HomeMy WebLinkAbout026-1064-95-002
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division Sanitary Permit No:
INSPECTION REPORT 538833 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:
Bird, Shaun R. Richmond, Town of 026-1064-95-002
CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No:
/Da a vv\ GS ( 21.30.18.327B
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic
Benchmark C?. LP 0
/66
Fh LAI -2
Dosing Alt. t' . l ~-OJ ~ • •
Aeration Bldg. Sewer Z / 07•
Holding St/Ht Inlet Al, d
TANK SETBACK INFORMATION St/Ht Outlet 4-31165. 3
TANK TO ~P/Lf WELL BLDG. Vent to Air Intake ROAD Dt Inlet
Septic 3( 7 .c1 ' Dt Bottom
Dosing Header/Man. 7 7L
! d z
Aeration Dist. Pipe 7,2- /0Z-4
,6
Holding Bot. System d~
Final Grade
PUMP/SIPHON INFORMATION Al. 5 D5 '
Manufacturer GP nand St Cover / ! , ag•
Model N er . L / b
TD Lift Friction Loss S bad TDH Ft ' ~y•6 `
Forcemain Length Dia. Dist. to well
SOIL ABSORPTION SYSTEM
BEDITRENCH Width Length ~ No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS 3 /t~X-1 tZ t 7ele~
~f~
SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: ~~t
INFORMATION CHAMBER OR 4
Type Of System: G 17 UNIT Model Number) :~r io/oLs
p,t,1 e~ 8
DISTRIBUTION SYSTEM AN Z7+-Z-7 a S~{
Header/Manifold r I Distribution Ix Hole Size x Hole Spacing Vent to Air Intake
Pipe(s) \_1 ~ -
Length 5 Dia Length ` Dia Spacing
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only <.Z.
Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched
Bed/Trench Center Bed/Trench Edges Topsoil es ❑ No es ❑ No
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2: / /
Location: 1432 120th Street Ne R. hmon/d,~WI 54017 (SE 1/4 SE 1/4 21 T30N R18W) metes & bounds Lot Parcel No: 21.30.18.327B
1.) Alt BM Description = F:17 ~+J4,4, -
2.) Bldg sewer length
- amount of cover
Plan revision Required? Yes No a 2
Use other side for additional informati n. ✓
Date Insepctor' Signatu Cert. No.
SBD-6710 (R.3/97)
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division Sanitary Permit No:
INSPECTION REPORT 538833 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:
Bird, Shaun R. Richmond, Town of 026-1064-95-002
CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No:
21.30.18.3276
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic Benchmark
Dosing Alt. BM
Aeration Bldg. Sewer
Holding St/Ht inlet
St/Ht Outlet
TANK SETBACK INFORMATION
TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet
Septic Dt Bottom
Dosing Header/Man.
Aeration Dist. Pipe
Holding Bot. System
Final Grade
PUMP/SIPHON INFORMATION
Manufacturer Demand St Cover
GPM
Model Number
TDH Lift Friction Loss System Head TDH Ft
Forcemain Length Dia. Dist. to Well
SOIL ABSORPTION SYSTEM
BEDITRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS
SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer:
INFORMATION CHAMBER OR
Type Of System: UNIT Model Number:
DISTRIBUTION SYSTEM
Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake
Pipe(s)
Length Dia Length Dia Spacing
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched
Bedrrrench Center Bed/Trench Edges Topsoil Fm] Yes Fa-1 No ® Yes No
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2:
Location: 1432 120th Street New Richmond, WI 54017 (SE 1/4 SE 1/4 21 T30N R18W) metes & bounds Lot Parcel No: 21.30.18.327B
1.) Alt BM Description =
2.) Bldg sewer length =
- amount of cover =
Plan revision Required? Yes 0 No
Use other side for additional information.
Date Insepctor's Signature Cert. No.
SBD-6710 (R.3/97)
Comm PCSafey and Buildi i County 201 . Washington Al .O. (tT 0 1 Y_
t Sc Madison, WI 53707- Sanitary Permit Number (to be filled in by Co,)
ott~ne~t f plieation State Transaction Number
In accordance with s. Comm n of this form to the appropriate governmental
unit is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are Project Address (if different than mailing address)
submitted to the Department of Commerce. Personal information you provide may be used for secondary
purposes in accordance with the Privacy Law, s. 15.04 I (m , Slats.
44-
1. Application Information - Please Print Al nl'o on
Property Owner's Name Parcel # '
SkCAA-t
Prop/erty Owner'2 fling Address -2, ~ ~ Property Location 1 Govt. Lot (,32-78)
City, 'State
1 ) o ] , , Zip Code 1 Phone Number 2
(v -`-v t ~1vAf~`~1~V 1 ~Z4 b I 21~ Section
arch;
II. Type of Building (check ail that apply)
-1t T W
Lot
2 Family Dwelling - Number of Bedrooms Subdivision Name
Block #
❑ Public/Commercial - Describe Use
❑City of
CSM Number ❑ ilia ~ - _
❑ State Owned - Describe Use gaof
~.1
III. Type of Permit: (Chec y one box on line A. Complete line B if applicable)
A.
❑ New System Replacement System El Treatment/Holding Tank Replacement Only El Other Modification to Existing System (explain)
B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New List Previous Permit Number and Date Issued
Before Expiration Owner
IV. Jype of POWT5 System/Component/Device: Check all that apply)
n-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade ❑ Mound > 24 in, of suitable soil ❑ Mound < 24 in. suitrtb es
❑ HoldingTank ❑ Other Dispersal Component (ex
P ' ) - ❑ Pretreatment Device (explain) J _
V. Dis ersallTrea ent Area Information: t
D~n Flow (gpd) Design Soil Application Rat dsf) Dispersal Area Requ' d (sf) Dispersal Area Propos d (sf) Sys Elevad n /
VI. Tank Info Capacity in Total # of Manufacturer
Gallons Gallons Units ° v
New Tanks Existing Tanks y N y
U in ~ rn w t5 R,
Septic or Holding Tank
Dosing Chamber
VII. Responsibility Statement- I, the undersigned, assume r onsibilfty for installation of the POWTS shown on the attached plans.
Plum is Name (Print) Plumber's S' re MP/MFRS Number Business Phone Number Plumber's Address (Street, City, State, Zip Co )
VIII, oun /De epartment Use Only
Approved isapprove Permit Fee Date Is ucd Issuin cut Signat e
3) /
tven Reason for enial
IX. ConditlMeasons for Disapproval n _
1 " iptic tank, ef~luent filter and r
3, I~ e 6A4& he..~
dispersal cell must all be services / maintained
as per management plan provided by plumber. Volt.
2v MU k Iequ(rements must be maintained
u►t
4~
Attach to complete plans for the system and submit o the County only on paper not less than s z x I I inches in size
w i 4 tae. J
SBD-6398 (R. 01/07) Valid thlu 01/09
Z3
PLOT PLAN
PROJECT Shaun Bird AI)DRESS 1432 120th St. New Richmond Wi 54017
SE 1/4 SE 1/4S 21 /T 30 N/R 18 W TOWN Richmond COUNTY ST. CROIX
MPRS Shaun Bird 226900 DATE 8/29/11 BEDROOM 5
CONVENTIONAL XXX IN-GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK
MOUND SEPTIC TANK SIZE 1000/630 LIFT TANK SIZE DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 1 100 # of chambers 54
BENCHMARK V.R.P. Top of 1/2" pipe ASSUME ELEVATION 100' Filter BESTFilter
❑ BOREHOLE O WELL *H.R.P. Same as Benchmark
1320' Property Line SYSTEM ELEVATION 98.2/97.2 3.5' below qrade
Well is to meet all Scale is 1" = 40'
setbacks required by
WDNR Plans Designed Using unless otherwise
Conventional Powts noted
Manual Version 2.0
150' Well
10 wo
Old house to be
removed once new
house is built, old
system may be kept
Pro 5 or future shed
bedroom
house
30' 250'
1000/600 500'
c
ombo septic 2-3' X 110' Cells with >3' spacing
tank
15' B-3
105' 60'
103' Vents 40'
101' B-1
115'
B-2 15 B.M.*
14% Slope 400'
Vent
>6" Quick4 Standard-W
of Cover Leaching Chamber
with 20.0 ft2 of Area 120th St.
12" 5.8ft^2/pair of end caps
4' Long
Grade at System Elevation
Cover Page
Shaun Bird
Bird Plumbing Inc.
1008 192nd Ave
New Richmond Wi 54017
715-246-4516
Date: 8/29/11
Owner: Shaun Bird
Location: SE1/4 SE1/4 S21 T30 N,R18W 1432 120th St. Richmond
System type: In-ground absorbtion system(conventional)
Manuals Used: In-ground absorbtion system (version 2.0)
Page#
1. Cover Page
2. Plot Plan
3. Chamber Cross Section
4-5. Maintanance and Contingency Plan
6. Filter Specificjabonno et
Signature
License numbe
PLOT PLAN
PROJECT Shaun Bird ADDRESS 1432 120th St. New Richmond Wi 54017
SE, 1/4 SE 1/4S 21 /T 30 N/R 18 W TOWN Richmond COUNTY ST. CROIX
MPRS Shaun Bird 226900 DATE 8/29/11 BEDROOM 5
CONVENTIONAL XXX IN-GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK
MOUND SEPTIC TANK SIZE 1000/630 LIFT TANK SIZE DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 1 100 # of chambers 54
BENCHMARK V.R.P. Top of 1/2" pipe ASSUME ELEVATION 100' Filter BEST Filter
❑ BOREHOLE O WELL *H.R.P. Same as Benchmark
1320' Property Line SYSTEM ELEVATION 98.2/97.2 3.5' below qrade
Well is to meet all Scale is I" = 40'
setbacks required by
WDNR Plans Designed Using unless otherwise
Conventional Powts noted
Manual Version 2.0
150' Well
Old house to be
removed once new
house is built, old
system may be kept
Pro 5 or future shed
bedroom
house
30'
250'
1000/600 500'
tcao kbo septic 2-3' X 110' Cells with >3' spacing
15' B-3
105' 60'
Vents
103' 40'
8.4 B-1
101'
115'
B-2 15' B.M.*
14% Slope 400'
Vent
of Cover eaching Chamber
>6" jGrade uick4 Standard-W
ith 20.0 ft2 of Area 120th St.
12 8ft^2/pair of end caps
Long
at System Elevation
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
10.2ft^2 pair of end plates To be >1' above grade
Finish grade elevation
Typical Installation ~ 101.5'
Vent Grade Vent
3' 4'$ 3'
X30/34 Septic Tank
5' Long 5' S' Long 1
Grade at System Elevation
36" Grade at System Elevation
Spacing 5'
2-3' X 110' Cells
Same on other end Observation tubeNent
At end of cell
A
B
27 chambers per cell
System elevations:
A__98.2
B__97.2
ST. cROIX COUN'T'Y
SEPTIC TANK MAIlV7CLNANCE AGREEMENT
AND
O~ggg CERITIFnICATION FORM
owner/Buyer
Mailing Address - /_r) v
Property .Act frown P,aaa ag & Zolft Depa f(Ir new comic m)
Parcel Idenntifica#ion Number 0
c~ty/staf
. T N R~ W, Town of -
See
Property
Subon
Volume Page #
Certified Survey MAP #
(e_2 Volume page #
Warranty Deed # 7_ no
j bore J ^ Lot Lim l
S
nwNFR CERTIFICATION
SYSTE
faslare to bile wastes. Proper
jUqWoPW use said weintenance, of Y s in its P=DAM if n"ded. by a hcWMA PUVISM : whdt you put into
= sepft system could result task every tlsree yes
umintenance oons>~ of P fumem out tba SRO= as a ttes,,, t stage in the waste &VOW Mom Owner ft eysbtm can, ---ect tip of (1) and in t~,agter 12 - SL Croix COunky Santuy
Osdzsm~e-Wai'deusnce VodftdXL respcros~fbilities ate a coon farm A pied by the
,rho priolmy owner ei to sabunt to St. Cso phonber a licensed Powper ved*bm that (1) the on-AU
restricted cc and PUM4j
owner and by a masW pk mber, joo=VJWI pluaober, ,g (if U0008saxy). the septic tank is
wastewater disposal system is in proper oparaltng cotubtxon and/or (2) aft bVeCtiou
Less *=1/3 iiU of sludge: with the
. pedbmve road the above requmcen=ta and awed to z~iataiaN+ ~ pia`.
standards see Edith. bOVOiC6 as set by theg D been. an reuwd to rite St Croix COUnrl Pl =Mg
Imintained
,W bee oplated Cer ificats~ stating that y
Zoning Deparbaxcnt witbin 30 days of the three year won date.
this form arc true to the best of my/our lauowledge. I/we am/are the owaos(s) of the
VWe certify that art status on of Dodds Office.
desm1befl by virtue of a warranty dead recorded m Reg IOW
r
Number of b nas / J
DA
SIGNATM OF APPLICANT(S)
} may result in the sanitary p~ being revoked by the PlMing &
***Any iafoaa u that is a
a retarded warranty deed fr~a the Register of Deeds Office and a copy of the ~fiodd survey rnap if
I wb& with this application
refpremce is made in the wa randy deed.
(REV. OMS)
Maintenance and Contingency Plan for a Septic System
Maintenance Plan
1. Septic Tank is to be pumped once every 3 years.
2. Effluent filter 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. Watershed is to be diverted away from system.
8. Discharge into system is not exceed those required as per Comm. 83
Contingency Plan
Option #1. If system fails, determine cause of failure, use alternate area and install new
system in tested replacement area.
Option #2. Install system at a lower elevation, by removing chambers, removing biomat,
and install new system.
Option#3. No adequate area is suitable for replacement area, and system elevation
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 715-386-468.0
Pumper Tom Mondor 715-246-5148
Shaun Bird #226900
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8024894
State Bar of Wisconsin Form 1-2003 Tx:4018063
WARRANTY DEED 934806
Document Number Document Name BETH PABST
REGISTER OF DEEDS
ST. CROIX CO., WI
04/11/2011 1:16 PM
THIS DEED, made between Thomas C. Nelson a/k/a Tom C. Nelson, a married EXEMPT#: N/A
person REC FEE: 30.00
("Grantor," whether one or more), TRANS FEE: 450.00
and Shaun Bid. a single person PAGES: 2
("Grantee," whether one or more).
Grantor, for a valuable consideration, conveys to Grantee the following described real Recording Area
estate, together with the rents, profits, fixtures and other appurtenant interests, in 2.
4ZM County, State of Wisconsin ("Property") (if more space is needed, please attach Name and Return Address f
addendum):
Sec attached Exhibit A.
92&l064-"I, 026-1064-95.902
Parcel Identification Number (PIN)
This is not homestead property.
(is) (is not)
Grantor warrants that the title to the Property is good, indefeasible in fee simple and free
and clear of encumbrances except: easements, restrictions and restrictions, if any, of record.
Dated _.4,12 ('t 5 ti-o 1
(SEA nzz~-4 (SEAL)
' 'Thomas C. Nelson a/k/a Tom C. Nelson
(SEAL) (SEAL)
s •
AUTHENTICATION ACKNOWLEDGMENT
Signatures I K ( - j ref 4~
attdlenticated on STATE OF )
) ss.
COUNTY ) .
TITLE: MEMBER STATE BAR OF WISCONSIN Personally came before me on
(If not, the above-named Thomas C. Nelson a/k/s Tom C. Nelson,
a
authorized by Wis. Stat. § 706.06) married person
to me known to be the person(s) who executed the foregoing
THIS INSTRUMENT DRAFTED BY: instrument and acknowledged the same.
KrLnins Ogh ad. Estreen & Ogland
304 Locust Street. Hudson. WI 540116 '
Notary Public, State of
My Commission (is permanent) (expires: )
(Signatures may be authenticated or acknowledged. Both are not nectssary.)
NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED.
WARRANTY DEED 9 2003 STATE BAR OF WISCONSIN FORM NO. 1-2003
• Type name below Signatures. INFO-PRO' Legal Forms 800455.2021 www.kWopmbw .corn
1 of 2
EXHIBIT "A"
Parcel 1:
A parcel of land located in part of the Southeast Quarter of the Southeast Quarter (SE % of the SE Section
21, Township 30 North, Range 18 West, further described as follows: Commencing at the Southeast comer of
said Section 21; thence North 00' 06'32' West along the East line of said Southeast Quarter (SE 400.00 feet
to the Point of Beginning; thence continuing North 00' 06'32* West along said East line of the Southeast Quarter
(SE 880.85 feet, thence North 88 " 50'09" West, 1097.03 feet; thence South 00.32' 27" East, 1302.63 feet
to the South line of said Southeast Quarter (SE thence South 89' 58' 14" East along said South line of the
Southeast Quarter (SE 614.94 feet; thence North 006 06'32" West, 400.00 feet; thence South 89.58' 14"
East, 472.00 feet to the Point of Beginning. SUBJECT TO an Easement for Town Road purposes and other
easements of record. TOGETHER WITH an Easement for Ingress and egress over the 33.00 feet lying directly
North of the above described property, St. Croix County, Wisconsin.
Parcel 2:
Southeast Quarter of the Southeast Quarter (SE % of the SE Section 21, Township 30 North, Range 18
West. EXCEPT the following described parcels: Commencing ath the Southeast comer of said Section 21;
thence North 00' 06'32" West along the East line of said Southeast Quarter (SE 400.00 feet; thence North
89' 58' 14' West, 472.00 feet; thence South 00' 06'32" East, 400.00 feet to the South line of said Southeast
Quarter (SE thence South 89' 58'140 East along said South line of the Southeast Quarter (SE 472.00
feet to the Point of Beginning, SUBJECT TO an Easement for Town Road purposes and other easements of
record;
AND EXCEPT
Commencing at the Southeast comer of said Section 21; thence North 00' 06'324 West along the East line of
said Southeast Quarter (SE 400.00 feet to the Point of Beginning; thence continuing North 00' 06'320 West
along said East line of the Southeast Quarter (SE 880.85 feet, thence North 88' 50' 09" West, 1097.03 feet;
thence South 00" 32'27" East, 1302.63 feet to the South line of said Southeast; thence South 89' 58' 14" East
along said South line of the Southeast Quarter (SE 614.94 feet; thence North 00' 06'32" West, 400.00 feet;
thence South 89' 58' 14" East. 472.00 feet to the Point of Beginning. SUBJECT TO an Easement for Town Road
purposes and other easements of record. TOGETHER WITH an Easement for ingress and egress over the
33.00 feet lying directly North of the above described property, St. Croix County, Wisconsin.
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. pA~ID SOIL
Wisconsin Department of Commerce S EVALUATION REPORT P6A,
Division of Safety and Buildings
in accordance with Comm 85, Wis. Adm. Code
County
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must < ` y cps ~G
include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. OG~
percent slope, scale or dimensions, north arrow, and location and distance to nearest road.
Please print all information. eviewed DA W,
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)).vV ZD
Property 77a Property Location
LC / Govt. Lot S E 1/4 1/4 S a T'&J N R E( W
Property Owner's Mailing Address Lot # Block # Subd. Name or CSM#
C;- Id 0 city late Zip Code Phone Number ❑ City Village Town Nearest Road
d.41 'C
11020VK S/
❑ New Construction Use: esidential I Number of bedrooms Code derived design flow rate 7 Y-22 GPD
Replacement ❑ P_ubli r commercial - Describe:
Parent material Flood Plain elevation if applicable ft.
General mid emotions:. '~e 1j
System Type Z~~>L%v 'L. System Elevation
Pit Ground surface elev. JfJ') ft. Depth to limiting factor /
! ';o in.
M Boring # R Bones
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
all
2. - lay
5 ~s .n 1 AI,)W -7
a Boring # m pit Boring
pit Ground surface ele~~ ft. Depth to limiting factor ///Z) in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2
Z- 3n S 0 1
:22 7,
A
Effluent #1 = BOD > 30:5 220 mg/L and TSS >30 < 150 ' Effluent #2 = BOD < 30 mg& and TSS < 30 mg/L
CST Name (Please Print) Si CST Number
Bird Plumbing, Inc. Shaun Bird 226900
Address Date Evaluation Conducted Telephone Number
1008 192nd Ave, New Richmond, WI 5401 715-246-4516
Property Owner Parcel ID # Page of
Boring # ❑ Boring
~Ic .J1~ i~ Pit Ground surface elev. 40~ ~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
o- OV/ -S
6-2-0 In
~V114
a 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
❑
❑ Bodng # Boring Pit Ground surface elev. ft. Depth to limiting factor in.
❑ - Soil Application Rate
Horizon ')epth 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 mg1L and TSS >30:5 150 mg/L ' Effluent #2 = BOD, < 30 ffKA 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 608-2648777.
seo4330(L6(00)
Soil Test Plot Plan
Project Name Shaun Bird Sh ird
Address 1432 120th St.
New Richmond Wi 54017 TM #226900
Lot Subdivision D 6/26/11
SE 1/4 SE 1/4S 21 T 30 N/R18 W Township Richmond
❑ Boring Q Well PL Property Line County POLK
BM or VRP Assume Elevation 100 ft. Top of 1/2" pipe
System Elevation 98.2/97.2 3.5' below grade *HRP Same as Benchmark
1320' Property Line
Scale is 1 =40'
unless otherwise
noted
150' Well
Old house to be
removed once new
house is built, old
system may be kept
or future shed
250'
500'
B-3
60'
105'
103' 40'
101' 115' B-1
B-2 15' B.M.*
14% Slope 400' OJF
120th St.
ZONE
t
ZONE A
rt -
al
FIRM
UNNOFICIAL FLOOD INSURANCE RATE MAP
ST. CROIX COUNTY,
WISCONSIN
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