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HomeMy WebLinkAbout038-1205-40-000 Wisconsin Department of Commerce PRI SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT sanitary Permit No: /ATTACH TO PERMIT) 453310 0 GENERAL INFORMATION ' 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: New Horizon Homes Inc. I Star Prairie Township 038 - 1205 -40 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: (9 - a . d - a,��Pit� �Z l� i/ G 14.31.18.1099 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic / DD Q) Benchmark 2 0 d Dosing I � Alt. BM / TP of �n �. 0 5 /0/. Aeration ` B lda Sewer v-, a i h e�' -es�� arc ao 9�. o Holding Ht Inlet S t Outlet TAN S ETB ACK I N F O RMATION � /(��SG 0 S• TANK TO G P/L v 1 WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic / Dt Bottom Dosing Header / Man. Aeration 00 Dist. Pipe o of G� Holding Bot. System PUMP /SIPHON INFORMATION Final G m(la g 3 9 y Manufacturer Demand St Cover / GP 5 Z. Z ns / OD• Model Num /� TDH Lift Friction Loss Head TDH Ft 7 Forcemain L Dia. Dist. to Well SOIL ABSORPTION SYSTEM '�- BED/TRENCH Width Length No. Of Trenches r IMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS la a t SETBACK SYSTEM TO P /L BLDG WEL LAKE /STREA LEACHIN Mara tWrer. r . INFORMATION T e System: / CHAMBER 6 Q yp y ���� / Model Number: S RIBUTION SYSTEM of Header/ anifold Distribution x Hole Size x Hole Spacing Vent to Air Int e r N Pipe(s) (� �- ! cil Length Dia_ Length Dia Spacin - SOIL COVER x Pressure Systems Only xx Mound Or At Grade Systems Only Depth Over / epth Over xx Depth of xx Seeded/Sodded xx Mulch d Bed/Trench Center �f ed/Trench Edges Topsoil IN Yes 0 No 0 Yes � No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:�/ Q Inspection #2: Location: 2169 128th Street Star Prairie, WI 54026 (SW 1/4 NE 1/4 14 T31N R18W) Prairie View sta es Lot 4 Parcel No: J 14.31.18.1099 1.) Alt BM Description =�p P J live (N1� lip W 2.) Bldg sewer length = - amount of cover - Li T I Plan revision Required? (_j] Yes No I S Use other side for additional information. - SBD -6710 (R.3/97) Date Insepctor's Sign Cart. No. 1\V1; Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 n Madison, WI 53707 - 7162 Sanitary Permit Numba (to be filled in by Co.) Department of Co mmerce (608) 266-3151 - 3:31 D Sanitary Permit Application tPAIDJI State Plan I.D. N7� In accord with Comm 83.21, Wis. Adm. Code, perso in fo may be used for secondaty purposes Privacy w, S15. Project Address Of different than mailing address) L Application Information - Please Print All Information 200 s:77 Proper . Owner's Nam 4 Parcel # W # Block # Property Owner's Mailing Address Property Location 1/01W City. State V4 gf--K Section Zip Code Phone Number N; II. Type of Building (check all that apply) a /— Rd. " W� I or 2 Family DweZing - Number of Bedroom SuWision Nam CSM Number PublidCommercial - Describe Use &?::i=1 ,--fi State Owned - Describe Use -? D I -5-r. C Qty_ Vitlzge �- of 1L . Type of Permit* (Aleck only one box on line A. Complete line B If applicable) A. N MSn' Replacement System TmatmentlHolding Tank Replacement Only Other Modification to Existing System Permit Renewal Permit Revision Change of Permit Transfer to New Last Previous Permit Number ad Date Issued Before Expiration Plumber Owner e of POWIS System: (Check all that a2ply) o n -Pressurized In-Ground Mound 24 in. of suitable soil Mound < 24 in. of suitable soil At-Grade Single Pass Sand Filter " Constructed Weiland Pressurized In-Ground Holding Tar* Peat Filter Aerobic Treatment Unit Recirculating Sand Filter Recirculating Synthetic Media Filter CIFLinber Drip Line Gravel-less Pipe ) V. Dispersannabnent Area Information: - 8 10 Q I -5 - / 2 ` - 7 ) Design Flow (Ud) Design Soil Apph - aft(gpdsf) Dispersal Area)tcquired (s�. Di t system El span"deoro i (s) I 7 7 R Y7' v?-M':"7�1 3' VL Tank Info Capacity in Total Nu ii Pwfab I Site /Seed Fiber Plastic Gallons Gallons of Units Concrete Conshucted Glass New Existing Tanks Taub S*corHo1&ngT&A Aerobic Treaunent Unit IAJI Dosing Chamber VII. ReVondbility Statement- i, the assume resPonsdibility for installation of the POWTS shown on the attached platis. Plumbed Name (Print) Plumber' Oignatum MPIMPRS Number Business Phone Number � 1 9 00 Plumber's Address (Street, City, State, Zip Q&k) (? f /x ��� (.� ��t�d� VIII. Coo rtment Use Only Sanitary Permit ft (includes Groundwater Date Issued Issuing t Si o Stamps) App Disapproved Sure harp Fee) q Cf 0 Owner Given Reason for Denial I --- I UL Conditions of Approval/Reasons for Disapproval _SYSTEM OWNER:'- kef 4t� 1 Y 5v Septic tank, effluent filter and dispersal cell must all be service d / maintained 0 po dA, as per management plan provided by plumber . 4e,2:1 �4 2. All setback requirements must be maintained 00d �a- as per applicable code/ordinances ii2 a Lag Z; �a :P A C 'r A' '11 1 Attach complete plans (to the County only) for the system Orpaper not less than SV2 x l inches In dze PL PLAN PROJECT New Horizon Homes DDRESS 1475 Hwv 65 New Richmond Wi 54017 SW 114 NE 1/4S 14 /T 31 11`1- 1 W TOWN Star Prairie COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 6/12/04 BEDROOM 3 CONVENTIONAL XXX IN- GROUND R SSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 684 # of chambers 22 IL BENCHMARK V.R.P. Top of 1/2" PVC Pipe ASSUME ELEVATION 100' Filter 7-abelA -100 ❑ BOREHOLE O WELL *H.R.P. Same as Benchmark SYSTEM ELEVATION 9 3.3/94.3 4.5' below qrade @ b -1 Alternate Benchmark T op of 1/2" pipe @ 97.2' Plans Designed Using Conventional Powts Well is to meet all Manual Version 2.0 setbacks required by WDNR Scale is 1" = 40' unless otherwise noted jLong ent own Road Standard Biodiffuser Leaching Chamber with 3 1. 1 ft2 of Area Grade at System Elevation 34" Retention area no water present Pro 3 Slo e e& SPt -� /(02 • "7 / ter r Bedroom ' - _ q -13 House B_2 15 , 'k 5 3 35' 35' Alt. 15 , 10' B. M. Tspaing� 11 B -i41 -b Vents S 2 -3' x 69' cells with > l ( t 250' Property Line PL PLAN PROJECT New Horizon Homes DDRESS 1475 Hwv 65 New Richmond Wi 54017 SW 1/4 NE 1/4S 14 /T 31 1 W TOWN Star Prairie COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 6/12/04 BEDROOM 3 CONVENTIONAL XXX IN-GROUND &R SSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 684 # of chambers 22 IL BENCHMARK V.R.P. Top of 1/2" PVC Pipe ASSUME ELEVATION 100° Filter 7-abelA -100 ❑ BOREHOLE O WELL * H. R. P. Same as Benchmark SYSTEM ELEVATION 9 3.3/94.3 4.5' below qrade @ b -1 Alternate Benchmark T op of 1/2" pipe @ 97.2' Plans Designed Using Conventional Powts Well is to meet all Manual Version 2.0 setbacks required by WDNR Scale is 1" = 40' unless otherwise noted Vent Town Road >6 „ Standard Biodiffuser of Cover Leaching Chamber with 3 1. 1 ft2 of Area 6' Long 11 " 34" Grade at System Elevation Retention area no water present Pro 3 ea s- eV,w► -+ 160. 7S/ 1 slope Bedroom ` - —p e , 3 ' House B -2 -7y13 1 15' 5' -� 35' 35' Alt. 10' 0 15' 10' B.M. ST 50' B- �t9 b Vents 3 2 -3' x 69' cells with >3' spacing 250' Property Line my parcel contact the UNA H.W.E. High Water Elevation )mmittee and the appropriate H.W.L. High Water Line IN. F.F.E. Finished Floor Elevation >F THE 18 W C.S.M. Certified Survey Map THE NEAREST ONE (1) THIS INSTRWENT DRAFTED BY TY R. DODGE MENTS WERE MADE TO N O 1 TO THE VALUES SHOWN. BENCH MARKS: All elevations shown are TOJ6, -- - - - - -- OF IRON PIPE unless indicated otherwise. �`., to PLA TTED LANDS Elevations of Top of Iron Pipe shown as: 900.00 ,�r , 0?4643�, rHE' NE 114, SECIJON 14 � N18'54'29 "W VARIABLE WIDTH 601.68' 33.77' • ,"�� • / • N89 "W 410.43' h - - -I, —_ _393.77'----- - .. ....... .............. .............................. �` 33 N 81, 775 SQ. FT L 1.88 A CRES O '44 "V4 : Ssl•30 .� 5 fit/ S89 42'40 "W 19.7 339.50 i ' t to 2 \ O ot� 208,914 SO. FT. . . \ • O \ _ 5 62• H.W.E• =385.4 4.80 ACRES Wetland rh ,°n C S M LOT 1 1 y ~ ---- loo' - -- 6 — DRA /N.I E hOLUb1E 14 PACE ,3870 .61 1 S88b236 E 162. D [Jy - rN7 n70. ST43ffg ---------------- 0 1 67,615 SQ. FT. • . A- 1 1. 55 ACRES I 1 1 MIN F. F. E. = 389.4 + 4 ; N89•01'50'w 7 S89 42 40 W 11.16 �77' 3 I = ^�� • © o • S001 7'20 "E :14.9 o : 0 386.73' ' L0 �' N89 01 50 W 450.42 C) I I -50 _ o I 5 I I a; o : o N 76, 767 SO. FT N 1 N O • CO M 1.76 ACRES oo UNPLA TTED _LANDS —N N N o oN PARCEL IN WARRANTY DEED . O o I In VOLUME - 1158 PAGE - 257 o - - - - -- -- -- -- 0 • I o o I `�� SHED Wisconsin Department of Commerce a EVALUATION REPORT Page of Division of Safety and Buildings ° �� 3t a in accordance � County with ,�R(C1m 85,is. Adm. Code . ;t_ ', r Attach complete site plan on paper n less thtin;� (z(1*1i S?ze. Plan must include, but not limited to: vertical and orizonti�� ' point (BM), direction and Parcel I.D. percent slope, scale or dimensions, no ow, and location and distance to nearest road. Q �G - O - ' 7 Q`G�(� Please print all information. Review b Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). b Property Owner Property Location Govt. Lot S(,4_) 1 /4 ' p 14 T 31 N R b E ( W Property Owner's Maili Address Lot Block # S Name or CSM# City State, Zip Code Dne Number ❑ City ❑ village wn Nearest Road f,v► �5 Dt ( ) / Construction Us sidential /Number of bedrooms Code derived design flow rate -� GPD ❑ Replacement � ❑ Public or commer al - Describe: Parent material el I-, Flood Plain elevation if applicable and reconmmendations: J y . Qi✓ c� / �i Boring # ❑Boring I � pit Ground surface elev. ft. Depth to limiting factor /r-' / D 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 'Effl#2 2- S-41-1 �o Aj q DDS � a O/ ❑ Boring Boring # 91Pit Ground surface elev zt�-1-3 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 3 i a�j !I > 9 Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) - CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Con cted Telephone Number 1008 192nd Ave, New Richmond, WI 5401 �. C 715- 246 -4516 Property Owner _ Parcel ID # Page of F_j 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 GPDO in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 - Eff#2 0-/o 4 '0/-L, 9 o ,3 7 l/ �, l/ J_ T 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 GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 F-1 Boring # E) Boring Pit Boring 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 1150 mgll_ ' Effluent #2 = BOD < 30 mg/_ 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. SOD -8330 (8000) Soil Test Plot Plan' Project Name New Horizon Homes • Sh ia Bir Address 1475 Hwy 65 New Richmond Wi 54017 M #226900 Lot 4 Subdivision Prairie view Date /12/04 SW 1/4 NE 1/4S 14 T 31 N /R W Township StarPrairie Boring 0 Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of 1/2" pipe System Elevation 93.3/94.3 *HRpSame as Benchmark Alternate Benchma k Top of 1/2" pipe C 97.2' t B. Scale is 1" = 40' unless otherwise noted T own Road Retention 10 area no water present b b Pro 3 0 1 6 Bedroom ��` — �30' � House _2 5 35' 15' /95 50' B -1 B -3 ��-- 250 � ,,-7 Property Lin .............. . . .. . . . . .. -- ------- _------ - - - - - - -- ....... .. - - - -- ---- - - - - -- -- . - - - -- - - - - - -- ST ('1WIN (`'tllfl`iT`1' S I'TT(` T.y.1vK: UiA+INT ENIANCF_. AGPI.Lti'�IFNT AND C. ?IMhIE;R")':i;-iIP ( T,RTI,t�ICATIOI%! FF'CJ.RArI _..� >>-r_ s.. -.. r'J,,,..._ -a� r► .. ;�r� 1.. I'Iai ig AWc!;.: - /..Vii!. �.- 5- ,._../ - 1_.._.�5 .....:rw► - c�.w...__._121.G>ak .2__.,..... _ - -- 03 b9 T i 'r;)j :. ,1�;a�i ;a ._....._s:r�:.....c.�.y -�,� �.. /�...a_ . _ --- .... �., r_...1.�......,,t�✓.G.�.c..;_.. _.�a_ .w_._�._.: .,.._,............�..._. (Verffica ion required from !'fanning Department for new r. orastniction )...._. ..._.._ _ ...... _....................... .,.... c:;�t:Y' tat- „ ._. j...Cj4 ,,a y , -� �,trc�� Identifica i u.mb * _ /ail Prop'! -ly .L Q .'a' , 'n S �,✓ ;, � !�.!!� <.. Sec. I ..3_ .�....i� � �..�. \�r`, 'T'utiy�ri of . �. F hi _�...� M:u.p ; ._......_... _..._ _� Volurnt; _ , _ _.__. F.'agc tv`,1�itIT:.: i'�tS °' #. ... . .. ............., ..... Stiec io s0 ! - i - ;S V Il0 LQt lines identifiable �vcs U no 4 t:f impro w r t ite and main- cen.anceof dour septic system could result in its premature failure to handle wastes Proper marnfcnance coos s^ ; of puz,tpia ;out the sPl i tic tame every flee ye.. of Vii sooner, if needed by a iicensed pumper. hat you Pint into ttf',.. system carp. ate .ct the ruTii::rian of the septic tank as a treattnent stage in the waste disposal system. The p'm :N ::,ty owner apices to submit to St. Croix Zoning Department a certification form.. sistzpcd by the.o%azer.m,srid by a tnastr. � olumbe i a:it::tneyutanplt�mbor r estti Ct cdplumbcr or a liccnscd,puuiper vctifyiug that (11 the uu - site wastewate.rdielxis��i system IS in a:; -)per op r'.O U: kg condition and/or (2) after inspection and pumping (if necessary)., the septic tank is less than 113 fitll of <''Audge. l /we, c is undct:si Sri . have rear, the above requirements and agree to maintain the private sewage disposal system with tbt „ta,nduds set for, >a, heiebt. :!: R*t by the Lsepartinent of Commerce and the Department of Natrual Resources, State of 'Wisconsia- Ceroilication statin.pr'that yo1w tt:l rile system tas been maintained, must be completed and returned to the St. i„r .Zoning:. Office - iirl(hirt 30 d ays o rhr ti -,T. "r t :Ir tXj) t'At1Q'3 � tC- I (we) o:.ri.ify that all katements on this form are true to the best of my (our) knowied>e. I (we) am (are) die own-or(s) of the or. :5erty dcsc,rii a!d above, E y virtue: of a wa.rranip dead recorded rn Detester of Deeds Office DATE Any ierf '. i r Cation that i:, nos- .represented may result in the sanitary peimit being revoked by , 'xe Zoning Inc ade with h Is application: a stamper arranty 'teed from the Register of Deeds ottice a copy of certified sAxvcv map if reference is made W the werra.nry deed. Maintenance and Contingency Plan for a Septic System Maintenance Plan 1. Septic Tank is to be pumped once every 3 years. 2. Eff luent fitter is to be cleaned once a year. Please note: a larger filter is being installed in order to extend the maintenance interval of the filter. 3. Once every 3 years, cells are to be inspected via the inspections pipes at the ends of the cells. 4.Owner agrees to limit greases, garbage, and water conditioner discharge into the system. 5. The owner agrees to save this plan. 6. Do not plant trees nor park nor drive over system. 7. Watershod is to be diverted away from system. g. gig into system is not exceed those required as per Comm. 83 r' onting cy Plan Option #1. If system fails, determine cause of failure, use alternate area and install new s tested replacement area. Option #2. Install system at a lower elevation, by removing chambers, removing biomat, and install new system. itable for replacement area, and system elevation Option #3. No adequate area is su cannont be lowered. Install holding tank as last resort. 3. Replace any other failing components as needed. Plumber: Shaun Bird 715 - 246 -4516 St. Croix County Zoning 715- 386 -4680 Pumper Tom Mondor 715- 246 -5148 Shaun Bird #226900 U 2 5 5 0 P 3 7 7 759858 STATE BAR OF WISCONSIN FORM 2 - 1999 WARRANTY DEED KATHLEEN H. MALSH Document Number REGISTER OF DEEDS ST. CROIX CO., NI This Deed, made between EWLEN Properties, LTD.. a Texas RECEIVED FOR RECORD Limited Partnership Grantor, 04/16/2004 10:00AN and New Horizon Homes, Inc. Grantee. WARRANTY DEED Grantor, for a valuable consideration, conveys and warrants to Grantee EXEWT # the following described real estate in St. Croix County, State of Wisconsin REC FEE: 11.00 (if more space is needed, please attach addendum): TRANS FEE: 102.00 Lot 4, Prairie View Estates, Township of Star Prairie, St. Croix County, CCPFEE: Wisconsin. PAGES: i Recording Area Name and Return Address 4) t sc{d t 7 038 - 1205404100 Parcel Identification Number (PIN) This is not homestead property (is) (is not) Exceptions to warranties: Easements, restrictions and right -of -way of record, if any. Dated this day of April 2004 Z WL N Prope ies, * * BY: Paul Anderson /Cl a F ti/��iiv A is se ¢ 26E AUTHENTICATION ACKNOWLEDGMENT Signature(s) —_` —_ _ STATE OF ) ss. County ) authenticated this day of Personally came before me this day of April , 2004 the above named EWLEN Properties, LTD., a Texas Limi Partnership, — * BY: Paul Anderson _ — TITLE: MEMBER STATE BAR OF WISCONSIN _ (If not, _ _ to me known to be the person(s) who executed the foregoing authorized by § 706.06, Wis. Stars.) instrument and acknowledged the same. THIS INSTRUMENT WAS DRAFTED BY Attorney Kristina Ogla - - - -- - ----------- H W I 54016 _ Notary Public, State of — My Commis 'on is permanent. (If not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not necessary.) "; .6- .) * Names of persons signing in any capacity must be typed or printed below their signature. * ey n o F on u I; , wl .� !,•�� ' , STATE BAR OF WISCONSIN „ `� Notary Public, State of Texas 1: WARRANTY DEED FORM No. 2 -1999 S. M. 2021 :�j My Commission Expires �+y „� August 23, 2006 i t ST. CROIX COUNTY WISCONSIN ZONING DEPARTMENT N I 19 a 11 Oman r. ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road Hudson, WI 54016 -7710 P 715 386 -46 Fax 71 - '" ^•^'"' �--- hone. 80 5 386 4686 June 4, 2004 Mr. Bernie Kopp New Horizon Homes, Inc. 1475 Hwy 65 New Richmond, WI 54017 Subject site: Parcel #038 - 1205 -40 -000, Star Prairie Township 14.31.18.1099 Lot 4, Prairie View Estates Subdivision RE: Application for new POWTS sanitary permit Dear Mr. Kopp: This letter, in compliance with Wis.§ Chapter 145.20(2)(c), provides written notification that the St. Croix County Zoning Department has disapproved the POWTS sanitary permit application submitted for review on June 1, 2004. The plot plan for the POWTS was based on a copy of the original soil report prepared by Gary Steel, which was later amended (October 11, 200 1) to show that the borings were actually on Lot 5 and that Lot 4 was to be re- tested after the house location had been determined. The tested area was in fact used for the existing septic system installed on Lot 5. Apparently no additional testing was completed, effectively leaving Lot 4 with no designated area to install a POWTS. Until a new soil evaluation has been completed and a POWTS designed for soils within the tested area, a sanitary permit cannot be issued. Wis. Cha ter 145.20 also requires that you be notified of the right to appeal the disapproval § 2 p ()(c ) q Y g pP PP according to the procedures contained in Wis.§ Chapter 68. If you have additional questions, please do not hesitate to contact me at the Zoning office. Sin erely, amela Quinn Zoning Specialist Cc: Shaun Bird, master plumber /applicant file so( �Ij> lt/li QGf�,•,t y ph C6t J� w it) l 7 4/,// �Or ✓e {C5 o k c P s. jo� i s de e, ,a4W. �J-00 � dO`- Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 —of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County St. CLOlX 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 r eraM*gofQt (BM), direction and Parcel I.D. percent slope, scale or dimensions, north an ,and location and distance to nearest road. din Please pri a /, forma ion. , viewed Date Personal information you provide may be �Wsecontfo Privacy Law \ s. 15.04 (1) (m)). �j6 Property Owner ~- : ,roperty Location Et�len Pro 2 2010 vt. Lot SE 1/4 1/4 S 14 T 31 N R 18¢or) w • -- Property Owner's Mailing Address _ Lpt #/ Block 11 Subd. Name or CSM# 1430 220th Ave sT Caolx S State Zip _ P W ICE / Ci ❑ Village Nearest Road City p hp(�'(J(nt>t�er _ '.•, ty 9 � Town New Richmond WI. 5401 /tj15) 245.7,73,13 Star Prairie New Construction Use: @ Residential / Num 1 bedrdoms _-4 Code derived design flow rate 600 GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material Flood Plain elevation if appiigable na ft. r General comments and recommendations: trenches @ el. 95.60 spaced to code 4.00' below grade Boring Boring # n 99.60 �,) T 1 Q pit Ground surface elev. ft. Depth to limiting factor +90 in. ` Soil Applicaflon 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 -12 10 3/3 none S mvf 2 12- F Boring # Boring 99.10 +96 in. ® pct Ground surface elev. ft. Depth to limiting factor Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff #1 'Eff #2 2 12 -48 7.5 4/4 none sicl 2msbk mfr qw if 4 6 3 48 -60 7.5 4/4 none cos os ml aw na 7 1 Effluent #1 = BOO > 30 220 mg/L and TSS >30 < 150 mg/L ' Efflue9t1q = BOD 5 30 11- and TSS S 30 mg/L CST Name (Please Print) Signature i — CST Number Gary L. Steel 02298 Address :] � avalu a tion Condu ed Telephone Number 1554 200th. Ave., New Richmond, WI. 54017 12 -5 -2000 715 - 246 -6200 COPY of Wisoonsin Department of Commerce SOIL EVALUATION REPORT Page 1_ of 3 Division of Safety and Buildings 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-poiQt (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arroyo rr ,and location and distance to nearest road. ri Revi wed Date Please pri 0 6forma ion. Personal information you provide may be s &1-i secon (Privacy La s. 15.04 (1) (m)). Q Iw &/ Property Owner P roperty Location Ewlen Pro tl A. Lot SE 1/4 NE 1/4 S 14 T 31 N R 18 f0¢or) W Property Owner's Mailing Address �_' I- t,- Block # Subd. Name or CSM# ST CRUX 3 -Y PrAirie view vs-i 1430 220th. Ave City State zip C "%•I" PI E City ❑ Villag LiTown Nearest Road New Richmond, I WI. 1 5401 1 /,1 -5) 248 /I Star Prairie I QrH "C" New Construction Use: Ea Residential / Numb s 4 Code derived design flow rate 600 GPD ❑ Replaosment ❑ Public or commercial - Describe: Parent material ,ugh Flood Plain elevation if applicable rLa — ft. General comments and recommendations: trenches @ el. 95.60', spaced to code 4.00' below grade ❑ Boring # Boring 1 [ pit Ground surface elev. 99.60 ft Depth to limiting factor • +90 in. Soil Iication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft= in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 'Eff#2 1- 0 -12 10 3/3 none sl 2mqr mvfr cS 2 2 1 - 7 ✓ i ✓ T� Y Boring # Boring ® pit Ground surface elev. 99.10 ft. Depth to limiting factor +96 in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft= in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 2- 12 -48 7.5 4/4 none sicl 2msbk mfr qw if 4 6- 3 48-60 7.5 4/4 none s os ml qIw na 7 1 9zy ` Effluent #1 = BOD > 30 220 mg/L and TSS >30 < 150 mg/L ` Efflue = BOD < 32M and TSS < 30 mg/L CST Name (Please Print) Signature SST Number Gary L. Steel 02298 Address �yaluatbon nd u ed Telephone Number 1554 200th. Ave., New Richmond, WI. 54017 12 -5 -2000 715 - 246 -6200 C OPY t STEEL'S SOIL SERVICE Gary L. Steel Ewlen Properties Ltd. 1554 200th Ave. CSTM SE4NE4 S14 T31N - R18W > > New Richmond, WI 54017 MPRSW -3254 town of Star Prairie 715 ) 246 -6200 lot . W , -- Prairie View Estates y This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of the test may or may not be as shown as permanent lot lines were not established at the time the test was conducted. N 1 " =40' 13M.= top of 1" pvc pipe @ el. 100.00' Alt. BM-= top of 1" pvc pipe @ el. 97.10' r (� °10 p f L t rte' 100 ` Gary L. Steel 12 -5 -2000 v STEEL'S SOIL SERVI Gary L. Steel 1554 200th Ave. S EJNE � S14 - T31 N -�t18W CSTM2298 Properties Ltd. New Richmond, WI 54017 E�NE' : MPRSW -3254 torn 4 Star, Prairie (715)246 6200 lot Prairie view Estates Zia soil evaluation vats caneucted t P satisfy a Kooning racluirawut, it any or may not be suitable for your tale. The 10MUOn of the test My or a®y not be an SIMM As penmarisnt ict 11rAs wage »at established at the tim tie test was oarAactod. N 1 " =40' d\ tap of 1 " pvc Pipe @ el. 100.00' Alt. BM.= top of 1" pvc pipe @ el. 97.10' L QcO �o Kok . y � � i fir - - ..___ --- o 0 0 LO AA �► h • to r a= - � Gary L. Steel. 12 -5 -2000 l��cc,, ✓► 13,,1 Ira - + �a; e 3 3` _ us v �� i ,? - 2 2 C h .4 On tt�`e d 1 s i X 14 q n` r b qq,� � w• �'; ist� q8•`s' -� 3 ` 3 1b h v. �` Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 7` C � j x iscon sin Madison, WI 53707 - 7162 Sanitary Permit Number (to be filled in by Co.) De artmt3 *fi of Commerce (608) 266 - 3151 Sanitary Permit Appli State Plan I.D. Number In accord with Comm 83.21, Wis. Adm. Code, personal in rmatiREGE / E C may be used for secondary purposes Privacy Law, sl 5.04(lxm) Project Address (if different than mailing address) I. Application Information - Please Print All Informif6a t 03Y Z0 Property Owner's Name "' Parcel # Lot # Block # ZONIN OFFIC Pteperty / Ownees Mailing Address f f pr,ppedy City, tate � j/ � y,, Section • ` N P - Code Phone Number IL Type of Building (check )all that apply) or 2 Family Dwelling - Number of Bedtuo Su Sion Name CSM Number rublic.'Comrnercial - Describe Use State Owned - Describe Use City_ Village Unship o l . HL Type of Permit: (Check only one box on line A. Complete fi! if applicable) A ew System Replacunent System Treatment/Holding Rep t Only Other Modification to Existing System B • Permit Renewal Permit Revision Change of er to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. Type of POWTS System: (Check all that apply) Non - Pressurized In- Ground Mound 2 24 in. of suitable soil Mound 4 in of suitable it At -Grade Single Pass Sand Filter Constructed Wetland Pressurized In -Ground Holding Tank Peat ter Aerobic T t Unit Recirculating Sand Filter Litre Gravel. ' S i� �g S Media Filter g Chamber Drip ess Pipe ex - j Recircula lain) V. Di rsal(Dreatment Area Information: Nk Desi Piow (gpd) Design Soil Application RaWgpdsf) Dispersal Required (sf) Dispersal Area Pro sed (sf) m Elevation VL Tank Info Capacity in Total Number f Manufacturer Prefab S Steel Fiber -'P lastic Gallons Gallons of Units Concrete Co New I Existing Tanks I Tanks Septic or Holding Tank o Aewb Tseahreut Unit Dosing Chamber VII. Resp bility Statement- I, the t ml asstnme responsibility for installation of the POWTS shown on the attached plans. Plu s Name (Print Piu Signabue MP/MPRS Number Business Phone Number Plumbers Address (Street, City, State, lip VIII. un /De artment Use Onl Approved Disapproved en Sanitary Permit Fee (includes Groundwater Date Issued Issuing Agent Signature (No Stamps) urcharge Owner Given Reason for Dial IX. Conditions of Approval/Reasons for Disapproval Attach complete plans (to the County only) for the system on paper not less than SW x ti inches in sift PLOT PLAN PROJECT New Horizon Homes ADDRESS 1475 Hwv 65 New Richmond Wi 54017 SW 1/4 NE 1 /4S 14 /T 3 /R 16' W TOWN Star Prairie COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 5/28/04 BEDROOM 3 CONVENTIONAL X)CX IN -GROU D PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 684 # of chambers 22 BENCHMARK V.R.P. Top of 1" PVC Pipe ASSUME ELEVATION 100' Filter ZabelA -100 ❑ BOREHOLE O WELL *H. R. P. Same as Benchmark SYSTEM ELEVATION 94.6/94.2 4.5' below qrade Please note: Additional testing will be done to lower system elevation, current system elevation is as low a code will allow due to lack of boring depth 252' Property Well is to meet all Plans Designed Using Line setbacks required by Conventional Powts WDNR Manual Version 2.0 jL Standard Biodiffuser Leaching Chamber with 31.1 ft2 of Area 3 4 Grade at System Elevation Pro 3 Bedroom Town House Road 30 45 ' T B -3 AL To >5' from property Line Slope 2 -3' X 69' cells 30' with >3' Spacing ' Top of 1" Vents PVC Pipe (—& B. M. 97.1' Alt.B.M. B -2 70' 130' 36' 49' 10 Property Line 10