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HomeMy WebLinkAbout030-2128-40-000 L W*consir " Department ofCommerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 514904 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: Knutson, Steve & Darcy St. Joseph, Town of 030 - 2128 -40 -000 CST BM Elev: � y � � Insp. BM FJe� BM Descriptio : � ^� ��� Section/Town/Range/Map No: � 25.30.20.1046 TANK INFORMATION ELEVATION DATA Inf Z TYPE MANUFACTURER CAPACITY STATION BS I FS ELEV. Septic / / p �� Benchmark r2 Dosing (�(/ J C/ AI r D 15 Aeration Bldg. Sewer ':� /� Holding S" Inl 7Ja9 � 3 1v ' 0 '7 2� TANK SETBACK INFORMATION SUHtOutlet �U� �� . TANK TO BLDG. Vent to Air Intake ROAD Dt Inlet � Septic 5� ( 1 Dt Bottom 90 ra 0 Dosing L10 JAW Header /M'+!�� -f v ) Z 7 7 . Aeration Dist. Pipe ' f D Q C air. AXA Holding Bot. System (J L 2 Q, Final Grade PUMP /SIPHON INFORMATIO ct g /03.1 U /� Manufacturer Demand St Cover / Z 13 Model Number TDH Lift Friction Lo System Head Ft �l 1 1 7 � Forcemain l_ _ Dia. Dist. to Well SOIL ABSORPTION SYSTEM 23 BED /TRENCH Width Length / No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 2 SETBACK SYSTEM TO BLDG WELL IjCrr LAKE /STREAM LEACHING Manufacturer: INFORMATION CHAMBER O Type f System: / Ar UNIT -> O Model Number: DISTRIBUTION SY TEM j -,3 _t > " t S Header /Man' Distribution x Hole Siz I X Hole acing Vent to Air Intake 7 Pipe(s)r �� t Vil�jt� JtQ, Length Length Dia Spacing SOIL COVER r 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 7 (,� —� 7��` Bed/Trench Edges Topsoil Yes ❑ No Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:�Z /J/ 0 Paspection #2: Location: 1334 Birch Park Ridge Houlton, WI 54082 (SE 1/4 SW 1/4 25 T30N R20W) Ridge at Birch Park Lot 4 Parcel 2 1.) Alt BM Description = t vF WA,�GQ� Q4 t „ �� u // / �� 4 2.) Bldg sewer length - 3/ ' G / , 7c.- v - amount of cover = � I ��r � � � � /_ . ' L > �lf/r�UVVdZ�!"��, Plan revision Required. [, Yes E&KIO/ te Use other side for additional information. Date Insepctor's gnature (� . SBD -6710 (R.3/97) t Safety and Buildings Division County C l v i sconsi 201 W. Washington Ave., P.O. Box 7162 OF Madi ` `' WI "3 707 - 7162 Sanitary Permit Number (to be filled in by Co.) Dep artment of Commerce (6 315 gb Sanitar Permit A nn lica >! State Plan I.D. Number Q U In accord with Comm 83: 1, Wis. Adm. Code, personal information you provi 0 3 ® t 2 Q - 1 a V �� may be used for secondary purposes Privacy E 1 V E D Proj Address (if different than mailin address) I. Application Information - Please Print All Information Property O er's Name Parcel # t Block �ivufS oN Property Owner's Mailing Address ZONING OFFICE Location , z 3.R /�y A- 41V • N O�V 4, �w �,, sect on City, State /�/� /� f ipp Code 'l 3O Phone Number �� U " v ✓ I r ' V Zi .7 33 V ' ss T N' RZtrcor W II. ype of Building (check all that apply) t or 2 Family Dwelling - Number of Bedrooms p Subdivision Name 2 C/S�M(N�umber / public/Commercial - Describe Use tS{L ate-. / O�� ,,�t� r ' `+ ,` — _` P ` State Owned - Describe Use ❑City_❑Village ATownship of ❑S 1 G/ 0 III. Type of Permit: (Check only one box on line A. Co ptete line B if applicable) A. &ew System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of C1 Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner '�� IV. Type of POWTS System: Check all that apply) `f on - Pressurized In- Ground ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leaching Chamber ❑ Drip Line ❑ Gravel -less Pipe ❑ Other (explain) V. Dispersal/Treatment Area Information: Design Flow (gpd) Design Soil Application te(gpdsf) Dispersal Area Required, (st) Dispersal Area Prop ed (st) System Elevation ✓� �s ✓ �k ��a �3• o e -L VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units ��� \�/ �/�j, Concrete Constructed Glass New Existing A swG.aGr 1 / t Tanks Tanks Septic or Holding Tank 1 Z Aerobic Treatment Unit •7 /�j� & 4 Dosing Chamber � VII. Responsibility Statement- I. the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plum s Signature MP/MPRS Number Business Phone Number R OB 50-7 1 bR i( 7/s • ?7.)-' 3 �/ Plumber's Address (Street City, State, Zip Code) n /N VIII. County/Department Use Onl Approved El Di ppro Sanitary Permit Fee (includes Groundwater Date Issu Issui gent Signa (No ps) Surcharge Fee dO y� ❑ O ven Reas Denial !" IX. Conditions of Approval/Reasons for Disapproval SYSTEM OWNER: 1. Sgttic tW*,.effluerd filter and dispersal cell must all be serytis'/ maintained as per management plan provided by plumber. 2. AN setback tequilrements must be maintained as per applicable code / ordinances. Attach complete plans (to the County only) for the system on paper not less than 81/2 x I1 inches in size SBD -6398 (R. 01/03) y N1V GDS cD � SYSTEM S ALL Ulbricht & Associates THIS POWT RATA C MM' Private S wage Consultants PER BEL 2812 10t Ave. INCORPO PROPER 83.44(2)c Spring Val ey, WI 54767 FILTER MODEL # A /D < lay � �-0 \ 0 oP Kt 0 0 �! OM T ro3. 1 �w V �- A , TT L Ct S qU° (� 85 j A SE Top �k106 q6, (tEPI�LEMe�"T v � 6 ►�- �Io 1 G� 9 � k � t c 93.0 3 0 G ,l Alt S � r✓ N1 SHALL 9� Ulbricht & Associates S POWT SYSTEM COMM Private Sewage Consultants 7Hi INCORPORATE PER OMM' 2812 10th Ave. 83.44(2)0 A PROPER Spring Valley, Wi 54767 FILTER MODEL # 4 " 0 e lf o SfAK D ouT w of Co �i 9 os�r Tt T 1 o qg,o 85 e s1 Tr' T OP lip P , p _ - - a - y ^ Z J 0 q6,6 h ---- `—'`� l33 s�f 01 b 1�. 07a 13,0 10 I r 5 G � A4C R MS r. OF 1- 1 / / iN N• et — A /i j�5 3 Wisconsin Department of Commerce SOIL TION REPORT Page / of Division of Safety and Bcsidings in Comm . W Code Attach onptete site plan an paper k than 81T1 k �1 es In must y S 7 - G' R O ( � w irx*x* but not united to. vertical horizomrtal reference Pmirt (E" Parcel I.D. 12- - 'Yo. 000 percent slope. scale or north j� ! y and p , PI@8S@ priAt el! iIflf���p. R t►Y Z Pomona Monsoon you provide bs Low. s. 15.04 (1) (mN !� P f / A1v7-S ,0 � FFI CE Govt. Lot 1/4 1M S 5 T N R 2-0 E Ropedy Ownees �� �',) $ i Lot # Block # Subd Name a CSM# l Z g 3 e 17 N� MTV V. S S 33 0 y R (06-6 tr F3 State MpCode Phone Mxnber ❑ City ❑ Village ® Town Nearest Road RA1 5533 o ( 7&3P3 ( 1 • !lass 5 - r - f31^4 P'vx Ai' New construction Use-Y4 Residential / Number of bedrooms Code defined design flow rate f'v Q _ GPD ❑ Replacement ❑ Public or commercial - Desalm Parent m S,4.yD Flood Plain elevation if applic : General commem>ts and reoormnermdatiomnuK Area ' ` Spot Tested suitable for a conventional inground system (P.O.W.T.S.) a # Ground s �8•y0 to f8 in RalJe Horizon Depth Dominant Color Redox Des ripffon Texture Structure Consistence Boundary Rook In. Munsel Qa. Sz. Cont. Color Gr. Sz. Sh. 'f 1 •E(f#2 �• /oyR — lw a / G / l I OU " F2 _ _1 0 a Boring C Q J Pit Ground surface elev. / R. Depth to tim"Fedor , ! in.... sbl Rate Horfaon Depth Dominant Color RedIM Description Texture Strucdue Corwis(enoe Boundary Roots GPM in QMnsel (lu. Sz. Cart. Color Gr. Sz. Sh. •Eff#1 MW o• � /,0 y� SL ZfSh� ~A w I A4 / G 2 •�� / 0 Y, I" A A c!v z e- - y .7 11A 3 R to Sig Z s ti� /►U i' c S I 0 n �P . S O. S 1 / ` t • 0110emrt #1 = BoD 30 < 2Z0 mnglL and TSS < 150 mgn • EANiemrt #2 = BoD < mmglL TSS 5 30 mnglL csr Name (P t2o" ERr ?�I L.(3 R 1 C (tiT' 4e 3 S A� Date evaluation Conducted Telephone Number Ulbricht & Associates I q(• 09 7 (S' • 7 72 • 3 y4 2812 10th Ave. Spring Palley, Wi 54767 ORICrINAL y r' Sfg�� /�tivT L 3 Property Owner Parcel ID # Page of # ❑ �3.o C� 3 Pit Ground sr bm Oev. ft. Depth to lindri factor ` 8 in, Horizon Depth Dominant Color Description Texture Structure Con Boundary Roots GPOW in. Munsell Qu. Si- Can! Color Gr. Sz V sisterroe 'EM ftr t o• y ioyR t Sc A w V4 • � / a Z o R L/ �►�+ C w 1 • 17 /D Siz- Z f,shk F - I ❑ Pit Grt uod wrface dvv. ft. Depth to factor in. Rate Horizon Depth DovrinardColor Redox Description Texture Structure CorWdwm Boundary Roots GPOW In. Mursell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Etilh2 i F-I #. ❑ ' ❑Pit Grou surface stay. R Depth to �rniting ir>. Sol Application Rate Hariaon Depth Dorrdrrmrt Color Redmc Description. Texture Canoe Boundary Rods GPOW in. Mu>seti Ou. SL Cont Color Gr. Sh 'Etf#I *am ❑ # ❑ ❑ Pit Ground sufeoe abv. it Depth to irnitirg factor h. Soil Apykellon Rafe Had= � Dpi cdm Redox Desotpeon. Texture Structure Conroe BmmdBfY Roots GPM im MunseM Qu. Sz cqk Color Gr. Sz. Sh 't Ali 'Etf'#2 A vvTso� Z sf /< 3 Property Owner Parcel ID # Page of a V eoring # El "g � Pit Ground surface plev. • o ft. Depth to ImbV tadtor 7 V in. Sob Application Rate Hortim Depth Dorrdnant Color Redox Description Texture Structure Consistence Boundety Roots GPDRF in. Munsell Qu. SL+ Cont Color Gr. Sz. Sh. •Eff#1 'Eff#2 1 0.5 /0YA sc. z h �e cv 3 a ZR L / �+� cw • 2 /o R s Sig AK cs 7• :S y2 s S�� Jas �,' a, s . 6 Boring F] # ❑ �s ❑ Pit Ground surface elev. ft. Depth to, fmti N factor In. Sod Application Rate Haig Depth Dw*wdColm Redac Description Texture Stuchme Consistence Boundary Roots GPD/fF IrL Munsell Qu. SL Cont Color Gr. Sz. Sh. 'E01 'E02 Boring F-1 # ❑ Bofh+g ❑ Pit Ground surface elev. ft. Depth to l&nMV in. Sag AppllcWon Rate Horiaon Depth Dominant Color Redox Description. Texture Carsistenoe Boundary , Roots GPDVfi? in. Munsell Qu. Sz. Cont Color Gr. tZSh. •E01 'Eff#2 ------ -._... ❑ Bodng 0 ❑Pit Ground surface elev. ft Depth to limiting factor in. Sort Application Rate Haim n Depth Dominant Color Redax plicn. Texture Structure Consisted Boundary . Roots GPDHI< Im Munsell Qu. SL Color Gr. Sz Sh. *m 'Eff#2 r d - R v NU ) 99 Ulbricht & Associates Private Sewage Consultants 2812 10th Ave. Spring Valley, WI 54767 NI , S�f�K�O ouT p Top of `� .3- r �a p e o' f3/1 (�� o q� _ 85 5cT Top d q6 ,6 I--' A 13,0 I 3 0 I LEGEND PLAT F RID AT ¢ v BIRCH PARK / as aW uW awaW 4,v IBS M utw FM WAN I. 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NOW Nd dw fallen WMMBI I I � I aMIMN YYYYYwwYrnrrY.T � � � � W•WMOpr#q dwlNn IY�'w u4ngrww ri�wr rw..w I � R U leN Now Nr4 dr i \ B' own Dmuls r 12 r'EWWIW LINE r 12 I I • 7 r • MA BIRCH_ I PARK LOT , X � 7 ,.,� —rte I � t � Y LOT 10 0% IY MR M aoIM WM ONNYIY WAS "a aWltvfly LKS L0121 9 IS 90 ON mMt. � i - -► �� - 1 _ t �t LOT 30 N \ —LOT 31 d., /ss� '' Y ' — — — — LOT 8 0 '' IINw RI` ® M., ® Niel LOT Iw,a,,, goo LOT 5 LOT 3 �: e� LOTµ �$ LOT 7 i w•Il1 1Mw = wwMl i a 4 LOT 1� LOT 2 a Bt lug rau ZIO J \1 : °q "'We ° '�' u r £ Y1 :ig 1 w *�'w'lYd. tj�I jS 7 --- r i �I Ir.,i i a � J a .lnrN�lpr er "4 I --eYYx a uw ` IAOwr -. � �� N u y�� LOT it mI W rA� M. IN.H �, aSdB MMIWIyI IMdI' wSM � � F IW7w'N'A wloYNt Nd 91 � ® Y•1 edN5 Ml,ry N F OUTLOT 1 c rwp Irw Q YwAweYr� 1 ulft 2dMG50 Moawlrl4l11 8�1hboV UNPLAIIEDLANDS aHraar.auMr aa�l{un CURVE TABLE a reee.ndhndedlwererron -- - -- - -- w le a BNU ,Ala IOm c w toot ��f CONS u' 4 w 4 llMBlq••• ! six dna rti It rMW ! AA Wdw ISII qy I .,per r s f a n i suo rsw r d¢ B•Id1t m�`w� y ww ww McCmmlomm90QA'f m S all Ildd7 IT.W I' d � D a Y :rz fill um Aw Iful OwC ti C 'I "W � ww w NY.nN rywwllirrou Sf�ET I0F2SIU;E'I'9 l — ULBRICHT & ASSOCIATES CO. 2812 10th Ave. - Spring Valley, WI 54767 Reg. Designers of Engineering Systems 715- 772 -3442 Private Sewage Consultants PROJECT INDEX , PLAN ID � 1 DATE �/ OWNER s>�P,�� K NVfSO•� PHONE 743 2 7 /•� sf ADDRESS Z lag q fY^' LN . 6!� /ey - 5 3 G LEGAL DESCRIPTION /,0�_ #_ Y 19!/P� � -�� , 2 - yo • ea -a i5 12- sw /y sue Zs.. 7- r l' Z w TOWN OF s r h S' J/• � COUNTY CSTM LOCAL AUTHORITY/ SUPERVISION 51` 4 4el ' l PROJECT DES ' C� Ulbricht & Associates Private Sewage Consultants 2812 10th Ave. Spring Valley, WI 54767 o psG IN 8j.A 37 Pg.l INFILTRATOR SIZING WORKSHEET P9.2 SYSTEM PLOT PLAN Pg.3 CROSS SECTION OF SYSTEM, WITH ELEVATIONS. Pg . 4 if it of P9.5 OWNER MANAGEMENT PLANS & ZABEL FILTER SPECS Pg.6 (OPTIONAL) CROSS SECTION AND SPECS FOR DOSING TANK. PG.7 (OPTIONAL) PUMP PERFORMANCE RMANCE SPECS. The attached plans and specifications are based on "In- Ground Absorption Component Manual For Private Onsite Wastewater Traatmant fivGtPm.q (VPrcinn 2.0) gTtn- 1075— P(Nn1 /nl. z kA �► J OQ 1S N �S k m r►► < a cn a� c �� - ti � w � 71 kA r \ � o � 1 c. IcvLA *C � dU�D IOF T ' �fP� • D. I � uM J�- �'�1 Aw Iff Mmt .• sc� 90 _" 9� � CRO SS SEc 10A) ` I t IA W G 7f4 7-0e,5 / q . / t? . fr, - o c,��c � Sec- 7'1'OAd S e � , Z14 A9 O, ' o &eh VE0 T CAS 1 w 1 ,1s a,-c T10 v a - � - 6 [� �L ,E'Rriv T/f &M �iw, q /. D r ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer SDI�1 Mailing Address 24 `j'A � LokN L N _ 111 l2. t V [: Property Address V33 `t i &LcA e AAK Qxo ( S . SbSc LLl1, (Verification required from Planning & Zoning Department for new construction.) - 71 o 3 2-41- t(sS City /State Parcel Identification Number LEGAL DESCRIPTION Gt1 Property Location r 1 /4 , y '/4, Sec. 2 -- s , T. 3 N R Z (9 W, Town of r' 9 tr5 A 7 — ,� /�e G Lt. p4 Lot # Subdivision -� Certified Survey Map # lame , Page # Warranty Deed # , Volume , Page # Spec house yes no Lorlines ide$tifia a 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 $3.52(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 desc 'bed above, by virtue of a warranty deed recorded in Register of Deeds Office. Number f bedroo SIGNATURE OF APPLICANTS) 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. 08 /05) Ulbricht & Associates Private Sewage Consultants 2812 10th Ave. Spring Valley, Wl 54767 7 Is 7 .3 �yZ STATE BAR OF WISCONSIN FORM 1 — 1998 6 gig 1 14 WARRANTY DEED KATHLEEN H. WALSH Document Number REGISTER OF DEEDS This Deed, made between Riley Ruby LLC. a Minnesota limited DI CO. wI liability comp nv ,Grantor, and Steven D. Knutson, Darcy J. REECC EIVVEED F FOR RECORD 03/03/2008 Oi3:40AM H_ autala.husband and wife _, Grantee. Grantor, for a valuable consideration conveys to Grantee the following WARRANTY DEED described real estate in St. Croix County State of EXE at Wisconsin (the "Property"): REC FEE : 11 TRANS FEE: 420.0. 00 PAGES: 1 Recording Area J' Name and Retum Address buy Yl ei' -- n+tA- - t Y✓Li 55 35 030 2128 40 000 Parcel Identification Number (PIN) This is not homestead property. (is) (is not) Lot 4, Plat of Ridge at Birch Park in the Town of St. Joseph, St. Croix County, Wisconsin Together with all appurtenant rights, title and interests. Grantor warrants that the title to the Properties good, indefeasible in simple fee and free and clear of encumbrances except Dated this 25 day of February 2008 7 (SEAL) (SEAL) I Riley Ruby LLC, a Minnesota Limited Liability Company Paul DeWitt as President (SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature(s) State of Minnesota, ) ss. Ramsey County authenticated this day of Personally came before me this Z3 day of February 2008 the above named Riley Ruby LLC. a Minnesota Limited Liability Company Paul DeWitt as President to me known to be TITLE: MEMBER STATE BAR OF WISCONSIN the person who executed the foregoing instrument (If not, and acknowledge the same. authorized by §706.06, Wis. Slats) THIS INSTRUMENT WAS DRAFTED BY AAA, C � 4t — Coldwell Banker Burnet/Robert Nicholson Notary Public, State of Wisconsin 1301 Coulee Road Hudson, WI 54016 My commission is permanent. (if not, state expiration date: 8 -02248 (Signatures may be authenticated or acknowledged. l Both are not necessary.) N•'• *z.; IMNNESOTA 31 20tO ` Names of persons signing in any capacity must be typed or printed below their signature. STATE BAR OF WISCONSIN Wisconsin Legal Blank Co, Inc. WARRANTY DEED FORM No. 1 — 1998 Milwaukee, Wis. 1 of 1 2- Wiscbnsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings A in accordance with Comm 85, Wis. Adm. Code `� County St Croix Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. 7 percent slope, scale or dimensions, north arrow, and location and distance to nearest road. rJ Please print all information. Revi e y Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner f� ,�(J, ed Property Location 1:1 El 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 4 Ridge At Birch Park City State Zip Code Phone Number aity nvllage ■ Town Nearest Road Plymouth MN 1 55441 ( 7¢3 -595 -9512 County Road E Q New Construction Useo Residential / Number of bedrooms 3 to 4 Code derived design flow rate 450 to 600 GPD E] Replacement 11 Public or commercial - Describe: Parent material f .oess over o twash sands Flood Plain elevation if applicable _ ft. General comments �. and recommendations: This site is suitable for a conventional system * with bands of find sand that are 10yr4 /3, 1 fsbk, ri1 �wED ;. 1 F-1 Boring # ❑ Boring ' SS u pp1X ! Q pit Ground surface elev. 96.17 ft. Depth to limiting factor > I „! ti F2 Horizon Depth Dominant Color Redox Description Texture Structure Consistence Bound -,' GP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ` * ff#2 1 0 -9 10yr3 /1 1 2msbk mfr cs 2 8 2 9 -19 10 r4/4 sil 2msbk mfr cs if .5 .8 3 19 -38 10yr4 /4 - sil rnfi cs - .2 •3 4 38 -98 7.5yr5/6 fs imgr mvfr _ - ,5 .9 S Boring ri n g 99.61 >98 2 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 GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -10 10yr3 /1 1 2msbk mfr es 2f .5 .8 2 10 -20 10 r4/4 sil 2msbk mfr cs If .5 .8 3 20 -43 10yr4 /4 sil �, mfi cs - .2 .3 4 43 -98 7.5yr5/6 fs lmgr mvfr - - .5 .9 * Effluent #1 = BOD > 30 < 220 mg /L and TSS >30 < 150 mg/L * Effluent #2 = D, < 30 mg /L and TSS < 30 mg/L CST Name (Please Print) Signature CST Number Thomas C Nelson 227387 Address Date Evaluation Conducted Telephone Number 1432 120th Street, New Richmond, WI 10/16/01 715- 246 -2454 r (17 v 1 J Quest Development, INc 2 3 Property Owner Q p Parcel ID # Page of 3 Boring Boring g Q Pit Ground surface elev. 94.42 >98 ft. Depth to limiting factor in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Ef1#1 *Eff#2 1 0 -4 10yr3 /1 - 1 2msbk mfr cs 2f .5 .8 2 4 -18 1 r4/4 - sil 2msbk mfr cs if .5 .8 3 18 -39 10yr4 /4 - Imsbk mfi cs - •2 .3 4 39 -102 7.5yr5/8 - fs* Ifgr vfi - - .4 .6 *With ! OS ❑ Boring # Cl Boring M 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 F F-1 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 * 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. 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