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Home My WebLink About038-1242-13-000 (2)Wisconsin Department of Commerce Safety and Building Division PRIVATE SEWAGE SYSTEM INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law. s 15 04 (1)(m)I Oevering Homes TOWN OF STAR PRAIRIE CST BM Elev linsa esrElev/ IRM TANK INFORMATION TYPE MANUFACT R G J CAPACITY Septic J Dosing Aeration TANK SETBACK INFORMATION I /7-N/ L G 'r rk .-nr TANK TO P/L WELL BLDG. Vent to AN Intake ROAD Septic 7�57 l QI D Dosing Aeration Holding PUMPISIPHON INFORMATION anufacturer Demand GPM otlel Nu er TDH Li Fri lion L s Sy tem ad TDH Ft orce ain Length Dia. Dist to 'Nell sUIL Ati50KPTION SYSTEM BED/TRENCH Width Le gt DIMENSIONS J! / e INFORMATION 5' 15-0 1 N I DISTRIBUTION SYSTEM .. DATA I AMA � AMIRE n�STEVAN �,A.N �W� Header/Man M- ; i ri CHAMBER OR UNIT Header/i dild 11 Cb7 Distribution Pope(s) x Ho x Hole Spacin Ah Intake Length Dla Length Dra Spacing Depth Over r Bed/Trench Centdrr Depth Over Bed/Trench Edges xx De cf Topsoil xx eade Sodde ulche Yes No Yes No G0MMENT5: (include code discrepencies. persons present. etc ) Location: 1821 BOTH ST 1.) Alt BM Description =k-mer colt f 2.) Bldg sewer length = 0, - amount of cover = -7 I 4, Plan revision Required? Yes Use other side for additional inform ion. Date SBD-6710 (R ]l97) L11 4A� � r Inspection #1. Inspection #2 r I vv GU{� 6t(&f-a C C i 4 vjt f � h� 40 V,�, ,,fft 4,gnat.r, I ep Cert Nc v sGlf i `WRLo ► b r'Vl � r,-.rz(r---zi9WEDD sA►v-�e as - �, �/ a `,c Industry Services Division Yards Way County c� y., '. 3 SEP 21 202Z 4822 Madison Madison, WI 53705 Sanitary Permit Number (to be filled in by Co.) rb F;_g I County P.O. Box 62 Madis 1V15 / ` (� 1'%5 Llz7 C�t. Croix SDm`"�ni ' ary ermit Applicatio State Transaction Numb r In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate govemmeni [it Project Address (if diffe-ent Then mailing address) is required prior to obtaining a sanitary permit. Note: Application forma for state-owned POWTS are submiltt N the Department of safety and Professional Services. Personal information you provide may be used for sewn ary purposes in accordance with the Privec Law, s. 15.04(I)(m , Sleta. L.A Ecalon•.IIsforinalion-PleasePrhttAlFlnforulatlon Property Owner's Name Parcel a het? �A Property Owner's Mailing Address Pro y lion ► S.t3� $ 3 .� Geo�' /V ,•• ' Section / City, Stele Zip Code I Phone Number '^�1Cn1��+' /'1 , 5 Co I T N R F.r w Id. Ty.penf Building (checla all".that apply) - Lot N Subdivision N o �Pamtly Dwelling- Number of Bedrooms 777777```""'''"'' OBlock - Describe Use 71Pnblic/Commercial p �y ❑City o f ❑Slate Owned - Describe Use illage of CSM Number Zrown of �) / 111. Type. oPPOWTS'•Permit: (Check elther."New"' or'tiReplecetrlent" and other appUEable.on'Ilne X, Checkon'e box,0'4iIne.,& Complete line C If e licab1 r A. ew System Replacement System DOthar Modification to Existing System (explain) ❑Additional Pretreatment Unit (explain) B' ❑Holdin Tenk Ground t-(iradc ound ❑ Individual Site Desigo pe (explain) Other Type oral �tGY C. Renewal Before Expiration []Revision a n e of Plumber ❑1 ranaRr to New Owner ` x List Previous Permit Number and Date Issued S Iv. Dls ersieVTreat ( Armand Tank Infilipthatlow, Design Flow (gpd) Design Soil Applica 'on te(gpd/so Dispersal Area equired(srkzDispersal Area Prop sf) Systen E107110 y � o,, r Tank Inforinetion Capacity in Gallons Total Gallons N of Units Manufacturef ,,� a yyF�yy c New Tanks Existing Tanks / �'"� o y U in Septic or Holding Tale Dosing Clamber ILJ V. ResponslbIH:Sthtemeij- 8c the slnlaersigned;oft eipontlbhlty'fordnstalletloq orfhe,PQWTS �hbwn on the apached plans)a - mber's Name (Print) I Pluqwrs Sigmuhtro MP/MPRS Number Business Phone NWIter PPII'mber's Address (Street, City, Ste ,Zip Code) , 1l Count /Dn artment Use Only- Approved O Disapproved Permit Fee a52:goo Date Psued %Z8Z Issuing Ag ignature O Owner Given Reason for Denisl Conditions of Approval/Reasons for Disapproval 3 (L s, T ., STEM OWNER: /- 1. Septic tank, effluent filter and l-} Pl 6 r f~~.�, — � . s yK jit? `YAp 14,1 7'-PrtC( Yli� dispersal cell must bbserviced/maintained i� as per management plan provided by plumber. I V 1 Axiil-Aq) t1 2. An sHback acquirements must be maintained as per appnCab'e (side/OrAIMfIC14 �yx 1iY�G( e x^ /% Atisch to complete plea for the system old submit to the County only on piper n 1 left the 111 x I I Inches In size SBD-6398 (R. 03121) System PLOT PLAN PROJECT Oeverina Homes ADDRESS 1433 Cernonhous Ave Suite A New Richmond Wi 54017 N 1/ 2 SE 1/ 4 S 31 /T 31 N/R 18 W TOWN Star Prairie COUNTY ST. CROIX SYSTEM ELEVATION 90.5/89.5 5' below grade 9/25122 BEDROOM 3 DATE CONVENTIONAL XXX CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 651 # of chambers 32 BENCHMARK V.R.P. Top of 3/4" pipe ASSUME ELEVATION 100' Filter Lifetime Filter ❑ BOREHOLE O WELL •H.R.P. same as benchmark Scale = 1 /4" = 10' Pro 3 Bedroom ouse 25' I� B.M.' < P&I Vents _ _ _ . 93.5' B 3 116% Slope 91.5' 2-3' X 66' cells with >3' spacing Vent `� ®10 90th St. 25' >6 . Quick4 Standard of Cover Leaching Chamber with 20.0 ft2 of Area 4' Long 12 6.6ft^2/pair of end caps Grade at System Elevation 34" 85th St Cover Page Shaun Bird Bird Plumbing Inc. 1432 120th St. New Richmond Wi 54017 715-246-4516 Date: 09/25/22 Owner:Oevering Homes Location N1/2 SE1/4 S 31 T31 N,R 18W 1821 90th St. Star Prairie Used: In -ground absorbtion system (version 2.0) Page# 1. Cover Page 2. Plot Plan 3. Chamber Cross Section 4-6. Maintance and tigency Plan 7. Filter Cross Se i Signature License n)frker #226900 System PLOT PLAN PROJECT Oeverina Homes ADDRESS 1433 Cernonhous Ave Suite A New Richmond Wi 54017 N 1/2 SE 1/4s 31 /T 31 N/R 18 W TOWN Star Prairie COUNTY ST.CROIX SYSTEM ELEVATION 90.5/89.5 5' below grade DATE 9/25/22 BEDROOM 3 CONVENTIONAL X00( CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 651 $ of chambers 32 BENCHMARK V.R.P. Top of 3/4" pipe ASSUME ELEVATION 100' Filter Lifetime Filter ❑ BOREHOLE O WELL .11.R.P. same as benchmark Scale = 1 /4" = 10' Pro 3 Bedroom House 25' B.M.' S'[ 25' 25' B 2 90' 0-1 95.5' Vents 30' 45' B_3 16% Slope 2-3' X 66' cells with >3' spacing 93.5' 91.5' Vent 90th St. 25' >6» Quick4 Standard of Cover Leaching Chamber with 20.0 ft2 of Area -1' Long 12" 6.6f,"2/pair of end caps 34" Grade at System Elevation 85th St Cross Section of Infiltrator Quick 4 Leaching Chamber Typical cross section for 2 of 2 cells Quick 4 Standard Leaching Chamber with 20.0 ft2 of Area per Chamber 6.6ft^2 pair of end plates Typical Installation Vent AC-1 Grade 4" _,A�30/34 Septic Tank 5' Longi t 5' Grade at System Elevation Spacing 5' To be >1' above grade Finish grade elevation 95.5' Vent 5' Lone t at System Elevation 2-3' X 66' Cells Same on other end Observation tubeNent At end of cell A 16 chambers per cell B System elevations: A 90.5 ST CKo IJIVTY. SANITARY SYSTEM File O !� i.+'r•nrrsrrc fficee Use Only OWNERSHIP/ADDRESS FORM Created212021 Community Development Department will utilize this information to provide the property owner with information regarding operation and maintenance of your new or replacement sanitary system! This information will be provided as part of our ongoing efforts to protect public health, your well, groundwater, surface water, property values, and county resources. Once approved, this completed form and educational information will be sent to you by email. If you would like to view your issued sanitary permit online, you can do so by using the Property Files Scanned weblink. Owner/Buyer UC,,?tf Mailing Address City/State/Zip Phone Number (required) % Email Address (required) Parcel Identification Number (found on the property tax bill) OWNER/BUYER INFORMATION NEW SYSTEM: LEGAL DESCRIPTION Property LocatiorY" /14 6E 1/4 , Sec5� , T 31 N )W, Town of Subdivision Plat: ��a� ��/ Lot # Certified Survey Map # Volume Page #T_ Warranty Deed # t �� (before 2006)Volume ' Page # Number of bedrooms �_ Spec houseP14es 0 no Lot lines identifiable yes 0 no New Property Address y (Staff Initials) OFFICE USE ONLY (Verification of new address required from Community Development Department for new construction.) Zu ZZ (Date) This form must be submitted with all Private Onsite Water Treatment System (POWTS) applications. New System: Include with this form 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. Community Development Department— Land Use Division 715-386-4680 St. Croix County Government Center 715-245-4250 Fax cdd@sccwi.gov 1101 Carmichael Road, Hudson, WI 54016 www.sccwi.gov POWTS OWNER'S MANUAL. & MANAGEMENT PLAN Page _of— "ILE INFORMATION Owner ( _ n Permit # ----- - IDESIGN PARAMETERS Number of Bedrooms -- ❑ NA i Number of Public Facility Units NA Estimated flow (average) 5'cTC_�aUda� I Design flow (peak), (Estimated x 1.5) i �, alida i Soil Application Rate I _ slide /fe I Standard Influent/Effluent Quality Monthly average" Fats, Oil & Grease (FOG) 530 mg/L Biochemical Oxygen Demand (BODE) 5220 mg/L L1 NA Total Suspended Solids (fSS) 5150 mg/L !Pretreated Effluent Quality Monthly average Biochemical Oxygen Demand (BODE) 530 mg/L Total Suspended Solids (TSS) <_30 mg/L ;6A Fecal Coliform (geometric mean) 510° cfu/100ml !Maximum Effluent Particle Size Jk in dia. ❑ NA Other: NA 'Values typical for domestic wastewater and septic tank effluent. MAINTENANCE SCNEDt1LF SYSTEM SPFCIFICATIONR Septic Tank Capacity al ❑ NA Septic Tank Manufacturer ❑ NA Effluent Filter Manufacturer ❑ NA Effluent Filter Model AJ NA Pump Tank Capacity al PNA Pump Tank Manufacturer ❑ NA Pump Manufacturer ❑ NA Pump Model ❑ NA Pretreatment Unit ❑ NA ❑ Sand/Gravel Filter ❑ Peat Filter ❑ Mechanical Aeration ❑ Wetland ❑ Disinfection ❑ Other. Dispersal Cell(s) El NA n-Ground (gravity) ❑ In -Ground (pressurized) ❑ At -Grade ❑ Mound ❑ Drip -Line ❑ Other: Other: ❑ NA Other: ❑ NA Other. ❑ NA Service Event Service Frequency (inspect condition of tank(s) At least once every: ont s) 3 mears (Maximum 3 years) ❑ NA Pump out contents of tank(s) When combined sludge and scum equals one-third (X) of tank volume ❑ NA inspect dispersal cell At least once every: months)s) 3 �year(s) (Maximum 3 years) ❑ NA Clean effluent filter At least once eve every: ❑ month(s) 1 ❑ NA - .1 %year(s) !nspect pump, pump controls & alarm --- At least once every: 11 ❑ monthyear(s(s) ❑ NA Nush laterals and pressure test At least once eve every: ❑ year(s) ❑ month() ❑ NA ether. _ _ At least once ovary: ❑ ear(s) ys ❑ years) ❑ NA ether: — ---- — ❑ NA ; MAINTENANCE INSTRUCTIONS linspections of tanks and dispersal cells shall be made by an individuni 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 cells) shall be ,visually Inspected to cheek 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 indicam a failing ca)nditjo,i and requires the Immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one-third (36) or more of the tank volume, the entire contents of !:he tank shall be removed by a Septage Servicing Operator and disposed of !n accordance with chapter NR 113. Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, land any servicing at Intervals of 512 months, shall be performed by a certified POVIfS Maintainer. A service report shall be provided to the local regulatory authoi%! otdthin 10 days of coropletion of any service event. Page__ oft, START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tankt1 s} for the presence of painting products or other chemicals t may Impede the treatment process and/or damage the dispersal Cell(s). If high concentrations are detected have the contents of tha tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may till above normal hlghwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose, overloading the cell(s) end may result in the p rrattor prior or to restoring poweroe discharge of to the To avoid this situation have the contents of the pump tank removed by a Septage Servldng operator effluent pump or contact a Plumber or POWTS Maintalner 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 soil absorption area. Reduction or elimination of the following from the wastewater stream may Improve the performance and prolong the life of the POWT:D: antibiotics; baby wipes: cigarette butts; Condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; Trull and vegetable peelings; gasoline; grease; herbicides; most scraps; medications; all; painting productls; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and/or Is permanently taken out of service the following steps shall be taken to Insure that the system is proper y and safety abandoned In compliance with chapter 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 s.oll, gravel or another Inert solid material. CONTINGENCY PLAN If the POWTS falls and cannot be repaired the following measures have been, or must be taken, to provide a code compli*nt replacement system: e location of a replacement so l absorption systePn. ❑ A suitable replacement area has been evaluated and may be utilized forth The replacement area should be protected from disturbance and compaction and should not be infringed upon by requh�d setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result In the neled for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the ruler) in effect at that time. ❑ A suitable replacement area is not available due to setback and/or soil limitations. Baring 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 btomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. <<WARNING» SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TAN) UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE O� A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS "— POWTS INSTALLER Name Phone l POWTS MAINTAINER Name Phone SEPTAGE SERVICING OPERATOR PUMPER LOCAL REGULATORY AUTHORITY Name Name 5 k. ,, — Pttone Phone This dooaniest was drafted In oomi hens with ohepter SPS 383.22(2)(b)(%d)&M and 383.54(t ), (2) & (3), vylsconsin Administrative Code. 20140048A A J SECTION A -A 1921 V97 U VY(sconsin Departmenlo} C Drnmerc:DEC 28 2021 SOIL EVALUATION REPO C:vWon of Safety and Build s C MIT $5. WS. Adrn, Code Pepe , of _ Community eve oilmen C.0I / ix d Z !L-� Attach t»mploG eke plan on paper not less than B 1/2 > 11 Inches In size. Plan must Indutle, t>ul not limited to: vertical and horizontal reference point (am), direction and P rcal I,D. 0 Percent slope. Scale or dimensions, north arrow, and location and distance to nearest road. g� _ Please Print all Information, Revle by Date P•nonet WWmsxon you ProviM my bs uwd for ssmndsn' Purp.»es (Pdvsor um-, s. 16.04 (1) im)). Property Owner / Properp'lowllon n7�' ., GM. Lot {/?, A,(� 114 S I T 3 I N R p E( W Propeiy Owner s Ids rose Lot # Block IllSte. v ,ne o3 A.a. U a_"to a one um ❑ City ❑yule e 9 ;EaTovvn NeeresLFlpad �+� •^ ^ >•uwu� use Residential I Number of bedrooms _ s`/ y Code derived design how rate _Y-):V�Z A GPD ❑ Replacement ❑ Public commercial . Describe: Parent material �C - I Flood Plain of If apPllc76IH - �✓ %4 '1�l l t Y R and mm ndatients S , , Q1.%st y/ /`ps, , /1fc In $C Ytr�HT I andreoammsndatlav: �% ystem pe_�O rl.1C System Elevation ' J i r .r 1--l-- -1, _ �� ro ao� it p Boring pit Ground surface alev. �R. Dooth to Ilmsino fsetm in x, • M192 -aim •a �� Boring L-j tw,,,y _ 1�(Pit Ground surfaceelev. �' �ft. Da<x a umtx ,r.a . ��) r_ �►►EME—MM—MAIM WIN a rw�mm VIM li-MI WA onume •c - ovV, S J ❑lfyl, ant) 1.?7 c JU n101L CST Name (Please Print) nature CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1432 120th St, New Richmond, WI 5401 /`� —o2,7- ( 715-246-4516 Property Owner )3 Parcel ID fl Page -of Boring 0 ] Boring It1. pit Ground surface elev. ft. Depth to limiting factor In. Soil Application Rate Horizon Depth In. Dominant Color Munsell Redox Description Ou. Sz. Cont. Color Texture Structure Or. Sz. Sh. Consistence Boundary Roots GPDMf 'Elfpt -Effp2 Boring N ❑ Boring �x% ✓ 1wpil Ground surface el v. " I t� ft. Depth to limiting factor In. Soil ADoilcalion Rate Qu. Sz. Cont. Color KEN �T Wit' IsllN-0:'.Jl�G11��T1 Boring p ❑ Bodng ❑ PIl Ground surface elev. h. Depth to limiting factor In. Boll AD011catlon Rate Effluent p1 o BOD, > 30 S 220 mg1L and TSS >30 1150 mg& ' Effluent p2 • BOD. :E 30 mglL and TSS 130 mglL 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.B777. ssu.ump.eml Soil Test Plot Plan Pro¢ect Name Oevering Homes Investments Shaun Address Y9, 1433 Cernohous Ave Suite A New Richmond Wi 54017 #221100 Lot 13 Subdivision Bella Vista Datf 12/22/21 N 112 SE 1/4S 31 T 31 N/R18 W Township Star Prairie Boring 0 Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 1 oo ft. Top of 3/4" pipe next to large solo tree System Elevation TBD •HRpSame as Benchmark Scale = 1/4" = 10' B.M.' 25' 25 B-2 90 B 1 95.5' 16% Slope 85tn St P 93.5' 91.5' Y I n m L li Z I _ l I I I 0 Z — f _ rn r rn 8 C I:® 4 D 1 0 1 Z ' it wr 'iwm n •• �.. ne.mcv 8 3 3 , rn O z PLAN NPOWATION J05 INPCR AIUN 5n1!PT NPOW, M)N — `EVEIRIKG IIOMFS �.. ,..... ,...... ,. ,.., . ..�<... SHEET conwcnr Nonu I OF 5 MJECT0 20-31 ELEVATIONS ,...........r. `v. • i .,. SCNl. A5 51O 'L9 z s0(DIP �XN rn 0 Q ; O i 0�6V RING HOMf3 flhN MpG/A1pR J00IIllORMATION 9H[CI MORA1AfpN SPIFFY 4 OF 5 2ND LEVEL ronxlcnr rgrlu rRaecT is 20-31 Yw. W.MR T z rn rn SHEET IWO1G TM G COE14 ..!!MES 5HEET coryr"r MOTU 3 OF 5 FWJEC7 0! 2049 MAIN LEVEL ...... . ......... .. ........................ oil ---------------- Ld 0 .. . . . ........... . . ..... ---- ----- z........................... r --------- ---- t ...... . ....... -Ill- Ti- Z7 ----------- ......... . .. ------ .................. . ... ............ ...... I ........ WET IWT1 OE GNOMES SHEET COPVIVnff NOTU 2 OF 5 FKORCISL 20-31 - -A� .- FOUNDATION d m ' I �.!i I •t�i��rf� � l min �n l L� OWN mrn � D z �J Z p Z V� .v`:mrl •• 'wearmaw� 20 1 S � I O l n.w uvew Tm sne ---- ae wrowM, er 1100K now `E)RING HOMES ......... sneer conwcart 40TI17 �"_ I OF 5 rnXCT I: M31 ELEVATIONS S84'16'50"E 417.71' �3osM1 1 � 01 m 16 / 74,403 SQ. FT. 47 1.708 ACRES 33' •��-N26'23'45"E L.B.O. = 866.0 • 21.19' y ry sew ` \ 589'16'50"E 416.17' (\ vp 66,013 SQ. FT. as? '��$ \ 1.515 ACRES - �J49.09'14'E `�p D st?� \ L.B.O. = 878.0 EASE \� \ EA 0•43"W�-- \ S89'16'50"E 327.59' 416.5V N60 3 50.32 i \ I EN T EASE �i Ln l N_ 1 14 u 66,082 SQ. FT. Ji 66 1 1.517 ACRES FT. L.B.O. = 878.0 =5 �/ •33, / l 4.0 / 33, - -22.67• 579°07'SI"E 3S2.14' �WE7L D AN \ �I / pll^ J 1.63 [��/ 9t 41 .96.63' r3 i QJ / o; o - g ,Ci W O"H qpN / 13 �° SnNlvp OO b� a / p l / ail 20 Qb 170,303 SQ. FT. 2 a j'M 3.910 ACRES ° •a Af / N90'00_00'Ee 441 $0120'1�" gyp'° / `ti / 0 00 9o�Doo $. / �i- i/ / a EASEMENT //i 33•pO '00"N 1 DRAINAGE �81,0052.t6 7"W-. iv . CA/ ��,-NO2*50'17"E /!w > �ILn Q of — —�I o01— i i �M V4 W Ln un fn fn S" m LA w in N l>7 N m m o N C i .y W 2 V97 DEC 28 2021 SOIL EVALUATION REPO T Wlacnnsin Deparment Of Commerce i .vision of Sates- and Buitdims I L 11 Page — of _ i• 2=ianc6 with Gomm 85. Wis. Adm. Code /! rR T' 0 7 l ttaeh complete she plan w paper not fast than 6 v,^ x , Inches in size. Plan must Gountvs7� / �/� 0 7 !i L-I irx1 , lxe not limited to vertical and ho izontai reieroncs point (BM), direction and Parcel I D. I` Percent slope, scale o dimensions, north arrow, end location and distance tc nearest road. 1 8— 1/7 �� _ Z� Please pNn( all Irrtbrmador,. + Reviewed by Date POrsonti 1Mor w' you Droves may be used to: saran&n purposes (Privacy Law, t. 14-N (1) (m)). I -� / PrpOeyy ov.1°r Propem'Location #FRIE P Gout. Lot r/Zf/4s�11;4 S 5 T 3 N roperty Owner's Mal' ddre" I Lot as Bloc a Sid. a CSM3 P/ 3 a, L/ieCode one Nu ribs ❑ illage Town Nearestg r 14 " Oonstrucbon (ise. ResidendN / NumUar o' beiroo ns Cade derived design flow rate -> v GPD I, 0 Rep!aaement ❑ Public r grme-�a! • Describe Parent meterfa ✓ Hood Plain elevation if appli it ti / 4 7 tt4'� ft. Genoa' rnmendcornme7to j � Q ✓ q y/ .�/b I+„ /bt nct� f'Lt i[ /ti`� H aid reoammsrtdatians: / ( i%jQ5har,d7A - SA( rs #❑t Boring c� pit Ground surface elev. System Elevation / t J D Depth to linitina farlor / / d in pap (is• e�___-_ Pit Ground surface elev. 7 �' R, Depth to Hmhing factor in. t torizon Soil ' tim Rate nant Color R Depth Domiedox Description Texture StructureConsistence Boundary Roots GPDM in. Munsell Qu _7. Sz Cons Color Gr. Sz Sh. •Efhltt 'Eftf7t2 2- n� 2 i7 - o�� - Eft &V Ni ■ BOO. " 30 < 220 mat and TSS >30 < t • OWN tit z SOD.130 nV& and TSS < 30 rna+L CST Name (Please Print) nature CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1432 120th St, New Richmond, WI 5401 —07 a —,g' 1 715-246-4516 )3 Property Owner _ _ Parcel ID # ❑ ? Boring a Boring 'l Pit Ground surface elev. Depth to limiting factor d L? in. Page of e..a e....r...,..__ o_._ Horizon Depth in. Dominant Color Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GP" 'Eff#1 I 'EB#2 o- fMunsell s (T b-"' , 6 �. _IR r 5 J� d� ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Snil Annlirafinn Gefc Horizon Depth in. I Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPDHf 'Eff#1 I 'Eff#2 17 Boring a ❑ Boring pit Ground surface elev. ft. Depth to limiting factor in. ❑ Soil nnr>I�. irati�n Rate Horizon ')epth in. Dominant Color Munsell Redox Description Qu. Sz, Cont. Cola Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPDtW -Eff#1 I 'Eff#2 ' Effluent #1 - BODr > 30 < 220 moll- and TSS >30 < 150 mgA- ' Effluent #2 - BODr ! 30 mgA. and TSS < 30 mg1 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. saD-e330is e&ml Soil Test Plot Plan Project Name Oevering Homes Investments Shaun Address 1433 Cernohous Ave Suite A New Richmond Wi 54017 Lot 13 Subdivision Bella Vista N 1/2 SE 1/4S 31 T 31 N/R18 W ❑ Boring Q Well PL Property Line kk BM or VRP Assume Elevation 100 ft. #226900 Date 12/22/21 Township Star Prairie County ST. CROIX Top of 3/4" pipe next to large solo tree System Elevation TBD *HRpSame as t3enchmark COUNTY PLAT OF: SOIL TEST MAP/CBA EXHIBIT W/ CONTOURS BELLA VISTA w.ito t. r.vr or nrt I.Uen..rar w..La a T.a lumauer VUFRIY.Ym ARr aM R01lFIWRr OI.MRTY ana 1NVVIIQxRT OUSRIY vRVfOR11.10•Iw� al RORIM. MIQ IR AT.TO.1. v RrM rU�.>R. (1W! (OURTr. •OM•ew: MGlIIYIY FNICI WT 1 aTI� mess MY{F Y.r Qm®� WI11tx I110• l!Y COOYm1r IIN1mt 1>Ilx o� LDl 15 LOT • 1 LOT 1 CF RI IFIED SV IIV EI MxF yE RTIF IFO 1� • j I! USI• I - v_b—I3 r:_e _2 i v_oF _MF 3 [C> � 1 \ — i P11A OIIIA'' d jl l �� rTM1. J� . U: i • 1! ------ u --- �• mil ^��. ...- 41 Ama �� 1 m I � BJR •.� _ � YJ l I �i � whin �.•�•� ` COv �`. �;C �' i i O � __-_-- 1., rrnor r _ l�Mhlf � RT i � I TTT• . . ROE• - '�• - .• � 1 � _ter,. • .- ...,•qtl, izr u"rlXr14➢ � - 1llig3' r{.�1.7�uCr�/.Q Y�O� .�.� •�FT�i�v.rr�..�. i0.4 n.is �r•.rF•��.11 !�R l 1 I IR4�- � r i for � <� ,•iF IU!D SURVEY MAP �0k1I 1f, FF6F 6614 \� \ SHEET 1 Of 1 3 Rejr�m COUNTV NO. 645427 L STATE SANITARY PERMIT I8zi NS L P OI PLUMBER TOWN OF SEC 31 9T_3t_N9 • LICa# Z74400 R LOT 13 BLOCK son SUBDIVISION Zo ht X CHAPTER 145.135 (2) WISCONSIN STATUTES (a) The purpose of the sanitary permit is to allow Installation of the private sewage system described in the permit. (b) The approval of the sanitary permit is based on regulations in force on the date of approval. (c) The sanitary permit Is valid and may be renewed for a specified period. (d) Changed regulations will not Impair the validity of a sanitary permit. (e) Renewal of the unitary permit will be based on regulations in force at the time renewal is sought, and that changed regulations may impede renewal. (f) The sanitary permit is transferable. History: 1977 c.168; 1979 c. 34,221; 1981 c. 314 Note: If you wish to renew the permit, or transfer ownership of the permit, please contact the county authority. V1 AUT ORI ED I UUING OFFICER - DATE THIS PERMIT EXPIRES 7 UNLESS RENEWED B10RIE THAT DATE POST IN PLAIN VIEW VISIBLE FROM THE ROAD FRONTING THE LOT DURING CONSTRUCTION SBD-06499 (RI1/20)