number I. Application Information - Please Print all Information N L V "Location: Property Owner Name Pro erty Location 2 19 ajet Q oa� 1 1/4 E, /4, S 2 2 3 QI, R (or Property Owner's Mailing Address —' $ o Number Block Number c r e v; Z 12 City, State Zip Code t q Phone u Subdivision N r CSM Number � ( 1. /" II Type of Buildi eck one) 0 City 1 or 2 Family Dwelling o. of Bedrooms: 0 Vil f 0 Public /Commercial (descn use): 0 State - owned III Type of Permit: (Check onl ne box on line A. Check box on line B if applicable) earest Road A) 1. )KNew System 2. ❑ lacement 3. ❑ Replacement of 4. ❑ Addition Parcel ��x Nber(s) S st Tank Only Existin em C ! / (a B) Permit Number r Date Issued ❑ A Sanitary Permit was previously i ed 7 Dd0 • 3� (� 7 �oZ IV. Type of POWT System: (Check all tha ply) I�( Non- pressurized In- ground ❑ Mound Sand Filter ❑ Constructed etland tj Pressurized In- ground ❑ Holding Tank ❑ Single Pass ❑ Drip Li ❑ At -grade t ❑ A obi T Erb nt Unit ❑ Recirculati g ❑ Ot 0. 3 3 X o` • 25 ou r.P� - I V Dispersal/Treatment Area Information: Q 1. Design Flow (gpd) 2. DispersalArea 3. Dispersal Area 4. Soil Applic n w 5. Perc140 stem Elevation i Grade Required es- Proposed ( als./ /sq. ft. (Min. /i g 3 t 1 y n 7 .I 7 Co VI Tank Capacity in Total # of anufacturer Site t e er- P c Information Gallons Gallons Tanks Con- ass New Existing trutted Tanks Tanks VII Responsibility Statement I, the undersigned, assume responsibility for insta ion of the POWTS showt6on Xthtahed c plans. Plumber's Name (print) Plumbe ' Si re no stamps : P PRS o s' one Number 8" ;� � a Plumber's Add s (Street, Citotate, Zip Code) VIII County /Department Use Onl V V ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Iss ing Agent Signature s Approved ❑ Owner Given ial Adverse Su charge Fee) t � k Determination 2A - Z l ? IX. Co yq��p , Reasons for Disapproval:, s S n Cuf1G" c � s 4 , C', , cs w� � t ,,. u.t ` (A-5 �s rec.&AAA- W414 '(%4 0 . - 0 1� r f 'vym M' A f C ' v� A J t� •Y n 93ia � t/ /o, y• 9a.G a ffio 35- $M- I 1 /-eJ - JO so 1 1 3-17 qo A -/00 A,;t- I Iao 6,�t� 1, 9a � � L` 1 ,. 50 c�� � 3s / j A . �.Paao3s� la8o � v3�a t/io! y� 7 P 9a. a h `� O i r Sao 3 l r �,P aao3s7 `r. k • 1 v OL ,, NO Wisco rin Department of Industry SOIL AND SITE E V A L U,AT . ON R E R p R T Page 1 of 3 L.abord Human Relations Division of Safety &Buildings in accord with ILHR 8 Q5?)%His. Adm. Code \' . n. COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in sl Plan must mclud4; but not limited to vertical and horizontal reference point (BM), direction nd -9b of Gtpe, scale or ARCEL I.D. # dimensioned, north arrow, and location and distance to nearest roa ~, f 026-1069-90- { / VIEWED BY DATE APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION — aES - XS'.' PROPERTY OWNER: v ,'PROP E L TI. .. , OVT. L NE 1 /4 ,S 22 T 36 N,R 16 nr) W Ricbard Derr 1-k PROPERTY OWNER':S MAILING ADDRESS L SUED. NAME OR CSM # 1310 H "6 17 na Pondview Meadows CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE (MOWN NEAREST ROAD New Richmond, WI. 54017 (715 246 -5425 Richmond I Hwy 65 [x] New Construction Use [x] Residential I Number of bedrooms 4 (} Addition to existing building j ] Replacement [ ] Public or commercial describe Code derived daily flow 600 gpd Recommended design loading rate .3 bed, gpd /ft •4 trench, gpd /ft Absorption area required 2000 bed, ft 1500 trench, ft Maximum design loading rate • 4 bed, gpd /ft - trench, gpd /ft Recommended infiltration surface elevation(s) 93.12/92.62/91.35 ft (as referred to site plan benchmark) Additional design / site considerations trench trye system Parent material glacial drift Flood plain elevation, if applicable na ft S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable fors stem ® S ❑ U I ®S ❑ U ®S ❑ U 93 S ❑ U ❑ S CCU EIS n U SOIL DESCRIPTION REPORT Aj Cj, Z0 "1 Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Roots GP F �!{ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 0 - 10 r 3/3 none 1 2msbk mfr QW if .5 6 .5 Ground 3 1 16-80 5 r 4/4 none scl mvfr na na .4 .5 `f elev. 9 Depth to limiting fac�o& Remarks: Boring # ' S, 1 0 -9 10 r 3/3 none 2msbk mfr if -9 6 2 2 - 2 9 -36 7.5yr 4/4 none Ground„ 3 36 -80 5yr 4/4 none scl 2m r my na na .4 :.5 elev. q4- 5 t. Depth to limiting factor Rnll Remarks: CST Name: -- Please Print Gary L. Steel Phone: 715- 246 -6200 Address: 1554 200th. Ave New Richmond 54017 Signature: Date: 4-23 -9 CST Number: m02298 - - PROPERTY OWNER Richard Derrick SOIL DESCRIPTION REPORT Page 3 PARCEL I.D. # 026-1065-50-000 Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 3 - 2 10 -23 10 yr 4/4 none scl Irsbk mfr UK if -2 -3 Ground 3 23 -80 7.5 r 4/6 none sl lcsbk mvfr na na .4 .5 elev. 9 5.9 ft. Depth to limiting factor 80-- Remarks: Boring # 1 0 -9 0 4 2 9 -20 7.5 r 4 4 none scl lcsbk mfr w if .2 .3 Ground 3 20 -48 7.5 r 4/4 none sl lcsbk mvfr QV if .4 .5 elev. 4 48 -82 7.5 r 4/6 none is n .7 .8 96.. 9 ft. Depth to - limiting factor 82-' ` (/ Remarks: - T7 Boring # 1 0 -7 10 r 3/3 none lcsbk mfr if .2 .3 5 Ground 3 - elev. 9 - 7 ft. Depth to limiting factor 80-- a7. V Remarks: Boring # Ground elev. j ft. Depth to limiting factor j Remarks: SBD- 8330(8.05/92) _ • STEEL'S SOIL SERVICE Gary L. Steel Richard Derrick 1554 200th Ave. CSTM2298 SE4NE4 S22- T30N - R18W New Richmond, WI 54017 MPRSW -3254 town of Richmond (715) 246 -6200 lot #17- Pondview Meadows This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. , 40 - top of NE lot stake @ el. 100.00 d Alt. BM.= top of NW lot stake C el. 100.75' Ur Ir o% , I � � 13Z� 1 Gary L. Steel 4 -23 -99 • ,s Private Onsite Wastewater Treatment System Management Plan Septic Tank And Gravity In- Ground Soil Absorption Component Pursuant to Comm 83.54 Wis. Adm. Code each Private Onsite Wastewater Treatment System (POWTS) shall include information and procedures for maintaining the system within the parameters of Comm 83 and 84, and the conditions of approval by the department, agent, or governmental unit. The approved plans and permits for system are on file at the county zoning or health department. This management plan complies with Comm 83.54, Wis. Adm. Code, and the In- Ground Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems SBD- 10567-P (R.6/99). Table 1: System Design Specifications Sanitary Permit Number 3 S Number of Bedrooms Design Flow - Peak (gpd) Estimated Flow - Average (gpd) Septic Tank Capacity (gal) 7 o u - u Soil Absorption Compone Size (W) Type of Wastewater Domestic Table 2: Soil Absorption Component - Limits of Reliable Oper Septic Tank Component Soil Absor tion Component , Design Flow - Peak (gpd) Maximum Influent Particle Size (in) 1/8 Maximum BOD (mg /L) 220 Maximum TSS (mg /L) 150 Table 3: Maintenance Schedule Septic Tank Inspect and /or service once every 3 years Outlet Filter Inspect once a year and clean at least once every 3 years Soil Absorption Component Inspect once every 3 years Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code (Servicing Septic or Holding Tanks, Pumping Chambers, Grease Interceptors, Seepage Beds, Seepage Pits, Seepage Trenches, Privies, or Portable Restrooms). The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The u et filter hall be cleaned as necessa to ensure proper operation. The filter cartridge should not be remove un ess provisions are made to ree'� o i sin the tank that may slough off the filter when removed from its enclosure. If the r Management Plan for a Septic Tank and Soil Absorption Component filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of scum and sludge in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of an assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. Manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into the tank. No one should enter a septic or other treatment or holding tank for any reason without being in full compliance with OSHA standards for entering a confined space. The atmosphere within the septic or other treatment of holding tank may contain lethal gases, and rescue of a person from the interior of the tank may be difficult or impossible. Tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. Soil Absorption Component The soil absorption component serving this structure is designed to accept domestic wastewater from a residential facility. The limits of operation of this component are shown in Table 2. The longevity of a soil absorption component depends greatly on proper and timely maintenance, and system use within or below the limits of reliable operation. Good water conservation practices by all occupants and the installation of water conserving plumbing fixtures are key factors in extending the useful life of this component. The soil absorption component's operation must be assessed by inspection at least once every three years. The inspection shall include recording the levels of ponding, if any, in the observation pipes, and a visual inspection for any evidence of surface seepage or discharge from the component. On steeply sloping sites, areas of erosion should be identified and reported to the owner for repair. The surface discharge of domestic wastewater or sewage from the system is prohibited and considered a human health hazard. Traffic around or over the soil absorption component should be avoided particularly during winter months. The compaction or removal of snow cover over the component may lead to hydraulic failure by freezing. This type of failure is usually temporary, but is difficult or impossible to repair until weather conditions improve. In general, soil compaction over this component will reduce diffusion of oxygen into the soil and dispersal cell, which may lead to more intense, and earlier, organic clogging of the soil. 2 Management Plan for a Septic Tank and Soil Absorption Component Plantings of deep- rooted trees and shrubs directly over or within ten feet of the component should be avoided since root intrusion into the component may obstruct wastewater flow. 3 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer ��lG�t 12 - t Mailing Address A / T, 1.-L ` Iz Property Address /Ilk / �� /'' ` / (Verification required from Planning Department for new construction) City /State Au dttl bur Parcel Identification Number LEGAL DESCRIPTION I-- Property Location 5, i/4, �'� V,, Sec. ag • T 3L' N -R-.B W, Town of I Subdivision �ra%� Il 1 �h5 . Lot #. Certified Survey Map # It1 , Volume . .Page # Warranty Deed # lea Volume Page # Spec house ❑ yes no Lot lines identifiable ,E Tyes ❑ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a masterplumber, joumeymanplumber, restrictedplumber or a licensedpumper verifying that (1) the on-site wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Vwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year exp tion date. + SIGNATURE OF APPLIC DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owners) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. SIGNATURE OF APPLICANT DATE * * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. * * * * ** «« Include with this Application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed • Y41. 1534P 88 (U C=P28ta ?2 • STATE BAR OF WISCONSIN FORM 2 . 1999 KATHLEEN H. WALSH Document Number WARRANTY DEED REGISTER OF DEEDS ST. CROIX CO., WI This Deed, made between Rich L. Derric individually and as RECEIVED FOR RECORD attor -in -fact for Loren D. Derrick, Rose H Derr ick, Richard L. 08 -14-2000 9:30 AN Derrick Joan L. D errick and Robert J. Derrick, under Power o Attorney reco rded in Vol. 1454, Page 425, as D oc. No _. 60987 _ WRJINTY DEED Grantor, and Michael R. Dahl an Ka R Da EXERT Y _ . —_ -- CRY COPY FEE: husband_ and WT e, COPY FEE: - -- — — — - -- - TRMSFER FEE: 80.70 RECORDING FEE: 10.00 — -- -- -. _ PAGES: 1 Grantee. Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum): Recording Area Z lat of Pond View Meadows in the Town of Richmond, St. Croix Name and Return Address y, Wisconsin. Heritage National Bank 1920 Donegal Drive Woodbury, MN 55125 026- 1119 -17 Parcel Identification Number (PIN) This is not homestead property. 0t) (is not) — Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. Dated this — day of August 2000 • Richard L. Derrick, individually and as attorney -in -fact for ---- -- .--- . —_ --- icen- L- - Ibrri ric arrl TktYiar+ .T_ Derrick 1mcler Rxer _ of A& reM0 I . as n Vol. 145 Pace 425 Dx_ AUTHENTICATION NO. 609M ACKNOWLEDGMENT Signature(s) Richard L. Derrick, individually and as attorney- STATE OF WISCONSIN ) in -fact for Loren D. Derrick, Rose H. Derrick, Richard L. Derrick, ) ss. rL1�C - 1I'IC F rk?r OE - -- - County ) Ati at fled tom. _ij} 1. y4s , F ,g 4 , Dc�c. rb. 6W aut enh to r r— da o Personally came before me this _ day of the above named r Kristine O and 1 -- —. —. - -- - -- — TITLE: MEMBER STATE BAR OF WISCONSIN to me known to be the person(s) who executed the foregoing (if not, , - -_ _ _ — - -__ instrument and acknowledged the same . authorized by § 706.06, W is. Slats.) THIS INSTRUMENT WAS DRAFTED BY • —_ - - -- —. —_— — Attorney Kristine Ogland_ — — — —_ - -. Notary Public, State of Wisconsin H_ udsoni WI 546 _— — . - -_ My Commission is permanent. (If not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not necessary.) —. —.— — _.— _ —...— • _ ) Names of persons signing in any capacity must be typed or printed below their signature. bdormaiion Proteasionate company. Fond du La:. W 800 -655 -2021 WARRANTY DEED STATE BAR OF WISCONSIN FORM No. 2 - 1999 DD . 13 � �o LO 3' cn vi r _.�._._._._,..c"� m U C.S.M. °. v 2.005 ACRES N ' • cu 67.6 87,323 SQ.FT. V. 1Q , PG , 27 45 .. OWN BY OTHERS S89'43'03 "W 380.70' I ' cv) , od 14 , LOT 2 2.005 ACRES C��.M, IN 87,348 SQ.FT. V. 10, PG. 2 74 5 J ; I ---------------------- 40' \ \ ,'' OWNED BY OTHER_ S s 15 •0322 i . �` �•�•.�.` � — 22.2 " +/- 15 . 1 AVER 2.006 ACRES — '39 °DS "W 2 � 87,362 SQ.FT. l�,p` �� ,. _— p��;'j5 S8• 39 'E) o i 2 1 O 5 .............I. .. 16 - �� 2.003 ACRES Z, ��� ; ., 3 87,264 SOFT, D ' 2.000 ACRES cu 87,130 SQ.FT, N 8 8 4,063 SC 0 CD f/1 1183.63' ` _ 288.16' 393.1 ' 297. z 6� +�_ FENCE LINE IS 0.8' +f- S' NORTH OF LOT CORNER 89.39'S9 "E 1329,71 RON PIPE SET VER LANDS ON ROCKPILE eLE TO SET 2• IR PIPE UNPLATTED LANDS OWN B Y OTHE ------ ---- --------- --- - -- - --- - - - -- ,roe No. ss —,os OATS: 5/21/99 SHEET 1 OF 2 SHEETS ►vQ .�;E --�,, 2 s P .Wisconsin Department of Commerce SOIL EVALUATION REPORT P age 1 _of 3 Division of Safety and Buildings in accordance.with Co(nm 85, Wis Adm. Code • , ' ! County Attach complete site plan on paper not less than 8 x Inches to size. Plait must' St. Cro i X include, but not limited to: vertical and horizontal ema point (B ), direction and Parcel I.D. percent slope, scale or dimensions, north arrow( t ccabo n rice to nearest road. 026-1119-17-000 Please print all `matron► {i Reviewed by Date Personal information you provide may be used for Mary p r ses (Privacy Law, s. 15.04 {1) (r(,)), Otb �l, y 1 Properly Owner opertyLocation Ri Derric ST (.Films Govt. Lot ISE 1/4 NE 1/4 S 22 T 30 N R 1 8 EXor) W Property Owner's Mailing Address Lot # . Block # Subd. Name or CSM# 1310 HY #65 1 nal Pondview Meadows City State Zip Code Phone el ZCity ❑ Village [$Town Nearest Road t t New Richmond ( ) _ Richkmond I 146th [ja New Construction Use: ER Residential / Number of bedrooms � 4 Code derived design flow rate 60 0 GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material g 1 a - i a 1 d r i f t Flood Plain elevation if applicable ft. General comments and recommendations: trenches @ el. 95.50', followed by trenches @ A.DO'below grade Boring Boring # �� Fi g E] pit Ground surface elev. 9 $ ' S 0 ft. Depth to limiting factor + 8 6 in. Soil Applicati on Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 I 'Eff#2 1 0 -8 10 r3 3 non 2f .5 1.8 2 8 -21 7.5yr4/4 none sicl 2msbk mf 3 21-86 5yr4/4 none scl 2msbk mfr I na n Boring # ® Borin 96.40 + 8 4 " 2 ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /fY in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 I 'Eff#2 1 0 -8 10 r3/3 none L •8 2 8 -16 7.5yr4/4 none sicl 2msbk mfr aw 3 16-84 5 yr4/4 none scl 2msbk mfr na na .4 6 Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg /L Alluent #2 = BOP < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signature . CST Number Gary L. Steel 02298 Address a e E luation Conducted Telephone Number 1554 200th. Ave., New Richmond, WI. 54017 5-2-2001 715 - 246 -6200 Property owner Richard Derri Parcel ID 026- 1119 -17 -000 Page 2 of 3 Boring # [ Boring +87 ❑ E] pit Ground surface elev. 9 9 . 50 ft Depth to limiting factor in. — §o - il — Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0 -10 1Oyr3/3 none L 2msbk mfr gw 2f .5 .8 .4 .6 3 5 -87 5yr4/4 none scl 2msbk mfr na na F4 ® Boring ]Bodng # ❑ Pit Ground surface elev. 973 ' ft Depth to limiting factor + 8 4 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff #2 0 -11 1Oyr3 3 none L 2msbk mfr gw f 2 11 -2 7.5 r4/ none sicl 2msbk mfr gw if .4 .6 3 1 -84 5 r4/4 none sicl 2msbk mfr na na .4 .6 -3 .- r ❑ Boring Boring # Ground surface elev. ft. Depth to limiting factor in. F Pit Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 'Eff#2 Effluent #1 = BOD > 30:S 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD 5 30 mg/L and TSS < 30 mg/L 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. SBD -8330 (R.6M) I STEEL'S SOIL SERVICE ba ry L. Steel Richard Derrick 1554 200th Ave. CSTM2298 New Richmond, WI 54017 MPRSW -3254 SE S22 T30N - R1 8W (715) 246 -6200 town of Richmond lot #17- Pondview Meadows N !" =40' BM.= top of 1" pvc pipe @ el. 100.00' Alt. BM.= top of 1" pvc pipe @ el. 98.00' �l ®'�► 6 �3 �L q �. 5a t �q' S� e` a k Gary L. Steel 5 -2 -2001 0 ��o J , R ; Q! © E £ o ° % E ( / B @ k % L k § 7 \ ; cr j k n » ^ ` ' f a ° c ■ $ C / \ § 2 § k 4 ;o z ) k § n r CO) ° £ Cl) o c i rt Z, } CD 0 0 3 r o § ( CO) 2 CO) k 7 � { DE k \ ■ § § I . 7 w a) C, i A 9 E o . 911 <. ? 7 i \ CD % B $ A E � 7 \ \ a \ B o n ca 0 o k / § $ 0 ƒ .. NJ ■ q § R E ' z 7 § t M 7 # q z CD = CL _�� mCL - . C'D {® \; � �� /{ � » { °D > ki0 \k \/ k 6- CD o �CD CL @ a % Eg o ��� %