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Home My WebLink About040-1289-60-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Cr oix Safety and Building Division INSPECTION REPORT Sanitary Permit No: • �, � 420506 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: Collins, Craig Troy Township 040 - 1289 -60 -000 CST BM Elev: Insp. BM Elev: B /00 a S el, 1,-1 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Bench ark -ePi /2(0 0 12 Dosing Alt. BM '� o J 4 l( D Aeration — Bld . Sewer Holding t/ t Inlet Z a � TANK SETBACK INFORMATION t/ t outlet S1 cY TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet / <_z Septic l�1 v �! � 7 C Dt Bottom Dosing ' / / T eade Man. 44 I I Aeration Dist. Pipe ve_ ( Holding Bot. Syste I yt PUMP /SIPHON INFORMATION Final Grade 7• U� Manufacturer Demand St over pp �/ GPM �. 1 oa ' d y Model NuiZ TDH Lift iction Loss System Head I T I Ft Forcemain Length Dist. to well SOIL ABSORPTION SYSTEM BED /TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L BLDG WEL / LAKE /ST EAM LEACHING Manu4e PT /� %[, � �^ INFORMATION CHAMBER O -in T/ (Ty CJ Ty e Of System: �+ ( \ /� ' � 7 Model Number: DISTRIBUTION SYSTEM Header /Manifold Distribution x Hole Size x Hole Spacing nt to Air Intake / rl Pipe(s) + ql � 3. t 7�d / Length Dia '/ Length 2 Dia _ $pacing LUZ SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only mac( Depth Over IDepth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/TrenchCenter Bed/TrenchEdges Topsoil Yes M No ,rl Yes i�u No COMMENTS: (Includ iscrepencies, persons present, etc.) Inspection #1:1 / 27/ D Z Inspection #2: / ! Location: 375 English Court Hudson, WI 54016 (NW 1/4 NE 1/4 18 T28N R19W) NA Lot 6 Parcel No. 18.28.19.1650 1.) Alt BM Description ( � f��'�+✓�(� C I>MR d 2.) Bldg sewer length = /�i /� 10 1 4-44 - 5- - 1 -A - amount of cover = V , Oh.�►�! • (� Plan revision Required? Yes No 2 7; Use other side for additional information. SBD -6710 (R.3/97) Date Insepctor'qSnature Cart. No. 4 Safety and Buildings Division Comity 201 W. Washington Ave.. P.O. Box 7162 Madison, WI 53707 - 7162 V Site Address / De �ent of Commerce - -o L 0 Sanitary Permit Nung5er Sanitary Permit Application c�,o 5 In accord with Comm 83.21. Wis. Adm. Code, personal information you provide ❑ Check if Revision may be used for secondary purposes Privacy Law, sl5. 1 m I. Application Information - Please Print All Information State Plan I.D. Number Property Owner's Name Parcel Number o - I z8j - 6 0 - cxso (b5b Property Owner's Mailing Address �� Property Location � E-0 li Si: S N. R t� City, State Zip Code Phone Number Lot N r Block umber j t� - 001 Subdivision Name H. Type of Building (check all that apply) ZONING Dow 1 or 2 Family Dwelling - Number of Bedrooms " ' ❑Village ❑ Public/Commercial - Describe Use s Township ❑ State Owned Nearest Road L2 o8 �'� . c-k aAS —: M. Type of Permit: (Check only one box on line A (numbering scheme for internal use). Complete line B if applicable) A For County use 1 X New 2 ❑ Replacement System 3 ❑ Replacement of 6 ❑ Addition to System Tank I Existing stem B. ❑ Check if Sanitary Permit Previously Issued Permit Number Date Issued IV. of Permit: (Check all that apply)(numbering scheme is for internal use) ` Q A - I� ` 44 Non - Pressurized hr- Ground 2111 Mound 47 ❑ Sand Filter 50 ❑ Constructed Wetland 22 ❑ pressurized In- around 41 ❑ Holding Tank 48 ❑ Single Pass 51 ❑ Drip Line 45 ❑ At -Grade 46 ❑ Aerobic Treatment Unit 49 ❑ Recirculating 30 ❑ Other V. Dispe rsalPlYeatment Area Information: Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Percolation Rate System Elevation Final Grade Required Proposed Rate(Gals./ Days /Sq.Ft.) (Min./Inch) Elevation VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Tanks Concrete Constructed Glass New Existing Tanks Tanks Septic or Hotting Tank Dosing Chamber VII. Responsibility Statement I, the undersigned, responsibility for installation of the POWTS shown on the attached plans. PI r' ame (Print) Plumbe s Si MP/IvIPRS Number Business Phone Number 7� P dress (Street, City State, Zip Code) Z, 3,v �� VIII. County /De artment Use Onl Sanitary Permit Fee (includes Groundwater Date Issued Issuing Agent Signature (No Stamps) Approved ❑ Disapproved Surcharge Fee) ❑ Owner Given Initial AdverseS -�_ O 23 Z.,_ ` Determination IX. Conditions of Approval/Reasons for Disapproval 1 I t t k&-A /r f� s Attach complete plans (to the Counq only) for the system on PaP- not less than 91/2 x 11 inches in dze SBD -6398 (R. 05101) \ 1 1 1 3 aE Q . u 0 ll�Q -� . A-• Ne ,\ �' � �� o, _ _ . '��- M 1 i � I y � � pp l ® O �! I �� \ i � I O '4 _ `y ,� e �; ^� ,� > '� V Q �(� \ `� �� \ �, � � � � � �P �� ^ � S1 �� `� � ,� 1 \� �� .� r �< � � � � � i � ':� � � �� . � � � \ o � � � i �� v 1 � � � � � � '� Q � � � �, � � � � � �� -= � � �� Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of J Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code J Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must 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. Please print all information. Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location / Govt. Lot 1/4 ' 1/4 S L N R (or Proper, Owner's Mailing Address Lot # Bl6c4 Bloc # I Sub�a11 or CSM# City Stte Zip Code Phone Number ❑ City ❑ Village Town Nearest Road � ( ) [ New Construction User Residential / Number of bedrooms Code derived design flow rate GPD ❑ Replacement / ❑ Public or commercial - Describe: Parent material Ga Flood Plain elevation if applicable ft. General comments / and recommendations: ✓fir -v� Sysr�i•' ��d ) Boring # ❑ Boring rVI / Pit Ground surface elev. .�Z� ;?-s ft. Depth to limiting factor /� in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 I *Eff#2 c� Boring # r ❑rppII Boring LEI Pit Ground surface elev. , I Z 9 5- ft. Depth to limiting factor in. 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 / r Z 5 * Effluent #1 = BOD > 30 < 220 mg /L and TSS >30 _< 150 mg /L Effluent #2 = BOD < 30 mg /L and TSS < 30 mg /L CST Name (P ase P int r M L d' - Signature CST Number Address Da a Evaluation Conducted Telephone Number --SB -8330 (R07 /00) Property Owner Parcel ID # Page of Boring # 7 jo ❑ Boring Pit Ground surface elev. ft. Depth to limiting factor " -5' in. 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 I *Eff#2 s' -2LZ2 Z-5 s — — 01.0 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 /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 F Boring # F1 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 /ft 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. SBD -8330 (M7 /00) v MIS iI I I ' a O y h D m� N-19 IN v POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page 40f.2 FILE INFORMATION SYSTEM SPECIFICATION Owner a Septic Tank Capacity al ❑ NA Permit # .2.0 Septic Tank Manufacturer L S ❑ NA Effluent Filter Manufacturer ❑ NA DESIGN PARAMETERS Effluent Filter Model - le ❑ NA Number of bedrooms ❑ NA Pump Tank Capacity al O NA Number of Commercial Unit iK NA Pump Tank Manufacturer zf NA Estimated flow (average) gal/day Pump Manufacturer O-NA Design flow (peak), Estimated x 1.5) gal/day Pump Model t-NA Soil Application Rate , 7 gal /day/ft' Pretreated Unit Influent /Effluent Quality Monthly Average* ❑ Sand /Gravel Filter o Peat Filter Fats, Oils & Grease (FOG) <30 mg /L r) Mechanical Aeration ❑ Wetland Biochemical Oxygen Demand (BODs) <220 mg /L ❑ Disinfection o Other: Total Suspended Solids (TSS) < 150 m L Manufacturer Effluent Quality NA Monthly Average ** Dispersal Cell(s) Pretreated Q y ' 4n - ground (gravity) ❑ In-ground (pressurized) <30 m g (g y) g P Biochemical Oxygen Demand (BODs) — �' Total Suspended Solids (TSS) <30 a m � L ❑ At -grade ❑Mound Fecal Coliform (geometric mean) <10 cfu /100mL ❑ Drip-line ❑Other: Maximum Effluent Particle Size '/8 inch diameter * Values typical for domestic (non - commercial) wastewater and septic tank effluent. ** Values typical for pretreated wastewater. MAINTENANCE SCHEDULE Service Event Service Frequenc Inspect condition of tanks At least once every ❑ month ears (Maximum 3 rs) Pump out contents of tanks When combined sludge and scum equals one third ('/3 ) of tank volume Inspect dispersal cells At least once every ❑ months ears Maximum 3 rs) Clean effluent filter At least once every ❑ months ear(s Insp ect pump, pump controls & alarm At least once every ❑ months ❑ year(s) ,t(NA Flush laterals and pressure test At least once every ❑ months ❑ ear(s) ANA Other: At least once every ❑ months o ear(s) �5 NA Other: At least once every o months ❑ year(s) ANA MAINTENANCE INSTRUCTIONS 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; Septage Servicing Operator. Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one -third ('/3) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with ch. NR 113, Wisconsin Administrative Code. The servicing of effluent filters, mechanical or pressurized POWTS components, pretreatment components, and any other maintenance or monitoring at intervals of 12 months or less shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that my impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of the tanks(s) removed by a septage servicing operator prior to use. Owner: /JS Pageof� System start up shall not occuf when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal high water levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact. The area within 15 feet down slope of any mound or at -grade soft absorption are. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONEMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with ch. Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: ❑ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. ❑ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. ❑ The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. ❑ Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at the time. <<WARNING>> SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASES AND /OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTA POWTS MAINTAINER Name Phone Name Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Name J Phone Phone �- 08/10 '02 07:55 FAX 020 7645 4526 ST. PAUL @002 i t oe. 1 �`+�r� ��. " : ,tom � �u►�:�A�. ��.dQ �J .?_ �_�_ aco t.; •r: r::i Apt IriaRCK�°.#iu3'tltsN�9'Ei"�:!t xyp�t��CM!hintapkcrtmaR+ta fit3rrCwtEw�d#a.+iq�t..��tc' 1h�4mtAa��? s�saarxt�s ttf rod +� st}:!rr rnAt t p�s�eir twa�lar �: �i �t� I� t�ttef t�.lt. e�a lei y 4�'ititi rsr c ie trt �: - -� zec►if3xrliiitr srhx+Ed l w i?oCr "kwmoi 41 Al etii► vet #ti�rtbeKd�t! c +�t*rf�!y�t1�t��I ;to st�:*PxZtr?aat+�e ��j +pits O iii €xi�rt ti+�t►�r�ri�ttu�x WOO (b kf r +e� ►csttrin. - pl a�.�g `ttc� a�� air sepe�c tank �t :l�at #�� a�*.a� r Y:. }1w� �•�iNe4�i.+�l..ibnYttaaa�sa�lr its: x:► oru�rusutt�ltt�r�7it'! �agti�psy+[ 'sxstst�.'Y+itdt�ta. }s+?id�.t�t �sti8ttlr� 3r ssi:�# i� :�3tp�tr�te+�t t (;t-w �s dicl anww*ni t?aarral� Sts;e t��ilf rt til8 Ct+taT+xas�ssn xir its -mac sn.�s* its' �ssl �xr�x��... �: nv�u- i�ctt�dtsritkrttuu:iiaJ.ti€ rye �t .C'itiri+t n+�y �a�iY� titli�. t:;�,�+is�+i OF AMICOWT a 1 �ufjr se dirt ail ii tk!!Iml t,=�t� &a�ri iek e�:c ttre : 6 [ p#.ary iauxt laramore :3 . % 3?vef: -e pei�*:dotca�eitidtti�s z ins. ixb�act8ai� #tte¢to+t+�ife�lxRe'#�zEt4tCC- o � CJ � ,_ MNOLI6 RE Of APMC^'I, . DATE it.'y`u+ft�* teat► �t+ �Fii< tEF! errrtcgr�issmQ�?, iy_ �etWt. ��xu` xsiypet�nt� •Orx�g.e,��eeFbY.itat�1I}nes� ;.�..r, «.�.. �»it1+�s�sr w�Ets ttri ;: �ti�tw�s; n �tAn�rctl - *art+irtty iiaea iiorie ue lR+t�tit�t r s� �lurdi ' R . tE.� cc3 tk+ strncy:ata ri.afcmtce ifs tf?t tvtsrsit . U 2011P 613 STATE: BAR OF WISCONSIN FORM 2 - 1998 WARRANTY DEED HATHLEEN H. MALSH REGISTER OF DEEDS ST. CROIX Co.. M1 RECEIVED FOR RECORD phis Dyed, made between Kernon J. Bast and 10 - 15 -2002 8:00 AM - - -- _.Dona lda_..J._.._&p.eer=B.ast__ GI antor. cmd Craig M. Collins and M. Collins REC FEE: 11.00 TRANS FEE: 299.70 _. - -- -- COPY FEE: CERT COPY FEE: Grantee. PAGES: 1 C:nu rni, lur n' luablo consideration cunveys and warrants to Gr:wlce the following describcl rral `slab it, -St -_I :QiX ---- County, Stalc of Wisconsin. rt ,.:c:rttinq Al ea Lot 6, Plat of English Estates, Name and Return Address Town of Troy, St. Croix County, Wisconsin st oho t2�9 6 0 — crao %- Hdinat--Ree4t-y 466 2nd 5 M- 16 1 n - Parcel Idenlilic Number (PIN( This not mestead property. (is) (is not) �I Metro Le gal S es 1U ET 3692 ?3nA 1 WD 132848 s I Exceptions to warrantirs: roadways, utility easements, rights of ways, Covenants, and Homeowners association by -laws [rw-1 2 -6zLh. __— day or _.__._..2 I• - -� I2Qnalda —J. STe �r =fit _ (SEAL) _ _ r on J. Bas _ (SEAL) I 4" —. — - -- - - -- (SEAL) (SEAL) i x AUTHENTICATION ACKNOWLEDGMENT I i Slate of Wisconsin, St. Croix County. J! awllonttcaled this — day of —_ Personally came before me this 26th day f l� September 2 002 y I - ,the above named Kern J. Bast and Donalda I J. Sp eer -Bast - -- T I I Lf itllif IBIII S IAfL RtJF WISCONSIN to me known to be the person S who executed the foregoing aulh Iry §706.06, Wis. Slats.) instrument and acknowledge the same. g g I fl IS, INSINUMU4f WAS DRAFTED BY _ Kernon J. Bast Notary Public, Slate of Wisconsin My commission is permanent. (if not, state expiration date: it (Signan urs nary br aull ienlicalcd or acknowledged. Both arc not nccessaryJ • Ma„u „I'ti <,,,s �Il;i,li y'i airy cAt , � , riil br iyt,,d ur minted bt•.low IIMIr sll;imii ir '. VrtRRrtr!'IS UI[P;I) STATE BAR OF WISCONSIN Mscomu) Legal 84u,kCo..lnc. '. FORM No 2 - 1998 • e 8 Z s8 , z aK. co V. W Ali ; S I N N � N � 1 � W SC f. ( z Z C W z V I� § O J P I � /n1TJ v /� �LIQ TJV LSV UCJ I P � I Z / I Mt313HL:OMIM MUJD3M'W W I LL'9E8 3.LQOZ.00S I I V ? w;�li I I � I I N �I I I Ag W - - - - -- i 9 �' -- —` O 1.n 77, WO o il 1 U UL Z Q I N V ` W - - - -- J / \ Z O LO / n IL Hg" o ONE LL a �ioot��oz a tE xIOFl71S LLI Jg I ! W 'i w W a $ -- - -- — , •---- - - - - -- z Z .19 U 6 14 v N Wi d LL LC %t M01L[�My 3H101O gmx 4 s -- ,�,,,9osz ooN A . H r MjogZooHwaa OLC3F9lS V - 311LQLQ�i3U 3W flNRN3i �aiv51 f1 p � l_li'J1RYIw0 �7Vw/ �V` il[4MRt ? lXJtJ . LOU.-T J L L T 2 1 no •• � 7. PG X30 T / 1 • • ° ° 897.3 ' # T �t T 90 LOT 5 • I / ' II i %� a I 2.6 ool A o IN �?� �� /� /../ IM � f R� 4 � �� OF /// /.. �! /;//�// /./� //f , s 2 • .� OJO o f v ° • * 2 AC 0 / / / / / /// 4. 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. Cro ix 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. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. pendin Please print all information. Z wed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Z S— Property Owner Property Location Thomas O' Leary Govt. Lot NW 1/4 NE 1/4 S 18 T 28 N R 19 R(or) W Property Owner's Mailing Address Lot # I Block # I Subd. Name or CSM# 389 Ct . Rd.'Y' 6 na En lsih Estates City State Zip Code Phone Number ❑ City ❑ Village ® Town Nearest Road Hudson WI 1 54016 ( 715)381 -5590 Tro New Construction Use: E3 Residential / Number of bedrooms 4 Code derived design flow rate ❑ Replacement ❑ Public or commercial - Describe: —� Parent material Flood Plain elevation if applicable ' "'� ft• General comments and recommendations: • " Cr ,O, Z� sue '^'' ✓ r trenches @ el. 108.40', spaced to code 4.00' below grade% Boring Borin # 1 g ® pit Ground surface elev. 0. ft. Depth to limiting factor 110 In. lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ff? in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 I 'Eff#2 1 0 -12 1 L 2csbk dsh cs 2f .5 1.8 r� 2 12 -34 10 4/4 none if 5 3 34-1101 7 5 4 ml na na • 7 1.2 •' Boring # El Boring 110.70 tin factor 110 in. 2 Ground surface elev. ft. Depth to lim ® Pit Soil P 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 1 -10 10 3/3 none L 2msbk dsh cs 2f .5 .8 � 2 _ 2msbk . 3 3 -110 7.5yr4/6 none ms •� Effluent #1 = BOD > 30 220 mg/L and TSS >30 < 150 mg/L uent #2 = B D < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signature . CST Number Gar L. Steel 02298 Address Date valuatio Conducted Telephone Number 1554 200th. Ave., New Richmond, WI. 54017 8 -30 -2001 715 - 246 -6200 r " Property Owner ThOMS O Parcel ID # Pending Page 2 of 3 F- Boring # ❑ Boring 3 pit Ground surface elev. 108 00 ft. Depth to limiting factor 100 in Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIfF in. Munsell Qu. Sz. Cont: Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0 -8 10 3/3 none L k dsh Cs 2f .5 .8 ,(o 2 8 -30 10yr4/4 none sil 2msbk dsh ClW 1f 5 .[P 3 30-100 75.ry4/6 none ms Osq ml na na .7 1.2 Boring # ❑ Boring Ej pit Ground surface elev. 11 2240 ft Depth to limiting factor 100 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 -8 10 3 3 none CS 2f .5 8 Je 2 8 -22 10yr4/4 none sil 2msbk dsh •4 Ra na /oP o F-1 Boring # r] Boring El 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 > 30:5 220 mg/L and TSS >30 < 150 mgA- ' 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 (R6=) • STEEL'S SOIL SERVICE Gary L. Steel 1554 200th Ave. CSTM2298 Thomas O'Leary New Richmond, WI 54017, MPRSW -3254 NW4NE'' S18- T28N -R19W (715) 246 -6200 town of Troy lot #6- Englsih Estates 'This soil evaluation vas conducted to satisfy a zoning requirement, it may or guy not be suitable for your use. The location of the test may or may not be as sb=n as pnvanent lot lines sere not established at the time the test vas conducted. 1 " =40' top of SE lot stake. @'el. 100.00' 13 . BM. top of mid -lot survey st @.el. 114.20' �L� v �►�y a� o V 4 � ' do Gary L. Steel 8 -30 -2001 I TOWN OF TROY, ST. CROIX COUNTY, WISCONSIN. 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