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HomeMy WebLinkAbout030-2129-10-000Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County. St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: 631209 Personal information you provide may be used for secondary purposes (Privacy Law, s.15.04 (1)(m)] Permit Holder's Name: city Village Township Parcel Tax No: Tom and Tammy Redder TOWN OF SAINT JOSEPH 030-2129-10-000 CST BM Elev: Insp. BM Fjev: BM Description: Section/Town/Range/Map No: D A-14 , 6'10 1 25.30.20.1053 TANK INFORMATION ELEVATION DATA TYPE MANUFACTUR R��y�s CAPACITY Septic 7W wit— F�►�* 5 /ZCo Aeration Holding TANK SETBACK INFORMATION GALS S d-- 6I VAI We TANK TO P/L 5 WELL BLDG. Vent to Air Intake ROAD Septic Dosing Aeration Holding PUMP/SIPHON INFORMATION Manufacturer Demand GPM Model N I mber TDH Li Frictio Loss ystem He d H Ft Forcemai Lengt Dia. Dist. to Well SOIL ABSORPTION SYSTEM STATION l�BS HI FS EL V- Benchmark 1 / t-7 Ap '7 (!-)t qB a Alt. BM' e Z_zg jo / Bldg. Sewer 77 /b 7. q6 S1/Ht Inlet 8, 8cf 101- b St/Ht Outlet �+ ZZ ID b + 3 DtInlet Dt Bottom Header/Man. 1 (o, 35 Dist. Pipe ' T Z q, :34j o. 90, ,5 D Bot. System T I Z /O, SO po 64 , 56 Final Grade I i St Cover, BED/TRENCH DIMENSIONS31 Width Length ' 10 No. Of Trenches 2 PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth SETBACK INFORMATION SYSTEM TO Type viZ ,1O�I P/L S J t BLDG \5O' IWELL , q LAKE/STREAM �_ LEACHING CHAMBER OR UNIT Manufacturer Manufacturer. I + �� ` -rh Model Number: n Lk 1 DISTRIBUTION SYSTEM Header/Ma ifold Distribution x Hole Size x Hole Spacing Vent to Air Intake )J tr �J Pipe(s) Lv„1 Length Dia Length Dia Spacing y� SOIL COVER x Pressure Svstems Only xx Mound Or At -Grade Svstems Oniv Depth Over Bed/Trench Center tti f� Depth Over Bed/Trench Edges � � Z t I xx Depth of Topsoil xx Seeded/Sodded xx Mulched 0 Yes [0 No . e 7— 0 COMMENTS: (Include code discrepancies, Location: 1304 BIRCH PARK RD 1.) Alt BM Description = R 4i t-ever, 2.) Bldg sewer length = 36 � L - amount of cover = JjK FJ r ` lRt�ed �n -fie ✓t Plan revision Required? Yes No Use other side for additional information. SBO-6710 (R.3/97) present, etc.) Inspection #1: Inspection #2: NO lam/ l onsi k d 11h-Y C e 4v.-, oL iH 40.7 So;1S. rH�f„l�d oufc/YJ� Sa��/ Date Insepctot's §gnature Cert. No. <A-)Q- 10 220 - Ll[J-2 ,0 n � /] !� Safety and Buildings Division County n 1 1 �ZDI X f I I \�l I S DD �� $ • ! 201 W. Washington Ave., P.O. Box 7162 Madison, WI 53707-7162 Sanitary Permit Number (to be filled in by Co.) �' 2'2 DEC 2020 1 St. Cr8i ,*%ai r rmit Application �� State Transaction Numb_ In accordant^�f�ir+�p e, submission of [his form to the appropriate governmental unit is required prior to obtaining a sanitary permit Note: Application forms for state-owned POWTS are submitted to Project Address (if different than mailing address) IParcelel the Department of Safety and Professional Servies. Personal information you provide may be used for secondary purposes in accordance with the Privac Law, s. 15.04(1)(m), Stats. Q n r 3o Y V �rC P f, )C F !/ 1. Application Information - Please Print All Information Itroperty Owner's Name !f �--lit, i Atj 4\-1 Fim�� #/ � tt - 7-1 Zq - 16 - 6 V Property Owner's Mailing Address 13c�`I J3i-RL l f,Z1C- R ALE Property Location Z5.30.Zo.1053 Govt. Lot S �� . ,., Section City State g(MToo W 1 Zip Code �I b&2 Phone Number _ (circle on 3b T N; RE oW II. Type of Building (check allot that apply) (94 or 2 Family Dwelling - Number of Bedrooms L # j Subdivision Name _ QJU C 10 Oleq4l Block # ❑ Public/Commercial -Describe Use ❑ City of ❑ State Owned - Describe Use ❑ Village of g7T ' I CSM Number ZONt X I V.Townof —TC6L.P III. T)p of Permit: (Check only one box on line A. Complete line B if applicable) A. ew System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Owner , IV. Type of POWTS S stem/Corn onent/Device: Check all that apply)( Z Non -Pressurized In -Ground ❑ Pressurized In -Ground ❑ At -Grade ❑ Mound> 24 in. of suitable soil ❑ Mound < 24 in. of auitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain) V. Dis eerssaL Treatment Area Information: Design FI w (gpd) Design Soil Application Rate(gpdsi) Dispersal Area Required (sf) I Dispersal Area Pro(sfj System Elevation `72 L/01t/.L�.l , z15`7 % 3;; 7 993 VI. Tank Info Capacity in Gallons Total Gallons # of Units Manufacturer (j j f L r' New Talcs F..� Tanks "S�r✓ Septic or Belding Tank 1. i _ 1 1 Dosing VIL Responsibility Statement- I, the undersigned, assume responsiblIV for i stallation of the POWTS shown he attached plans. Plumber's Name (Print) SFr f=��- PI Si re M S ber �.- ��1� Business Phone Number 1is �r<ai_ s� S� Plumber's Address (Street, City, State, Zip Code) �, a� �s o RCS W 1 's y L)vl VM. Coun /De artment Use Only Approved ❑ Disapproved Permit Fee Date Issued Issuing A Siguapue= Owner Given Reason for Denial $ SOD • O 0 / Z 26 I Ten ns for Disapproval Z 'i� ° 3 T� 5YS ttn� is i n5 4-u +ter dispersal cell must be serviced / maintained t e a IVLi i�rK efvu N�� i �t as per management plan provided by plumber. 2. All setback requirements must be maintained gra� 4 e er45v as per applicable code/ordinances. > ICC�(di({yk(yt Ar Cq y �t P/'Psmv� Attach to complete plans for the syste and stonilt to the County only on paper not less than 8 In r Winches In she g S Ict2 0 l54l'U9KCt.. Ot. PYb�u ry . TDt)o 4 `-mKmo Lo-r l l R iu- c & 43i ini NFL 5E//H SW )Iq S ZS Tao 1r/2 ZZ) vJ S`r _10o Eft+ Tak)►1Sill -Z),z Q ZH�-- �� 2 vr& A r&,NKNW),1C. TAP OF �Z m F_L= IDO a Aa TbP or ii' `ffc PIP- - q6 > tt� 50(L RCP,) 0 N L.1 00 OMWS Address: DUCIMOnn. ro+wnew �onnty: At Number. "arcaf ID Number, CON1iENTi9I 4a C.tWwROvNEIN DE—I--d Residential �, 94M Aim ITME PAGE IN��rr�y - �. X e"11-,�CTJAKK 11 n- Z)ef page 9 Index and t;L. Page 2Plot Plan Page 3 Sizino $ Cro P89e 4 Fir S Pa" 5 Maintenance i� page- �tia^"��:�.ottt Plan PCtv Sew Tank fiance Form pop 8 Pam Werra Dam CSM or Pict A _Men=: SON Test & House Plans wwmypwber Trr FP i" x Ucen So Number. ate: Phone Number MP+ZS Z2.—:?Z`1Z 71' .31.5 y PUMANto nee to vrv+na g n Ca"C ant tar pOWrS version 2 0 SEC=1070" M.otwty. Pop t� 1 40048,E 0s SECTION A -A � w+nr.+naas 1 j' 1921 i it i i 4� — 4 r" r l a"� —• ;� F POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page _of_ FILE INFORMATION Permit ��`',P # 7 t` DESIGN PARAMPTPRC Number of Bedrooms: ❑ NA Number of Public Facility Units: NA Estimated (average) Flow: (gaVday) Design (peak) Flow = (estimated x 1.5): raj U (gaifday) In Situ Soil Application Rate: (gy) Standard (Domestic) trtfluent(Effiuent Monthly average Fats, ON & Grease (FOG) S30 mg/L Biochemical Oxygen Demand (BOOS) s220 mg/L ❑ NA Total Suspended Solids S3 5150 mg/L High Strength Influent/Effluent Monthly average (FOG) (BOD5) >30 mg/L >220 mg/L NA SS >150 mWL Pretreated Effluent Monthly average (HODS) s30 mg/L (rSS) 15W mg/L NA Fecal CoNform ( eometric mean) s10` Maximum Effluent Particle Size In da. NA other. NA MAINTENANCE SCHEDULE SYSTEM SPMFK ATIr1NA Tank Manufacturer. w ❑ NA Septic O Dose ❑ Holding Volume: z (gal) Tank Manufacturer. lip ❑ Septic ❑ Dose ❑ Holding Volume: (gaq Vertical Distance Tank Bottorn(s) to Service Pad. � % (t) Horizontal Distance Tank(s) to Service Pad: / 0 (fl) Specific servicing mechanics must be provided if vertical is >15 feet or If horizontal is >150 feet Speck instructions to be provided on back. Effluent Filter Manufadtxer: L ) F6-tl XN-\ Effluent Filter Model: l f6 pNA Pump Manufacturer: Pump Model: 1 NA Pretreatment Unit Manufacturer. ❑ Mechanical Aeration ❑ Peat Filter NA ❑ Disinfection ❑ Wetland ❑ Sand/Gravel Filler Other: Soil Absorption System I Ground (gravity) [] In -Ground (pressure) NA At -Grade 0 Mound Q Drip -Line ❑ other. Outer: ❑ NA Service Event Service Frequency PUMP out contents of tank(s) 0 When combined sludge and scum duals one-third (X) of tank volume ❑ When the high water alarm is activated Inspect condition of tank(s) At least once every: months) r(s) (Mexl(Maximum3 years) p NA Inspect dispersal cell(s) At least once every: rn ar(s)s) (Maximum 3 years) ❑ NA Clean effluent fitter At least once every: —LYm nth(a) ❑ NA Inspect pump, pump controls & alarm At least once every: EJ month(s) NA Flush laterals and pressure test At least orb every: I� mon"s) NA Other: year(s) At least once every: morrttr(s) ) NA Other. NA mAINIENANGE INSTRUCTIONS inspections of tanks and soil absorption systems shall be made by an individual carrying one of the following licenses or cartifiptions: Master Plumber, Master Plumber Restricted Sewer, POWTS Inspector, POWTS Maintainer or Septage Servicing Operator (ptxnp tons: Tank inspections must Include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks u teaks, measure the volume of combined sludge and scum and a check for any back up or ponding of effluent on the ground surface. The soil absorption system shall be visually inspected to check the effluent levels in the observation pipes and to check for any pour surface. . effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any treatment tank equals one-third (Ye) or more of the tank volume, the entire contents of the tank shall be removed try a Septage Servicing Operator (pumper) and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. All other services, inclining but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of 512 months, shah be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory audtarfty within 30 days of completion of airy service event. GMW-005 (02/05) Papa_ err START UP AND OPERATION For now oonetrudor% prior to use of the POWTS ciheak treatment tw*s) for the presence of patrtktg produLis, WMIS a dremiceis or searta that may Impede the heab, proaaoo srWor damage the ad absorptlan system. if Nigh corcertretlo uielectad have the cordw of the tanlgs) removed by a Sttptage SWVidrtg operator (prirrper) prior to use. Pump twft may 111111 above normal hiplma er levels prior to startup or due to pump failures. Start up or restoration of power hoiden conomm is riot recommended, as the excess wastewater will be discharged to the ad absorption system in one large dose tetra overload that may result in the backup or surface discharge of effluent end damage to the system. To avdd this d1untlon he cow or the pump tank removed by a SWtage Servicing Operator (pumper) prior to restoring power to the pump or canted a R or POWTS Mal, tab ar to assist in manually operdling the pump controls until normal effluent levels are restored Wd* the pump tar System Start up shall not occur when sow amditfons are framn at the infiltrative auface. Do not drive or park vehicles over tanks or the soil absorption system. Do not drive or park over, or otherwise disturb or romps area wfttdn 15 feet down slope of any mound or at -grade sail absorption area. Redactors or almkWJon of the following from fha wastewater straem may ImPmve the performance and prolong fro go of the trey farft avid wR absorption system: aads, anAbbfks, baby wipes, cigarette btft cxxhdom% ao11, swabs, degreasers, I tat diapers, d edoft sets. Bastion drain (amp pump) d sduange, fruit and vege4bie peallrnBa gesolI>R passes, herbicides soaps, medications, ok pe n*V pr od ice, paddles, ow tsry nWkmm solvents. twmporis, and water solow b*w disd=W ASAN DONMBIT When the POWTS fails and/or is parmanentiy taken out of service the folloowing stiall be taken to mass that fhe system is pi and safely abandoned In compliance with s. Comm 83.33, Wisconsin Admiristrtllvre Code: • AU piping to tarots, pRs and o dher soil absorption systems shall be dssonneoW and the abandoned pipe openings sesfed, • The contents of all tanks and pis Shag be removed and property disposed of by a SepWge SwAdrng Operator (pumper} • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filed wt gravel or another inert solid material. CON 04SENCY PLAN H'ffss POWTS fake and aerxhot be repaired the following measures have been, or must be takers, to provide a code am replacerment ayderit: ❑ A srd4ebte repiecemat area has been evaluated and may be tiBfaod for the locallon of a replacement ad abacrpfort a The replacement aree should be protected from disturbance and compaction and sfhould not be Infringed upon by re setbacle Pram atdatirg and proposed structure, lot Buses and wells. FMW0 to protect the replacement am wd re" In thr for a new Sol end sib evaluation to establish a suitable rephaoemert area. Replacement systems must comply with the r effect at the time of their permit Issuance. ❑ A suitable repieoanent area Is not available due to setback and/or soil kmitatons. if the soil absorption System can rehabilitated and barring advances in POW $ technology, a holding tank may be khst2fied as a last reeorL ❑ The site has not been evalusted to identify a suitable replacement area. Upon failure of the POWTS a Sol and site acre must be performed to locate a suitable replacement wee. If no replacement area is avellable a holding tar* may be insbM last resort to replace the failed POWTS. ❑ hound and at -grade soil absorption systems may be reconstructed in place fotowtng removal of the biomat at fhe W srxtace. Reconshx ice of such systems must campy with the rules in Wed at fret timua txTREATMENT TANKS, PUMP TANIM AND HOLDING TANKS MAY CONTA@uN POISONOUS GASH OR N SUFFICIEINT OXYGEN TO SUSTAIN LFE !EVER MITER ANY TANK UNDER ANY tlIbAMISTANCE. DEATH RESW ESCAPE OR RESCUE FROM THE INTERIOR OF A TANK MAY NOT 13E POSSME ADDITIONAL WrRUCTUM: POWTS INSTALLER POWTS MAINTAINER Name ZVE FT= V` Name Phone j 9 Cl- 3`t S Phone SEPTAGE SERVICIING OPERATOR LOCAL REGULATORY AUTHORITY Name None 5T C4Z6OO iyl1 Phone Ph" TW domsmst was dratted by the stalks d the Cram Lake, Mavxde and Womb" Cgo* FO41fTS astrfsWy agowiSs in rxreMrm YM l Caron s i.22lzllbxtt(dda(Q and 83.Wl + (2) 8 R , Wlscmaln Admkftkatw Co". STAR!'tIPANDOPERATf0/1 PfQ°-- ar For new won, prior to use of the POVYYS check treatment tw4e) for the presence d pal" pndtrds, sWvwts of dwm* als a sediment that pray impede this tna Rent process artdlor damage the soli absorptioni system. If high oar cerae to deisciad have the corttank of the larks) removed by a Sctp#age Servicing Operator (p llpw) p[or to use. Pomp tarns may HN above norinai hider levels prior to startup or due to pump failures. Start up or restoration of power undo condttions is not is=, martded, as the excess wastewater will be discharged to the soil absorption wposm to one IarW dose cam overload that may result !n the backup or surface discharge of effluent and darnage to the system. To avid this all atio t he c orterta of the pump tank removed by a Septage Servicing operator (pamper) prior to restoring power to to pump or contact a PI or POINTS MarntM a to a w i , in manually operating the pwnp controls until normal sit levels are restored within the primp tar System scarf up shall not occur when soli conditions are frozen at the infiltrative surf" Do not drive or park vehicles over tanks or the soil absorption system. Do not drive or park over, or otnerwlse disturb or comps wee within 15 feat down slope of any mound or at -grade soil absorption area Redactiort or stimkm6on of the k4wa rtg from the wastewater stream may knp►ove the pwformanc a and prolong the Me of the her tuner and soil abaorplort system: acids, wdbiollm baby wipes, dgseite bett% condor ogum- skisft dapnaentas, damtd fie. 4e10ecierte,, W farndafiom drain (sump pump) dechargs, fruit and vagetabte pedlriM godbr4 gresew herbicides saqx medmftw, as. polnIg Pis, pedddes, swvtarY nePlons. solvents. tampons, and water soterwr brills discharge. ABANDONMENT When the POWYS fails ardior Is permarretily talcs► cut of wwoe the following steps shall be taken to insure that the system is p and safely abandoned In compliance v fth s. Cornm 83.33, Wisconsin Administrative Code • Ali Pik to to pile and OFh soil aboorplien Anne #WI be ciamnscled and the ahandoned pipe- openings sealed. • The cunt" of all tanks and efts"be removed and property disposed of by a Septage Servicing Operator (pu►npsr). • ARar pumpi% all tanks and Pb shsil be excavated and reproved or their steers removed and the void space idled wl gravel or another inert solid material. co mENCYPLAN tf this POWTS fob and cemoi be repaired the foYauirrg measures have been, or must be felon, to p owide a code ow mr1we"" syoldrt►' ❑ The reef reelecam" am d ams been en d and may be jolzad for the locafon of a Nptsoement sac absarpgan e Should be protected from [tlsbrrberrae and rmmpsctloo and sfwW rot be Infringed! upon by re sattoft tram ards&w and proposed struckm tot lines and welt. FaNue to prated tine reptaosmerd area wB resot in lb for a new soli and site evaluation to esh"sh a ae8tsme rephoarnelrt area. Replecemsrd ayatems must oanpry with the r efA9ot at the tyre of thek permit Issuance. ❑ A suitable replacement area is not available due to setback and/or soil limitations. If the soar absorption system can rehabilitated and barring advances In POW'iS technology, a hoi ft tank may be iretalled as a test resort. ❑ The site has not been evaluated to Identify a suitable replacement area Upon failure of tha POWTS a eoN and sits eve must be performed to locate a suitable replacement area. If no replacement area is available a hd*V tank may be installs last resort to replace the failed POWTS. ❑ Mound and akjade soil absorption systems may be reconstructed In place following removal of the btomat at the W aurt km Re0MUltr ctions of such systems must comply with the rules in effect at ttmt time TREATMENT TANKS, PUMP TANKS, AND WLD@G TANKS MAY CONPA14 PO14OM M GME8 OR t SUFFK�[I OXVGM TO SWAIN LIFE NEVER ENiiHi ANY TANK LINO it ANY CIFiAAMANCE DEATH IRMILT. ESCAPE OR RESCUE FROM THE INTERIOR OF A TANK MAY NOT BE POS13 R E POWTS INSTALLER P - WTS LWNTAINER Name , E 6 Name 5-9 -3Lt 5 SEPTAGE SERVK3M OPERATOR MWMR LOCAL REC J►TORY AUTtiOftfTY NameName 5T CP.3J zG I }J Ptrona Phane Tire des nwt was asUed by the stank of Are Green take, Lfwquwe aid washum Casty P%M npuhtary a9wrci9a in s+DrspMrw. rrMt Comm esas(2)tbXIXC 1s(fi wd $3.Wf j M a R, col cmW n Adirrftkw w code. ST. CROIX CG= SEPTIC TANK 14AD T'ENANCE AGREEIvIEl`TT AND OW1vERSHIP CERTIFICATION FORM Owiimsuyer ?D r,> D 4 �A "Kq R1a) ©-C=iZ. M 'aiinu Address Property Address City/State (Verification required from Planning & Zoning Dparu neat for new const=on.) LEGAL DESCRIPTION Parcel Identification Ntimber 38 Property Location _"'SE n/. ; �:yl/<. Sec. %J . T N R_ZQW, Town of 5—t --TC6f5P "J Subdivision Plat �1�(E ®}` 1 1�R�� Lot # Certified Survey Map # Volume . Page # Wurauty Deed # 1115 Rq3 (before 20nV,olume , Page* Spec house ❑ yes D no Lot lines identifiable D yes D no SYSTEM 1l A NMNTANCE AND OWNTER CERTIFICATION Improper use and maintenance; of your septic system could resuk is its premature failure to handle wastes. Proper a_inrenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into Lie system can affect the fa notion of the septic tank as a treatment stage in the waste disposal system Owner maintenance responsibilities are specified in §SPS. 39352(1) and in Chapter 12 - St Croix County Sanitary Ordinance. The property owner agrees to submit to St Craig County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, ioumeyman plumber, restricted plumber or a licensed pumper verifying that (1) the oa sita cvaste=w wadisposal system is in proper operaung condition and/or (2) after inspection and pumping (if necessary), the septic tank is less tbm 1/3 fall of sludge. Uwe, the und,— signed have read the above requiremazits and agree to ruin ah the private sewage- disposal system with the standards set forth, herein, as set by the Department of Safety And Professional Smrvi= and the Department of_Nanaal Resources, State of VTsscoasin Certification stating that your septic; system h2s been maintainer must be completed and returned to the St Croix x County Planning & Zoning Department within 30 days ofthe three year expirdion dam. Uwe unify that all statements on this fog are true to the best of myiour knowledge. Uwe amiare the owne(s) of the -droperty described above, by virtue of a warrardy deed recorded in Register of Deeds Office. Number of bedrooms q SIGNATURE OF APPLICAI\T(S) DATE ***Any infomatim that is misrepresent.d may reshk in the sanitary pe2mr being revoked by the Pluming & Zonng Dpartment *** Inch,& with this apph=on a recorded w=amly deed from the Register ofDeeds Office and a copy of the cwttfied survey map 11 refw--n a is made in the waaanty deed. (REV. M4riz) BIRCHCENTEROF 0' RAOTEMPORARY _ EwNp O3 \ .. NORTH/SOUTH 1/4 LINE OF ( CUL-OE SAC EASEMENT TO BE j- Q �] o 0 0 SEC, 25, T. 30 N, R. 20 W--- 0 EXTM0015'NEB UPON ROAD CX7ENAON- LOT 1 a L 0 T-12 `, _LOT 11 _ BIRCH IPARK_R_QK=. ` 500Y7,0f w% — m — L�h.- seas' tl S00e17'01 •w 401.73 ` _ 1 Sr e 1 •' _ - B29p7, / ma I 309.95�1' to M I r �rn 1 E r 84.3.5 T � o 'a 43.5 � o r, r �. LOT 9 °°�'�� W LOT 10 ` n 142,679 W. o h ^. / S26 arse a /�h NNL-BfLS / / A• .m vi 301 was - // ^r m u NNL-84I.5 m r' CO. Z lT V ! LOT 8 164,421 eon. OA Affix-64I5 S80'76'43W 5i .. Kl)'70 �.�N' Q �5Z/�� iT5 H J m • iµ1 146.63' 118.66' Z 9jS00"17'01"W r ✓ \ 265.29' k/ r r 1 1�.` 580'16'43"W 'iI H r--- it i m a-82.53' 3 a VS 5445 00 00 ' Nasros'ss w / \ �.�11/`� '/ Nip C V Ln VV' 037457'E :'� .� Syi;, 19 4J0�65 r 1%.04' a_—�—_ �Nkry : i // HXL•641.5 �a i 319'--�' LOT 11 TiR E..l a 843 .�� 3 .^ a Q WEST LINE OF THEE 1/2 OF THE �' SW CORNER OF THE E 1/2 p SW 1/4 OF SEC. 25,, T. M N. R. 20 W--- - OF THE SW 1/4 OF SEC. 25, T. 30 N. R. o c N 4 SW CORNER OF I^ SEC. 25, T. 30 N, R, 20 W (ALUMINUM COUNTY MONUMENT)--�Q OWNER / OFMIOPER Dakotaen4 LLC 4463 Mite BwPakWy, Suite 104 McCOMBS FRANK ROOS ASSOCIATES, INC.While Bea Lake. MN 55110 9 N.•rma.q em0°i a°�m.0 iaixtl°r. � ..gym 6r M6u��Mpva. mY rvtb ®J^d aW.Nw/M6 E1. woastmry mlmyn P�^ ^.fie' m�M d hIs P..9 Rmi LOWER LEVEL PLAN 1/4'= I'-d' 914 POUR[O CONC. FOUNDATION FOR BIDDING ONLY NOT FOR CONSTRUCTION a FOR BIDDING ONLY NOT FOR CONSTRUCTION Ix Ix T E E I°— d tlatl0 d � ROOFPLAN I/4'_ �-O' LA Wisc fessional Services Page I of Divis SOIL EVALUATION REPORT C ST— 2,02--d- 1403 DEC 2.2 2020 In accordance with SPS 385, Wis. Adm. Code County In Attach mplete site plan on paper not less han 8 1/2 x 11 inches in size. Plan must include, r J but not I nited to5terGuliar0dwrizontal reference point (BM), direction and percent slope, Parcel I.D. scale or in@osigrts)niogthDwj *opird4odati n and distance to nearest road. J 1 Please print all information. Reviewed by Dat Personal information you provide may be used for seconds purposes (PrivacyLaw, s. 15.04 1 m . }7- 3d PropeV Owner /� (� , I 1�l Property Location ❑ j DSC 4 CARL SO Govt. Lot SG %SVV'/. S2S T 30N R2U E (or) W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 4 `12 Z MP\ 1 n/ C. (I R / OG: C '+T- 1311? c 14 8k rZ City State Zip Code Phone Number ❑City ❑Village Town Nearest Road J-ioL-t I an LAAC75 y0 1 76 SErH'I 51RCI-+PAQ k R New Construction Use:® Residential/Numberof bedrooms Code derived design flow rat GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material IA-A'0b aw- b ettK&4* AlFlood Plan elevation if applicable _ ft. General comments and recommendations: © Boring # ElBoring ® Pit Ground surface elevl 8 ft. Depth to limiting factrR tL9 in. 12nr1 Rntu Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft' *Eff#1 I 'Eff#2 0-I2) /0%)za z — /2 msloK S 2 6 2 I`a -2Y ,o —151 K t . `/ .7 3 2k-&o a kf py — :/ Its 45 * .� r, - ` - trn I — - r. -7z l 7 Boring # ❑ Baring C1`` r 1 Pit Ground surface elev. V —5 ft. Depth to limiting facto Din. CM Annlinatinn Pntn Horizon I LDepthDominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/F *Eff#1 'Eff#2 I !n R� I CS ZCD .2 to-2 of / — S1 (M Sh A .Z —` o rb — h1 r 4 C if qo- bo 7. y ` — ern K r — Y`' 5 o-Ilo la 5 to 4 s o CST Name (Please Print) Signature �-��� CST Number 2ZZ 3 yS �ti Address I SO q G rn zceo 1 ct wz Date Evaluation Con ted / 1 0 Telephone Number 715 - 4 0 -S y7. 1 onu-wau (Mu l 10) ❑ Boring TAM q Boring # ® Pit Ground� surf�ace elev. I � ft. Depth to limiting fact 1 1 1 in. Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 ,Eff#1 'Eff#2 v- i z 10 a 2 - ). MS6K m c 2C6 .(0 s 7-2H to %1112 1 1MSbK rn f c,�P . u .7 I ms w<r -- .6 ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor _ in. Horizon Depth In. Dominant Color Munsell Redox Description Ou. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft' 'Eff#1 I 'Eff#2 ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. _ ft. Depth to limiting factor in. O_:1 .A_ Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Fe 'Eff#1 'Eff#2 ' Effluent #1 = BOD, > 30 <_ 220 mg/L and TSS > 30 <_ 150 mg/L ' Effluent #2 = BOD, > 30 5 220 mg/L and TSS > 30 5150 mg/L w pit Boring # El Boring 9 ® Pit Ground surface elev. ft. Depth to limiting fact I � l in. Horizon Depth In. Dominant Color Munsell Redox Description Qu, Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 'Eff#1 'Eff#2 ;LmsbK h1 C 2C6 ,S 2- 2H .0,z qjq 51 I MSM 1 CO . y .7 3 y- Y — rn ! r � . 0 tie I . / .- ®Boring # ❑ Boring /C apit Ground surface elev.�- f�.7 ft. Depth to limiting factor _ in. �` rUA itA t Soil Application Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 •Eff#1 `Eff#2 ID Y9 3 Z I ZMsbk w► S r 8 Z l b- 31 16Tic 5 ►>7s bk M 1 43 3l -(,o (bYA q 5; r+s b r W y 20 - SD yqe^ h L/ 1. 6 ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. _ ft. Depth to limiting factor _ in. Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 •Eff#1 `Eff#2 Effluent #1 = BOD, > 30 5 220 mg/L and TSS > 30 5150 mg/L ` Effluent #2 = BOD, > 30 5 220 mg/L and TSS > 30 5150 mg/L w z J 3 Irj�;a1-za ?g 3 o-F.3 FARCC,L t* 3d- PJ2.9- I U-000 L6) T I I it I iIDG & JSIT f3IRC(4 PARK U� n Y � _ 1 U" NO W E Lc. i {%t-1p VE R TICF RM `/z 1pVC, F%pp- o-o9 aF %PE Is (00 _3 pvc Pi?f� 9o.a �.> I Off' ' 1190 Soul N LOT U NC- cdRNER