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HomeMy WebLinkAbout030-2124-70-000 r Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building D?'% on Sanitary Permit No: INSPECTION REPORT 515291 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes (Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Schwarz, Edward & Sandra I St. Joseph, Town of 030- 2124 -70 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /RangetMap No: 6 1 G S 25.30.20.1011 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic y Benchmark Beg 4H Alt. BM Aeration Bldg. ewer f . lv 3 Holding St/Ht Inlet 7i! 1W TANK SETBACK INFORMATION St/Ht outlet, 9 TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic `J / J 4 . 9 ' (06 / Dt Bottom Dosing Header /Man. Aeration Dist. Pipe , I / ' 4 1 Z Z 1O )35 Holding 131. S stem - 3 _011 s 1"7 Final Grade PUMP /SIPHON INFORMATION %-) Manufacturer Demand St Cover Q► GPM f)�e V " t. ; Model Number PA TDH Friction Loss System Head H Ft ; Forcemain Lengt Dia. Dist. to well SOIL ABSORPTION SYSTEM BED/TRENCH Width Lang No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L JBLDG IWELL LAKE /STREAM LEACHING Manufacturer: ..�— INFORMATION Type O System: r CHAMBER OR -\Je I 1 66 ' /v • ,/� � UNIT Model Number: DISTRIBUTION SYSTEM !� r7 A- S } J 7S f: Header /Manifold / / t Distribution x Hole Size x Hole Sjpa,,ng Vent to Inta Pipe(s) Length 1 7 ' Lengt 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 Bedlrrench Center Bed/Trench Edges \ Topsoil I I Yes H No Yes R No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: / / Location: 1320 27th St reet H dson, WI 54016 (E 1/2 SW 1/4 25 T30N R20W) Birch Park Lot 7 Parcel No: 25. 1.) Alt BM Description = �1+�2� C.:^g 2.) Bldg sewer length = ArZmonts �,M 501 C 2 - amount of cover = / ' `� j( �' �� & 4 rL ,0115 QXZ Plan revision Required? 0 Yes No .a _ 2 Use other side for additional information �J } SBD -6710 (R.3/97) Date Insepctor's ignatu Cert. No. ��� �1\ � �x � �� `i� �r �' �� �'a �� � �� �a' g�� CONVENTIONAL COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Z, Owner's Name: f( 541 n(� �Z,/� SCtl - Iw - ,eZ Owner's Address: I �3 LD 7 5 T. ( i b 3 a s r s L -77- �U/ s� z Legal Description: Township: ,TD S C - PH County: d 1 x Subdivision Name: i' - K-K Lot Number: Parcel ID Number: 0 3 0- 2 ( 10 - OC'(-) Page 1 Index and title Page 2 Plot Plan Page 3 System Sizing & Cross - Section Page 4 Filter Specs Page 5 Maintenance Information Page 6 Management Plan Page 7 St. Croix Cty Septic Tank Maintenance Form Page 8 Warranty Deed Page 9 CSM or Plat Attachments: Soil Test & House Plans Designer /Plumber: &JWJLS CnLL License Number: 2 Z (q - 71 Date: f � /� Phone Number - - 7/S - - 2 69 - & & 3 - 7 Signature Designed pursuant to the In- Ground Soil Absorption Component Manual for POWTS Version 2.0 SBD- 10705 -P (N.01 /01). Page 1 i commerce.wi.gov Safety and Buildings Division County ��{ 201 W. Washington A P.O. Box 7162 t ( 101 9 0 n Madison,�1 5�1 -�62f r Sanitary Pe�umber (to be filled in by Co.) of Commeroe l �`'- ' _ t 16 c'a- Sanitary Permit Application S tate Transaction Number In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this forth to the appropriate governmental A unit is required prior to obtaining a sanitary permit. Note: Application forms for state -owned POWTS arc Project AddteA (if different than mailing address) submitted to the Department of Commerce. Personal information you provide may be used for secondary f� �✓ purposes in accordance with the Privacy Law, s. 15.04(1)(m) St L Application Information - Please Print All Inform ion Y-'f '?% 4`7/,,11 Property Owner's me erty Parcel # P Prop Owner's Mailing Address - ,. Property Location Y O/ Q /' cv n _S1 ST, CRUIX CUUNTY vt. Lot .yam City , Stan Zip Co % ,�_ y,, Section OLD D 7 (circle one) T -3 0 N, R OzO E or 10 II. Type of Building (check all that apply) Lot # ❑ 1 or 2 Family Dwelling - Number of Bedrooms i f 7 Subdivision Name Block El Public/Commercial - Describe Use `� # El city of ❑ State Owned - Describe Use CSM Number ❑ Village of CIT Town of a III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. I ew System y El Replacement System ❑ Treatment/Holding Tank Replacement Only E) 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/Com onent/Device: Check all t hat app ly on- Pressurized In- Ground ❑ Pressurized In- Ground ❑ At -Grade ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) , _ ❑ Pretreatment Device (explain)_ V. Dispersal/Treat ent Area Information: Vz111 + 1 L. C � Desi n Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Re uired (s f) Dispersal Area Proposed (sf) System Elevatio dv J# 7 $.s 6 6 -V 5 "1 - -S' s, g �xs-- w , o VI. Tank Info Capacity in Total # of Manufacturir r ' Gall Gallons Unitst New Tanks Existing Tanks a. U A JA or Holding Tank Dosing Chamber VII. Responsibility Statement 1 , the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) PI r s ature MP /MPRS Number Business Phone Number Plumber's Address (StrWCity, State, Zip Co ) /yt i Vlll County De artent U O nl _ - — -- m y -- - - -- - -- - U - - -— - - - -- — - - - - -- Pcrnut E ce Date Issued ksumg A cgFfiignatu}� pproved El Disapproved ,������/ ❑ Owner Given Reason for Denial IX. Conditions of Approval/Reasons for Disapproval SYSTEM OWNER: !� 1 Septic tank, effluent filter and { 1 dispersal cell must all be serviced / maintained as per management plan provided by pi 'i umber. ,E Ate r' �, a? Z -) r'nu c i 'I" (L �o �> / ii setbac requirements must be maintained t, _ t or the system and submit to the County only op paper not ess t an 8 Id z 11 Inch le size as per IicablQ f6YtRltfaP�C�s. p pP i*Qr1 S'; r ( i� .. rw y-r .: /A 4 i _`(,/._.vtt� (%�� a `�'•1 r l I� 1{ , '.C:.' r fif .lf %:.� . ✓ SBd�6r3'48 (R. 01/07) Valid thry 1 09 %aG `��' ;�� ?�4�. - I ' A' i r. '' L.Z . / . ��; LOf �7 167 �" i� -- -LET, ro os�e� k } c � A -- E, T, cam- / Z - l I ,loo J _ �f l i `, N Inca a rr�- "' PD r OD N `AD N 4 S l 04„ ��,- 54 � .ryj 6 p as CD ?3 8. F �'� �A- i X 6. 0 ?' /y g w 5 1 1 IiZ 2 L ' 6L la 14 ?ss. ee 4Z? ��� 80,21 SON t ...., � M. H.W.L. =816.8 ww CVO Z w 00 I N co y c = w V C:) >��O r w co 1 � W � � Z f c O R. -L N_ U5 co a r � � CID m C'> 0 w ( o> c to S00 °33'01 "E'-- i' — 107.00' "Mg. ° 0 9' ` 0 -45.28'. 67.14' '59"W \ `\327.17 "' Co - p " D co, -;Ib - M1� �\D 36 v © I 3 N rn E: 0 m o rn N 23o283�h .� ©- --------- - - - - -- o \\/ I WR LINE -4 OF 27 rn Na N ���� ► UNPLA i _ o o •-� vvcc,z O YZ o RD mD oaf n�c�o� �Z. c.0 ,�� (nom U o ° o o= 5 O <' -1 < m Z 3 c.a o o Z one Q > > N n c' co n cn m w v fn °'o Sc (n n O - _ D r -- , - N U j m O d fD O' f n 0 N N S I --1 Q rr, N , ?c,,'^o v n mo. = ° co o.v o in '°3o a s s o (D n x x o f Z o C Z y —D 1 Z' z w In O � <' o to f") ° Z m m o, H � O D m - -� 2 -. e�s.7. �. 5... O. 4 C 2 � y.. N�O. -1 CONVENTIONAL COMPONENT DESIGN Reaide,681 Aprllcatlan INDEX AND TITLE PAGE Fmiect Nome: 5c t-(uu, e Owner's Nsme: rP.� { # 4 7 , { D AA sc JAR 7 — Cwne's Addrast - 1 7 # ' & ' Sr D D,j Al i Legal Deacrlpton: jLa-r 1 21 P-G MA-A ic- Township S r. -7,-) S erpl4 county. 't'► G+20 ! Svbdivislon Name: rI�GFI l�i'�.fC Lot Number, PQnxVDNumbw- Page I Inds x and tftle Pegs 1 Plat Elan Page 3 intem -S . itima d Cross -Sedc pogs 4 Futer soepA Page a Matntenanoe irtarmation Pao s Mane am pian Page 7 st C:r Dix C s tic Tank Harmer Qe Form Page 8 warranty Dead Page 9 CM-01 plat Att 0hrnerrts: Sol! TOO & H OUGO Plana D"lgrler /Plumber. � jU,U� Lids License Number. - 71 Phone Number J 7 1 Signature �--� C e019"ed pumuant to the Igdlmund $Qtr Absorption Camponmpt ftvsl for Poiprrs Veraton 2.0 98D- 10705•r (N.oil01). P92121 Ed WdSV: 0Z0Z 60 'Int 0802- 89Z —SZ 2- 'ON XUA --- 0NIld(1ki0X9 '8 9NIA0nai - 911I9 WOdJ Gille Trucica Ex • • � �av � Inc, a�ng, I sr'v'. v.:_^*M•' •ky , : .,. • ..:: ,�,: �:.. - . _.. tti; .. : ?.'v x^r • yz.>A rr,n ,<•.. -,,.. d. ?G u «. .�.. c... "t ::. : .^.:i::':'•: :_, r - - -- - u,' \F;�Y^ �:y �:,vs�:v :. ... j tv ^u ..._. :- +:= �5iaiii�'Y..e��.v,w:-ii .. •• ::. .. �.,!'!. �%',— . >.�:...: •: •.: � . �: • ' : .G.�" .. .:...ice L, iwvr�. r' �. .xi.�'�'-- ,�.:vwirvrL�Y..:iJ.w +" Uri✓ .YJiruCtWl•.'/��.- •`.vr.w.�JJ�r . r.- k Jn � a.. '%Y.W4r" ^ �'.rNJ. •�i.jli t _ ki� Y� )•'�! Y'v 352 140' S tre et tre et Amery, Wl 54001 Phone: (715) 268.6637 Fax: (715) 268 -7080 ;. .._.� F /� \� NSWT :A : Y � ^d"b � -.� >��, A;b •:fie:. � r "^* . k�''1 + cai :xEZnC`, m '� '.:;.c• ••..�?t °; v ;:' F 2M {P� >•z •- `•ate -•"" rat ! 4 x;;�iroitt: Denuis/Shdl ! • > Y �= r . CC: CI Urgm ❑ For Review C] please Can. IN" ❑ Please Fte* C7 Alobeg: /Wan �n : Td Wdbb:ET OTOE 60 'Inf 080-- 89E -ST2- 'ON XUJ --- ONIiUnU3X3 8 SNIAondi - 3 - nI0 WOHJ 2 yo ' - - IS �o ?, � o o _ Qv� ro oS�e� C � 5 �-- C l \ ,dz. °y r Soil Absorption System Cross Section ft ft 4" Schedule 40 Final Grade PVC Vent Pipe / With Vent Cap ♦_ /� ft Leaching ---► J� Chamber A ft System Elevation I ft_ ft S� ft Soil Absorption System Plan View ft 3 ft ft Leaching Trench 1 Chambers 4" Dia. Trench 2 Header Vent Or Observation Pipe Trench 3 Leaching Chamber Specifications Manufacturer And Model ��c��l - 1 2 -Dt/cj4 n EISA Rating_ sq ft per chamber Soil Application Rate gpd /sq ft rJ gpd Design Flow _ 7 Soil Application Rate _ / C ?- 1 EISA Chambers 3 rows of / (5 chambers each. Page of 04/04/2001 10:07 F_9X 7155376847 BARRON CO ZONING laol SYSTEM SPECIFICATIONS In- ground Soil Absorption Component SBD - Q=Lo s 7 - Project Name: a J" // Distribution Cell Type Septic Tank Aggregate ❑ Leaching chambers2] Min. Septic Tank Volui ae gaL Wastewater Quality St -ptie Tank Volurne ,20 d gal. Treated ❑ Unr aced Manufacturer Number of Bedrooms. _ Effluent Filter Design Loading Rate PLR) 7 Manufacturer (Mmdm= Soil Application Rate) - Model .__ � - SzS Combined wastewater: U Number of bedrooms / Pump Tank gal /day /bedroom x 150 Manufacturer Daily Wastewater Flow (DWF} — fJU Volume _ gaL Cleat and graywater only. Number of bedrooms [ l� Diverter valve no gal /dap /bedroom 1.2f Manufacture Daily Wastewater Flow (DWF) _ Model _ Black-,wter Note : The use of a dime us valve shall be indicated on the m utemen plan iod Piting how and when the valve Number of bedrooms shall be used. gal /day /bedroom x 60 .Daily Wastewater Flow (DWI-) Distribution Cell Sizing (Aggregate) DWF / DLR. / fe bistribution Cell Sizing (leaching chambers) Leaching Ch Y:N � ly ' Manufac Model Adjusted Design Loading Rate i 7 gpd /ft' Chamber size, bottom area /CJ. / fe System sizing = DWF / .ADLR. / C.hambtr -i2e (DWI-) (AD1,R) (sq.ft) # of bcrs Number of chambers to be used = _ _ _ Page- 3 of Inc INSTALLATION INSTRUCTIONS fnnorate dDrainage s ADi�fon & Wast ofPoMa PL- 525 /PL -625 FILTER ewaer roduct INSTALLATION INSTRUCTIONS Center filter with opening C' C9 W N J� M0 e e Additional pipe or Polylok Extend & Lok° Glue for centering. Step 1: Step 2: Step 3: (A) Locate the outlet of the septic tank. (A) Before installation, place the (A) Glue the filter housing on the (B) Remove tank cover and pump tank filter housing on to the outlet pipe. outlet pipe. if necessary. (B) Make sure that the housing (B) Insert the filter cartridge in the is positioned so the filter can be housing, making sure the filter removed from the tank for cartridge is properly aligned and maintenance and service. completely inserted in the housing. MAINTENANCE INSTRUCTIONS 1 Step 1: Step 2: Step 3: Locate the outlet of the septic tank. (A) Remove tank cover and pump (A) Insert the filter cartridge back DO NOT USE PLUMBING if necessary. into the the housing making sure WHEN FILTER IS REMOVED (B) Pull the filter out of the housing. the filter is properly alighed (C) Hose off the filter over the septic tank. and completely inserted. USE RUBBER GLOVES Make sure all solids fall back into the (B) Replace septic tank cover WHEN CLEANING FILTER septic tank. POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of ILE INFORMATION 5ySTEM SPECIFICATIONS Owner S Septic Tank Capacity /Z60 1 DNA Permit # , Septic Tank Manufacturer 17 NA Effluent Filter Manufacturer ❑ NA )ESIQN PARAMETERS ❑ NA Number of Bedrooms MCCLualityManthly ❑ NA Effluent Filter Model 04 NA NA Pump Tank Capacity al Number of Public Facilit p(NA Estimated flow (averag at /da Pump Tank Manufacturer Pump Manufacturer ��' Design flow (peak}, (Es al /day @r NA Application Rate . 7 gal /da /ft2 Pump Model A Soil Standard InfluentlEfflu average Pretreatment t Unit ❑ Peat Filter Fats, Oil & Grease (FOG) 530 mg /L ❑ Sand /Gravel Fitter Biochemical Oxygen Demand (SOD,) 5220 mg /L ❑ NA ❑ Mechanical Aeration O Wetland 5150 m /L O Disinfection ❑ Other: Suspended Solids ITSS) g Tote! P ❑ NA - Disp ersal 1 Cells) P , Effluent Quality Monthly average d Pretreated p In- Ground (pressurized) d (gravit Biochemical Oxygen Demand (BOD,) 530 mgI L -Groan © At -Grade O Mound Total Suspended Solids (TSS) 530 mg /L YNA ❑Other: (geom etric mean) 510 cfu /100m1 ❑ Drip - Line Fecal Coliform {geom , Maximum Effluent Particle Size 'Y, in dia. 0 Other. ❑ NA NA LOther ❑ NA Qther: ❑ NA [3 NA *values typical for domestic westewswr and septic -tank effluent. MAINTENANCE SCHEDULE Service Frequency Service Event ❑ manth(s) Fpt ectcontdit'lon of tanks) At least once every: aEysarls) (Maximum 3 years) D NA mp tents of tanks} When combined sludge and scum equals one-third IY of tank volume DNA ❑ m ) (Maximum 3 years) El NA Inspect dispersal cell(s) At least once every: � � � yeaarr((ss) ) ❑ month(s) ❑ NA Clean effluent filter � !W� ---!I At least once every: year {s) D month(s) Q NA inspect pump, pump controls & alarm At least once every: ❑ year(s) ❑ month(s) 0 NA Flush laterals and pressure test At least once every: ❑ year(s) D months} ❑ NA Other: At least once every: ❑ year(s) ❑ NA Other. MAINTENANCE INSTRUCTIONS Septage Servicing Operator. Tank inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; any cracks or leaks, Inspections must include a visual inspection of the tank(s) to identify any m bark up or pond har identify effluent on the ground surface, measure the volume of combined sludgo and scum and to r fflu for any pipes The dispersal cell(s) shall be visually inspected to c the ground surface may indicate a failing cond ton and requires d the of effluent on the ground surface. The pending of effluent an immediate notification of the local regulatory authority. ank When the combined accumulation of sludge and scum Servicing Operalorsandedisposed)ofrin t P t of the tank volume, a co dance with ch pterNR contents of the tank shall be removed by a Septag Wisconsin Administrative Code. fluent All other services, including but not limited to the ser vicing hall be o f o fo p e r formed a certitiednPOWTS Mai azOmponents, pretreatment nerC unit and any servicing at intervals of 512 months, A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. GMW (4101) 5 `� ��� 'S� `'��J� ,. •" 03/30/01 FRI 14:25 FAX 715 386 4686 ST = CO ZONING 002 . . Management Plan for a Septic Tank and Soil Absorption Comb i - rent filter is equipped with an alarm, the filter shall be serviced if the alarm Is acts►+ r :ed continuously. Intermittent filter alarms may Indicate surge flows or an impending continuous iA m. The septic tank shall have its contents removed when the volume of scum and sit t Igo In the tank exceeds 913 the liquid volume of the tank. If the contents of the tank are no!k 'i irnoved at the time of an assessment, maintenance personnel shall advise the owner of whi i ,i the nokt service needs to be performed to maintain less than maximum scum and sludge ac +,o! i 'nulation In the tank. Manhole risers, access risers and covers should be inspected for wsti i - tlghtnes;3 and soundnes& Access openings used for service and assessment shall be seal : 9 watertight upon the completion of service. Any opening deemed unsound, defective, or sul je ! t to failure must be replaced. Exposed access openings greater than 8- inches in diameter sh ! it be secured by an effective locking device to prevent accidental or unauthorized entry into by ! - tank. No one should enter a septic or other fatment or holding- 'Pak for any reason without being in full compliance whit OSHA staitd ; twis for entering a confined space. The atmosphere within the septio ' r other treatment of holding tank may contain lethal gases,, and rimm ate of a person f rom the rated ar of the tank may be difficult or impo*s- rl& Tank abandonment shall be in accordance with Comm 83.33, Wis. Ad 't. Code when the tank Is no longer used as a POWTS component. $ i� I Absolg fign Comoonen# The soil absorption component serving this structure is designed to ac apt domestic wastewater' from a residential facility. The limits of operation of this compon o Q are shown in Table 2. The longevity of a soil absorption component depends greatly on prop r and timely maintenance, and system use within or below the limits of reliable operation. : ood water conservation practices by all occupants and the Installation of water conservi r y plumbing fixtures are key factors in extending the useful life of this component The soil absorption cornponent's operation must be assessed by insx i; "Ilan at least once every three years. The inspection shall include recording the levels of p jiliding, if any, in the observation pipes, and a visual Inspection for any evidence of surface see. sage or discharge from the component. On steeply sloping sites, areas of erosion should be ids trifled and reported to the owner for repair. The surface discharge of domestic wastewr!!f w or sewage from the system is prohibited and considered a human health hazard. Traffic around or over the soil absorption component should be avoidi I particularly during winter months. The compaction or removal of snow cover over the cc ol:fonent may lead to hydraulic failure by freezing. This type of failure is usually temporary, but : difficult or impossible to repair until weather canditions improve. In general, soil comps; c Ion over tf is component will reduce diffusion of oxygen into the soil and dispersal cell, whi( m may lead to more intense, and earlier, organic clogging of the soil. 2 �� INGROUND SOIL ABSORPTION MANAGEMENT PLAN PURSUANT TO COMM. 83.54, WIS. ADM. CODE General This system shall be operated in accordance with Comm.82 -84 Wis Adm. Code and shall be maintained in accordance with its component manual [In- ground Absorption Component Manual for POWTS Version 2.0 SBD- 10705 -P (n.01 /01) and SSWMP publication 9.6 (01/81) and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic tank or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm. 83.33, Wis Adm. Code when the tanks are no longer used as POWTS components. Septic or pump 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 and 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 a tank or component 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. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the 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 sludge and scum 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 the triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maxium scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Dept of Commerce. Pump Tank The pump tank shall be inspected at once every 3 years. All switches, alarms and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Soil Absorption System No trees or shrubs should be planted on the absorption area Plantings may be made away from the cell's perimeter, and the area shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than foot or for vegetative maintenance) on the area is not recommended since soil compaction may hinder aeration of the infiltrative surface within the system and snow compaction in the winter will promote frost penetration. Observation i within the dispersal cell shall be k i pipes sP checked for effluent ondin . Pondin levels shall be reported to P g g po ed the owner, and any levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep he system in ep ys proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component shall be immediately repaired of replaced with a component of the same or equal performance. If the dispersal area fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. Replacement in a suitable area nearby is also an option at which point a diversion valve will be installed between the old and new systems to allow dispersal cell rotation at a schedule to be determined at the time of cell replacement ST. CROI K COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CER TIFICATION FORM Owner/Buyer � i� rr� �A SChGv,�4 Z Mailing Address 1 3o A) In A• / /V S7 2 2-+ is+ (I wa4 e, /Y) A) 5 5 o 8 a Property Address 130d 2 7'"' o t (Verification required from Planning & Zoning Department for new construction.) City /State /JtA bS ojJ LO Parcel Identification Number 6 30 Z / Z el 76 ' DOU LEGAL DESCRIPTION Property Location 4C /1 t /a , St' t /a , Sec. Z� , T 3 0 N R W, Town of 5`� • � o S C,oYi Subdivision .46iQ �ax ,Lot # 7 Certified Survey Map # , Volume , Page # Warranty Deed # j ' - `� ;3 , Volume , Page # Spec house yes no 'j Lot lines identifiable yes �' no SYSTEM MAINTENANCE AND OWNER CERTIFICATION 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. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal 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. Uwe, 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 Planning & Zoning Department within 30 days of the three year expiration date. Uwe certify that all statements on this form are true to the best of my /our knowledge. Uwe am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number of bedr ms 6 / 1 / / ICS SI NATURE OF APPLICANT(S) DATE ** *Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. * ** Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 08105) 111111 Illll Illll Illll I(III IINI Iiil 111111 llli IIII * 8 5 5 3 1 2 1 State Bar of Wisconsin Form 2 -2003 8553 WARRANTY DEED KATHLEEN H. WALSH Document Number Document Name REGISTER OF DEEDS ST. CROIX CO., WI RECEIVED FOR RECORD 07/10/2007 01:55PM THIS DEED, made between Justin L Lambert a single person WARRANTY DEED EXEMPT 1 ( "Grantor," whether one or more), REC FEE: 11.00 and Edward J. Schwarz and Sandra K. Schwarz, husband and wife TRANS FEE: 285.00 PAGES: 1 ( "Grantee," whether one or more). Recording Area l l Grantor, for a valuable consideration, conveys and warrants to Grantee the following Edina Realty Title described real estate, together with the rents, profits, fixtures and other appurtenant interests, in St. Croix County, State of Wisconsin ( "Property") (if more space is 400 South Second Street, #115 needed, please attach addendum): Hudson, WI 54016 -1974 Lot 7, Birch Park, St. Croix County, Wisconsin. File # goZl 1 1!5 l v� ) 030- 2124 -70-000 Parcel Identification Number (PIN) This is not homestead property. (is) (is not) Exceptions to warranties: Easements, restrictions and rights -of -way of recor , i any. Dated (SEAL) (SEAL) * u L. Lambert (SEAL) (SEAL) s I AUTHENTICATION ACKNOWLEDGMENT Signature(s) Justin L. Lambert, a single Person STATE OF ) authenticated on Q ) ss. 01 } COUNTY ) *Kristina O land Personally came before me on , TITLE: MEMBER STATE BAR OF WISCONSIN the above -named (If not, to me known to be the person(s) who executed the foregoing authorized by Wis. Stat. § 706.06) instrument and acknowledged the same. THIS INSTRUMENT DRAFTED BY: * Attorney Kristina Ogiand Notary Public, State of Hudson, WI 54016 My Commission (is permanent) (expires: ) (Signatures may be authenticated or acknowledged. Both are not necessary.) NOTE: THUS 1S A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DEED ® 2003 STATE BA F WISCONSIN R O W SCO SIN FORM NO. 2-2003 * Type name below signatures. INFO -PROTM Legal Forms 800 -e55 -2021 www.infoprofbrms.com I 1 of 1 L Wisconsin Department of Commerce SOIL EVALUATION REPORT page 1 of 3 Division and Buildings in accordance with Comm 85, Wis. Adm. Code County St. Croix Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and parcel LD.030 percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. Revi to -� Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Ord Property Owner Property Location ❑ ❑ Quest Development, Inc. Govt. Lot E 1/2 1/4 SW 1/4 S 25 T 30 N R 20 E(or)W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# Suite 150 10700 Old County Road 15 7 1 Birch Park City State Zip Code Phone Number ity village ■ Town Nearest Road Plymouth MN 1 55441 ( 7¢3 -595 -9512 County Road E St luseph Q New Construction Use Residential / Number of bedrooms 3 to 4 Code derived design flow rate 450 to 600 GPD E] Replacement n Public or commercial - Describe: Parent material T .oess over out wash sands Flood Plain elevation if applicable '` ft. General comments ` ` This site is suitable as a below grade conventional systm.,; �X and recommendations: Lo l GO'YL. ta lk, 2 1 F 7]Boring# ❑ Boring Q pit Ground surface elev. 99.80 ft. Depth to limiting factor > irf�r -" ''a. lif il li n ate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Bounda in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. E *Eff#2 1 0 -36 10yr3/2 is lfgr mvfr cs .7 1.2 2 36 -96 7.5 r4/4 s Osg ml - - .7 1.2 I ❑ 2 Boring # ❑ Boring 103.80 >96 Q 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/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -96 10yr3/2 ` is lfgr mvfr es 2f .7 1.2 i * Effluent #1 = BOD > 30 < 220 mg /L and TSS >30 < 150 mg/L * E - < 30 mg/L and TSS < 30 mg /L CST Name (Please Print) Sig CST Number Thomas C Nelson 227387 Address Date Evaluation Conducted Telephone Number 1432 120th Street, New Richmond, WI 12/13/01 715- 246 -2454 r r 1 1 . Property Owner Quest Development.Inc Parcel ID # Page 2 of 3 3 Borin # Boring ❑ g >96 pit Ground surface elev. 97.60 ft. Depth to limiting factor 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 1 0 -96 10yr3 12 - is Ifgr mvfr - - .7 1.2 F-1 Boring # ❑ Boring M pit Ground surface elev. ft. Depth to limiting factor in. Soil Apelication 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 Boring ❑ Boring # Groundsurface elev. ft. Depth to limiting factor in. 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 I *Eff#2 * Effluent #1 = BOD > 30 < 220 mg /L and TSS >30 < 150 mg /L * Effluent #2 = BOD < 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- 8330Test (R.07 /00) Qt"1I ��Q a eon 1 00 ti d q C, 90b �Z Io 3.6o L I hL 0 cam. r� !v Cpl' L a `7 3 U 7 PEti3O i N (r- 1- To B & 1+ F- P//V cw LcX% STiv(- p ✓iV-s �• *i/ 0 30 • 2 - 03 2 - 0 • o�'v ce.v rt T kv . I � 43D • ZO.3� • /O . QD� /� /lJ/y/.�G`�S 0 3& . z U lfQ . 70 - DAD Ulbricht & Associates Private Sewage Consultants 655 O'Neil Rd. Hudson, Wis. 54016 X15 3.96- 91,?S 7/ 5 - 77 2, - 3 VV-2- • 3 o �3 oo"v l it . 3 0 � 100 C • r..ny, PQ t 5 ✓ 1 u % . U 5 h 0 � -. P 4 eAl19 ✓ iV G-- L O T TO 13 6 4- F + NEW P /' fi P 67 l S /,t� �° ✓mss (5e 7-- wiS. � 3D • �3 l • L o • ooV 3 0 . z o3 yF. `o aav Ulbricht 8 Associates d 2 U 7(� �� Private Sewage Co nsultants 'q g a yD • g(9 , � 055 on, is. Hudson, Wis. 54018 3 ?G • Q7/ SO s *7 , c 77 -i iJ Jun -16 -2010 12:15 PM St. Croix County Plan /Zoning 715.386 -4686 1/4 yyhcgrsinDap.ren.nlotcaemaroo $OIL EVALUATION REPORT ' Peps 1 d 3 W@bn9f Ss" and Bu ngs In s000rderm wish Cam K V& Ad- Code CW* sL crol>< Aftaoh sw plan on not lees man 9112 X 111edtM In dte. Phfn must 7n . inducts,huifialtr ■drxvsdlaslwlhaeawntd krc polnttDMl�mrsdloo -A Prod ID439 pwcWWaM Baia ordkltenebns, north WWW. WW I"' Mg am dlalrrca M neatest road. Mm" print aM trd6vWdM P■rwnal Ydbrm■B■n you pruvlea my N u■■a er a■oond■h parpoew (Pnwoy L■w, a MOM" pfopavoww Propery u tlon �� Quad Development Inc. a,& fat B 113 114 SW 114 3 25 T 30 N R 20 PMWIV a MilijAddress sat Block 9uhd. No= or CBW Suite 15010700 Old County Road 13 7 Hitch Pads sys ■ m Neared Rod Piym M% UN I 55441 72 C ou Road B ■ Nsw Cbrtalnsrtiort lJjFtWdarft 1 Numbw o1 bs MN% 3 to a Coda &dW daalsn Sow r*b 430 to 600 M RMbWnent Pubft or carrertar dal . Daatxbe Perardmetartal 1 mas m w nrd posh nnri■ _ F9oed Plain eleYaQOTt C bM � l � Csenerd asmnarta This site is srdtabie u a below Srade cOnvendOnal lA' O �. VT L � • Q p C#round surface alsv. 99.80 IL D40 b � ter >96 D,py, Dominrtt RO&M D.ealO- T.r m Sixim commWaa in. MWAW Qu. 9s. Cont. dolor a. Sn. 6h � 'EIMQ l 046 10yrN2 1; i mvlk a 2f .7 1.2 2 36-96 U s ml - .7 1.2 Wft # ttorirp a96 2 Pit Mound stnfita elw. 103.80 0 to &^B hator in Sd Rab Ficrltcon Depth DorWnrdColor Red,Deeaiption Texhns 8Wdse Ca kWca BotrAM Roofs Ott Bs Co In. M. Calor Cir. 8z 9h 'EtMt 'aw 1 0-96 1 la 1ter mvlf a 2f .7 1.2 • emuem iii R BOD s b01220 man. end TW "0:160 ' 30 mpri end 759 < 90 ffgt CST Noma (Plaeu Pdnt1 CST Nrmtrr Thomas C Nelson 22738 Data emivawn conAtawd Teleplr 1432120th Stroet. New Richmond, W1 12/13/01 715- 246 -2434 Jun -16 -2010 12:15 PM St. Croix County Plan /Zoning 715. 386 -4686 2/4 owner Quest Developtmmt.Ine parcel ID S Papa 2 of 3 3 BaR►q # [] ph Ground owfaa alw. 9760 DsW to WnIIrq tacw X46 h SdApplicaft Rata MMM Coo DMOWNCOlor RetitstDesalp0ae Tafto $VucWM Co*zIwoa DMIkq Root GPM In. Munedl Cu. 8z Curt. OWN fir. tat sh. O M1 *M 1 0-96 tor" Is Ifyr mvff - - .7 1.2 Pit Ground seufecs sl t Depth to ftmv factor hL Hodzm Depth DW*wwVtCobf Redox Description TO"* swchn confilaw" 8ourduy Pooh WON hf. Munsell Ov. Sz. Cant Color Or. Si Ste. •EW TM ❑ # Dz H° Pit Qrour alay. d. plh b MrWtlnp foator In. 8d AMkVbn Rol. HMM Depth Dorninsnt COW ftwmoaaalp m Tw*n ftualum Consistence boundary Rwb 2P In. Munew Cu. 8z. Goa cow Or. On. $h. '6tNM 'EilM1 ' t ftwit 111 R 800,:1- W.5 x20 ft*k and M W S 160 MOIL ' Ef kwu tat r 1301), S 30 mWL ant MA 3 30 nV& The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or naafi material in an alternate lbtmat please omftd the department at 608 - 266-3151 or TTY 608- 261 -111M. saeamare><ouat Jun - 16.2010 12:15 PM St. Croix County Plan /Zoning 715.386 -4686 3/4 IfC��r �o �" -] 1 � e d calc a 'n t��' too az 1u 3,80 ti 63 91.1 s r 6 0 N Q� N WA— to 387 P�5vv 1' N 6- 1-07- 7•o /36 +, SS1'6 -,v,�5-v ,+ NEGV /.vD / U /OO f L P iV 6 SriNG- P ✓,vs .¢I/ p - ,�i�t r' % S 0249 .203 � • LO • o� Co.v rl-c T kii'S. 0 30. 2. J. 50 • &ov G✓ 'Ge v.�G'7� M�9`ST 0 3 0 - 20 , O. 70 - OM u>bacnt.A o"- m N " . 1 Comuft?" • 2.0 �� �'0 ' Oda H � 04 3 S' /1 71 S 713 - yV2— RF %O ct AUG Wisconsin Department of Commerce QIL ,4YAL k?1 10 RE ORT Division of Safety and Buildings NNI &0/,V Page of in accordance with dVi�p Page OFFjC f Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan mu County include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. 03 0 - 2 / z ,i- 20 - ©oo Please print all information. Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, S. '5,04 (1) (m)). PropertyOwner Property Location i Govt. I..ot G i fi1r SCU 1/4 So T3 Q N R a10 E (or) (- Property Owner's Mailing Address Lot # Block # Subd. Nam or CSM tY State Zip Code Phone Number / ❑City El Village Town Neares oad New Construction Use: ❑ Residential /Number of bedrooms 111111111110, 1110011 Coded 1 ived de ign flow rate 60 GPD ❑ Replacement ❑ Public or co mercial - Describe: Parent material __ - ,- Flood Plain elevation if applicable General comments ft. ,7m& and recommendations: � Boring # ❑ Boring F 1 1 ( � 'K Pit Ground surface elev. ✓ r 0 ft. Depth to limiting facto / bl— in_ Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots Soil Ap GD ate R in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 7 — S ( ,3 , ® Boring # ❑ Boring ❑ Pit Ground surface elev. / / �� ft. Depth to limiting facto in. Soil Application Rate Horizon Depth Dominant Color RedoxDescription Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 d o oY,C3 /z — L F fi���� �s , 7 �, 2 ' Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L • Effluent #2 = BOD < 30 mg/L and TSS < 30 mgA- CST Name Please Print) ignat _ ��h � r / CST Number [ Address - Z� /y7 3S 7 — 70 y Date Evaluation Conducted Telephone Number S i -�•� w=� S"ybo 1 - 96 16 - 21j = a6P-G637 Property Owner Parcel ID # Page of j F3_1 Boring # ❑ Boring �Z d pit Ground surface elev. o ft. Depth to limiting factor 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. 'Eff41 'Eff92 v " P012 - 4j , 00 S , 7 / Z Z s 7 F—I Boring # ❑ Boring ❑ 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/ff in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 'Eff #1 'Eff#2 Boring # ❑ Boring F ❑ 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/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff #1 I 'Eff#2 ' Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD < 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.07/00) I,� �I I I ; it I lot 1 1 I I I 1 1' i I i I I b i • I I I _ f I I I I i I I I I I I ' I I I I I i I I I - - -- - - - I - - -L 1p l I I I i I I I I I I • 1. 1 I I I i I r I I � I - ? i I I I I I f 7�� ? f I = - -- <- i r c 11424"44:0: 1 s _ -- n= i i oo - - 7 .1 I T I I I I I , r Wisconsin Department Of Commerce SOIL EVALUATION REPORT page �� Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County S7 , include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. D3 0 - ,z /zy -�C7- ooa Please print all information. Reviewed by Date Personal information you provide may be used for secondary purposes (Prlvac7 La s ' 5.CA (1) (rn)). PropertyOwner ProocrtyLocation " 4 (<M I. of � 1 � �U 1/4 S�,j� 1 3 n N R r20 L- (3,) 6 Property O.vner's (.tailing Address \ - - - - -1 -- Lot t I Block # I SUbd Nat) or ('SM/' A State Zip Code Phone Number ❑ City ,❑ Village Town Nearest ad o ( ) S i - 2 S l� New Construction Use: ❑ Residential / Number c bedrooms 6� ❑ Replacement El Public ived Public or co mercial - Describe: de ign flow rate GPD Parent material - Flood Plain elevation if applicable ft. General comments S elf+ and recommendations: ��e �fC, Q F f Boring # F Boring I K pit Ground surface elev. ft. Depth to limiting factor in. MHonzonDepth Domin nt Color p Soil A ication Rate Redox Descri lion Textue Structure Consistence Boundary Roots GPD/ff Munseli Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 kj ® Boring # ❑ Boring Q�/ `/ ❑ 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/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 `Eff#2 45 lhv-ze 4�S 12.0 , 7 4 2 Effluent #1 = Bon > 30 < 220 mg/L and TSS >30 < 150 rng/L • Effluent #2 = BOD < 30 mg/L and TSS < 30 mgtL CST Name Pleas h S) rr / ignat CST Number Address ZZ /y7 3S7— A/O y Date Evaluation Conducted Telephone Number 7 s i -�.' w� S�y�o l - ac >6 Property Owner Parcel ID # Page of,� ❑ Boring # ❑t Boring Q 3 Ly pit Ground surface elev /Z' ft. Depth to limiting factor in rdSoAnrfication Rate H orizon U<pih ->min n 1un,�� s Re10 Dcs n r:rip( io Texture Sr r,tore �Consislencc Gowiclvy i.:xts o!: Qu. Sz - C < onl Color Gr <. Sh ti;1 f_ffK2_ -1 7 Is F-1 Boring Boring p ❑ 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/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 ❑ Boring ❑ Boring # F] Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDAY in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff #2 Effluent #1 = BOD, > 30 < 220 mg/L and TSS >30 < 150 mg/L ` Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/1- 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 -6730 (R-07/00) All L� o - - -� _— - - —~ 2 I � t r 7 I I -A I i - ---I - - I i I