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HomeMy WebLinkAboutSAN-2016-183VVisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT ATTACH TO PERMIT) GENERAL INFORMATION ( Personal information You provide may be used for secondary purposes [Privacy Law, s.1 5,04 (1)(m)] Permit Holder's Name" City Village Township Oevering Homes I — TOWN OF HAMMOND CST BM Elev: — --[Insp. BM Elea: IBM Description-. TANK INFORMATION co TYPE —J— MANUFACTURER Septic Dosing Aeration Holding TANK SETBACK INFORMATION TANK T 0 P/L WELL BLDG. Septic;, ' Dosing Aeration Holding PUMPISIPHON INFORMATION SOIL ABSORPTION SYSTEM DISTRIBUTION SYSTEM CAPACITY Vent to Air lntake I ROAD ELEVATION DATA STATION BS HI FS ELEV. Benchmark Alt. BM Bldg. Sewer St/Ht Inlet St/Ht Outlet Dt Inlet Dt Bottom Header/Man. iDist. Pipe Bot. System Final Grade St Cover xx Mound Or At -Grade systems only x Pressure Systems Only SOIL COVv—r,% Depth Over xx Depth of xx Seeded/Sodde Depth Over Bed/Trench Edges Topsoil Bed/Trench Center E COMMENTS: (Include code discrepancies, persons present, etc.) Inspection #1 Location'. 1645 101 ST AVE 1.) Alt BM Description 2.) Bldg sewer length - amount of cover F: Plan revision Required? 1_:::�::: Yes Lfl No L_ Use other side for additional information. LLI Date insepctor's Signature SBD-6710 (R.3/97) Inspection #2: Cert. No. Ci s County Safety and Buildings Division • � Washington Arse., P.O. Box f 2 Sanitary Permit Number (to be filled in b}' Co_} a a 201 W. �y Madison,Wl 53707-7162 Number sanitary Permit Application 4 ate cyovelTlIrfCrlt3l Ellllt in acrordaac Sl'S 383.21(2), Wis. Adm_ Code, submission of this form to the appropriate - 'carioca forms for she -owned PC��►JTS aresubmitted to project Address cif different than xnailin� address) is required prior to obtaining a smitasy peraut Mote: Apply Safety and Professional Servies. Personal information you provide may be used for second the Department of Sary i 5ta#s. ` 1.10 area in accordance with the -Privacy Law, s . S . 1 } m), ..� / .►'` L A lication Information Please Print All fnformati Parcel # property Owner's Name r ►-� /` C. ' Property Location M 1 Proper's Mailing Ad r r 1 -7 t '`` C'' i Section Phone Number /� C�� S � �� bode . � � � � cle e) Lot # Y all that apply) �"" Subai sJon Name �• Type of Building (chef 3 I or 2 Family Dwelling, — Number of Bedrooms l 4x Block �=--- ❑ P°sbliclComn)ercial - Describe Use � City of ! CSM Number ❑ Village of k State ved — Describe Use ..--_ f :z p• � ce� 23 �r applicable) 11f. Tyeof Permit: (Checkonlyo ebolonlineA. CarnplefelineB � y e�cplain} A. 1 ew System Replacement System ❑ ❑ 'Tre..aatment/Holding Tank. Replacement Only L� Other Modification to Existing Vi mer and Date Issued LisPb ❑Permit Revision Changer ' 'lumber PLrazit I�ranssfcr io New B_ El Permit Renews C l•,1G�' i Before Expiration 'I' ofPoVkrTS SYstewlCom onent/Device: Check all that a :lyr} - < 24 in. of suitabie soil El Pressurized In -Ground ❑ At-Crrade Mound > 24 in. of suitable sod ?ion Free In -Ground El Mound ❑ pretreatment Device (explain) a Holding Tank Q ether Disspersai Component (explain) tn V. D' ersaVTreat nt Area information. Dzs al Area Prop red (sf) S em "ev on Soilheation Rate(gpds Dispersal Area Required 's ue , Designo�Pd� DesizP l # of Manufacturer Total ,� Tank Info Capacity i� ,a �, .., Gallons Units J on ; s CU 4> New Tanks E_xisdng Tanks ` i U G�/ s Sepdc or Holding Tam Dosing Chamber x ned ass a �ponsibility for installation of the POVVTS shown on the attached plans. ber Plumb�rzature VII. Responsibility Stat nt- � the unders la MPIMPRS Number Business Phone plumber Name PZint} �y( r L / f�M Plumber's Address (Street, City State, Zip )/J�V OoC ountv/De ar#ment Use Only Permit Fee Date is ed issuing . igaature proved approve 115 406! I e. Given Reason for enral j on4,f�rrIrrwWw"AsDisapproval ondi AAL r o fideti by plumb�. rnu t; k fn. c it s r� R 2. -..At k rag t low. Attscb to ct�mp� plate for the s►stem atxd submit to Cvun ' on�v on paper not s SBD-6399 (R- 11/1 1 ) �,' r System PLOT PLAN PROJECT Oeverina Homes ADDRESS 1433 Cernohous Ave Suite A New Richmond Wi 54017 SE 114 SW 1/4s 8 /T 29 N/R 17 W TOWN Hammond COUNTY ST. CROIX SYSTEM ELEVATION 91.8/91.7$ 5' below grade I DATE 11/16/16 BEDROOM 3 CONVENTIONAL CONVENTIONAL LIFT X>(X HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE 630 DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 933 # of chambers 4 6 hk BENCHMARK V.R.P. Top of survey iron ASSUME ELEVATION 100' Filter Lifetime Filter FIBOREHOLE WELL *H.R.P. same as benchmark 101st. Ave Scale = 1/4 = 10 Scale is 1" — 40' 383' Property Line unless otherwise Huffcutt Combo Tank 40) 40' %/' B-/) 451 30, 30 2% Slope B-3 1301 II 1 1 1 45 1 65" Pro 3 Bedroom House C) (D B-1 I Vents 96 97 C 0 2-3' X 94' cells with >3' spacing All piping shall be ASTM SDR 30/34, within 10' of tank, piping shall be ASTM F891 Vent . j 4 " 250' Property Line notea Quick4 Standard Leaching Chamber with 20.0 ft2 of Area 5.6ftA 2/pair of end caps Grade at System Elevation Please note: install system as far upslope as possible, soil tend to get poorer downslope of tested area Cover Page Shaun Bird Bird Plumbing Inc. 1432 120th St. New Richmond Wi 54017 715-246-4516 Date: 11 /16/16 Owner: Deering Homes Location: SE 1 /4 SW 1 /4 S 8 T29 KR17W 1645 101 st. Ave Hammond System type: In -ground absorbtion system (conventional) Manuals Used: In -ground absorbtion system (version 2.0) Pressure Distribution Manual (version 2.0) Page# 1. cover Page 2. Plot Plan 3. chamber cross Section 4-6. Maintanance and contingency Plan 7. Filter Specifications Sheet 8. Dose Tank cross Section 9. Pump C`I I'~r^ 10.-12. Sc Signature License ni System PLOT PLAN PROJECT 0everina Homes ADDRESS 1433 Cernohous Ave Suite A New Richmond W1 54017 SE 1/4 SW 1/4s 8 /T 29 N/R 17 W TOWN Hammond COUNTY ST. CROIX SYSTEM ELEVATION 91-8/91.7) 5' below grade I DATE 11/16/16 BEDROOM 3 CONVENTIONAL CONVENTIONAL LIFT XXX HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE 630 DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 933 # of chambers 46 IL BENCHMARK V.R.P. Top of survey iron ASSUME ELEVATION 100' Filter Lifetime Filter O BOREHOLE 0 WELL 11. R. P - same as benchmark 101st. Ave Scale = 1 /f411 10' Scale is .1 40' 383' Property Line unless otherwise -)f 130 1 Huffcutt Combo Tank 40' A 40 1 an Pro 3 Bedroom House notect 45' 11 Vent 301 30 1 2% Slope >6 1� Quick4 Standard ON- Leachincr Chamber of Cover I'D B-3 with 20.0 ft2 of Area 4' Loner 12 5.6ftA 2/pair of end caps 45' 11--) 3411 -r- - Grade at System Elevation Vents 96 1 9 7' 2-3' X 94' cells with >3' spacing 250' ProlDei-tv Line All piping shall be ASTM SDR 30/34, within 10' of tank, piping shall be ASTM F891 Please note: install system as far upslope as possible, soil tend to get poorer downslope of tested area 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 5.6ftA 2 pair of end plates Typical Installation Vent t *111r G rade 3' 451 37 ,&�30/34 Septic Tank I 1 5' Long 1 1) 1); 1 36 15 Spacing 53 System elevations: A 91.8' B 91.7 ) To be > 1 ' above grade Finish grade elevation 97.05 ,Vent 5) 5' Lon I I Grade at System Elevation Grade at System Elevation P- 2-3' X 94' Cells Same on other end Observation tube/Vent -49 At end of cell A 23 chambers per cell B S'F- CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT Al' OWNERSHIP CERTEFTCATION FORM Owner/Buyer Mailing Address Property .Addy ('verification require from -plarming & Zoning—D) City/State LEGAi,; wwSCHRTION lul now constmetioll.) Parcel Identification %F /A- ) 9 -1 , - ---> ,on Number PrOP erty Location 0*100, <11 7 Y4 L C, S , Town of 42 JU Subdivision Lot Certified Survey Map # Volume Page # Warjranty Deed # e CO- . . . . ............. Volume SYSTRU U�T Spec house Yes no Lot Imes identifiabi ye no LNCE_M OM2LIERCR Tj ---IFICATION hmraper use and maintenance of your septic s Maintenance consi:sts of pun3ping out the Sept system could result tank in its premature failure to handle wastes. prlr)p,, the system can affect the fimetion of the septic taa every three Years or soOrter,, If needed., by a licensed -What you put "esPons'bEities are sPecified in §Couna. 83-52(l) as a trr-atment stage in the waste disposal system. pumper_into and in ChaPter .12 - St. Croix County Sanitary 0,rdn OW]Rer Mainknance The PrOPerty ()Wlle,-r agrees to submit to St. Cro - ance. Owner and by a master plurnber,, jouraepn�m Plur Ix C"Unt'y phaluing & Zoning Department aCertffication fornj, I nber, eased punTer verifying 'wastewater disposal system S in proper operatng .restricted Plumber or a licensed signed by the on --site ,,g (ifnecessaryl. the septic tank is less than I /-I fiffl of sludge. concti©n and/or (2) after insPection and pumpi, that (1) the on-s' /we, the unders igned have read the above rNulrements and agree standards set forth, here iz4 as set by the Depatm , to maintain the private sewage disposal systen, with the Certification stati-ag that your se e-nt of Conmlerce and the Departmentof Nat"141 Ptic SYStem has been ina- _Rleisources, State of Wisconsn. ZOWng DePartmnt Within 30 mtained must be completed and retumed to daYs of the diree Year eMpiration date, the St. Croix County Planning & Uwe certify that all statementsor- 0" tWS f Tn are true the best of my/Our knowledge. I/we a drWal-e e 0wner(s of the property described above, by virtue of a W deed recorded mi Register of Deeds off -le th W NUMber Of bedrooms TGNA OFAPPLICANT(S) 01 n A rrD *;$*Any 'nfornmt"O'U that is rrusrf-Pjresented may result in Include W1 the sanitary permit being revoked by Tanning & Z ring Departinent. th this application a recorded wananty deed front the Register of Deeds Office a reference is made in ffie WwTanty deed, and a cOPY Of the certified survey map if (RFV. 08/o5) POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of �_____ FILE INFORMATION Owner Permit # )ESIGN PARAMETERS Number of Bedrooms 0 NA Number of Public Facility Units —ANA Estimated flow (average) qaVday i Design flow (peak), (Estimated x 1.5) gaUda Soil Application Rate qa.Uday/f� Standard Influent/Effluent Quality Monthly average* Fats, Oil & Grease (FOG) �30 mg/L Biochemical Oxygen Demand (BOD5) �220 mg/L ❑ NA Total Suspended Solids (TSS) �l 50 mgJL Pretreated Effluent Quality Monthly average Biochemical Oxygen Demand (BODs) -<30 mg/L Total Suspended Solids (TSS) -<30 mg/L Fecal Coliform (geornetic mean) �j 04 CUI OOMI Waximurn Effluent Particle Size Y8 in dia, NAI- 10ther- NA - . *Values typical far domestic wastewater and septic tank effluent NIAINTENANCE SCHEDULE Service Event linspect condition of tank(s) At least once every: IPump out contents of tank(s) 'i llnspect dispersal ceil(s) 1'.W'A"3ean effluent filter I nspect pump, pump controls & alarm I=Iush laterals and pressure test IDther. SYSTEM SPECIFICATIONS Service Frequency nth(s) -,-�91,vear(s) When combined sludge and scum equals one-third (X) of tank V61Ue At least once every: At least once every: At least once every: At least once every: -�> 0 month(s) ear(s) ,or El 'Onth (s) rs ' [I month(s) 0 month(s) -0 year(s) El month(s) 0 year(s) 's) 0 NA (Maximum 3 years) 0 NA ether: I NA MAINTENANCE INSTRUCTIONS &ster !inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: !Plumber; Master Plumber Restricted Sewer-, POWTS Inspector-, POWTS Maintainer; Septage Servicing Operator. Tank inspeK%ons must iinclude a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of i=mbined 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 I-egulatory authority, When the combined accumulation of sludge and scum in any tank equals one-third () or more of the tank volume, the entire contents of ':he tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Ickdministrative Code. it INI other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, I3Lnd any servicing at intervals of �12 months, 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. Page "V­-MNM0N. Of i START UP AND OPERATION of the po\/VTS check treatment tank(s) for the presence of *nting PrOducts or other chemicals that rrenUafions are detected have the contents of thfa For new construcfion, ri©r to use and/or damage the disp,&Ml cell(s). If high co may impede the teatment process a tank(s) removed by a s"e semcing operator prior to use. System startup shall not o=r when soil conditions are frozen at the infiftfive surface. r will bp During power outag" pump tanks may fill above noffnai highwater levels. When power is restOred the excess wa'stewate discharged to the d1spw4W cell(s) in one large dose, overk3ading the cell(s) and may result in the backup or surfimn dis�rge Of effluent by a Septage Servicing operator prior to restoring pawer to ft To mid this 3ftuation have the contents of the pump tank removed rain the pump controls to restore normal levels effluent pump or co a Plumber or POWTS Maintainer to assist in manually operati within the pump tank. distub of oompac� the area within Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or othelwise r 15 feet down slope of any mound or at -grade soli absorption area. Reduction or elimination of the follovAng km the wastewater stream may improve the performance and prolong the We Of the P(>VVT"$' cigarefte btM; -condoms; cotton swabs; degreasers; dental floss; "pem; disleectants-, fat foundation dra�n * pair[fing produ0s; anfiblotics; baby wipes herbicides; meat scraps; medicstiOns; OMI (sump pump) water, fruit and vegetable peelings; gasoline; grease; pesticides; sanhary na*ns& tampons-, and water softener brine. ABANDONMENT steps shall be taken to insure that the system is PrOPetly When the PO\ArTS fails and/or is permanently taken out of service the f011owng and safely abandoned in compHance with Chapter Comm 83.33, Wisconsin Admin6trative Code: All p• iping 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 Wtage Serviding Operator. and the void space fined with soil, After pumping, all tanks and pits shall be excavated and removed or their covers remOved gravel or another inert solid material. CONTINGENCY PLAN e following measures have been, or must be taken, to provide a cDde compliiOnt If the povvTS falls and cannot be repaired the replacement system: ized for the location Of R rePWA*Ment sod absorpbw system17 A suitable replacement area has been evaluated and may be uti should not be infringed upon by requiijed —7f�d­ repjacemnt area should be protected from disbirbance and compaction and the replacement area will result in the nOed setbacks from wdsting and proposed structure, lot lines and welts. Failure to protect s must comply wdh the rules in for a new soil and site evaluation to establish a suitaNe replacement area. RepWK*Mwt sYstem ~ at that time. ons. Barring advances in POVffS techl"vOlOW a © A suitable replacement area is not available due to setback and/or soil limitati holding tank may bd installed as a last resort to replace the failed POWTS. 0 The site has not been evaluaded. to identify a suitaNe replacement area. Upon failure of the POWTS a soil and site evaluaoon must be performed to loicate 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. al of the biomat at the infiftmtNE 13 Mound and at -grade sW absorption systems may be reconstucted in place foikrMng removal surface. Reconstructions of such systems must comply wig the rules in effect at tit time. <<WARNING>> PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/Olk INSUFFICIENT OXYGEN. Do NOT SEPTIC, ENTER A SEPTIC, PUMP OR OTHER TREATMENT TAN UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OA PERSON FROM THE INTERIOR OF A TANK MAY BE (DUM17FICULT OR IMPOSSIBLE ADDITIONAL COMMENTS � �` POWTS MAINTAINER POVVTS INS17Ak4tlER Nam e �7/1 Cz Name Phone 0-7/ J Phone SEPTAGE SERVICIN-G OPERATOR (PLAPERI-, LOCAL REGULATORY 1, AUTHORITY Cz ( , ",!<-) / V_ Name Ea ]e M Name Z I _LNA'_1n �/ Ili IV? 071 �ho e JJ P Phone Phone E ? 7 and 393..54(l), (2) & (3)3 WLox=w�n AdminWrat" Cade. Thisdocument was drafted in conViiance with chapter SPS 383-22(2)(b)(%d)&(� - € T i f i i 0 4.5200 .. ti 1 s.a000 18.v000 , f 3 4 I •$ ' A ' \y�oUY I►+il N Q'JO'1 ! ---- -� 9.4356 .01 Gcip blF!iween Cose- ❑nd D/- r. SECTION A -A f 1 _ 1 i i I .. i Septic -Dose Tank Cross Section And Pump Performance Specifications Tank Manufacturer Tank Model Number Total Tank Capacity Max. Bury Depth Filter Manufacturer L 0 Filter Model Number 71 I Minimum Pump Performance Required GPMj@ I JO " / Ft TDH Outlet Manhole Min. 4" Above Grade With Locking Device. Inlet Manhole < 6" Below Grade Sealed Watertight ftft sow WM MM MM Now Finished Grade t Depth of Cover Ft Pump Manufacturer Pump Model Number Alarm Manufacturer Alarm Model Number Switch Type Total Dynamic Head (TDH) - Feet Elevation Head Distal Pressure Network Loss Force Main Loss Af Total Z Manhole Min. 4" Above Grade Securely Mounted With Locking Device Weather-proof Junction Box MM Vent Min. 121" Disconnect Above Grade Means With Vent Cap ;0 > % 2. 2. C > ? 4 1 1 21 4 ?1 4 a, 4 ? < .1 t % 1 -C > % > -C Outlet Outlet Filter I- Inlet Inlet Baffle - ------- nlet 2p< Switch Settings and Resew . _,jxe CapacityI Tank- Volume= / _.�s GPI Dimension Inches Volume Gal. (reserve) A 01- (alarm) B 2 (dose) C (dead) D 9 > I Total N N -C -C -C '/4 Weep B Hole -C -C of Elevation C -C 11 -C Ft LI Bottom D Elevation T 'K7^ Ft L 3� 2. 21 �. :� —r 4 .9 . �-- % �- �- D :� ;1 �, X�_ I. �. ). �, Z, 21 d 2. �- 1% : 5 Y 2, 5- F--y $k > 5 5 5 IF > > > > GENERAL INSTALLATION: The septic/dose tank is bedded and back filled in accordance with the manufacturer's product approval specifications. Maximum depth of bury as specified by the manufacturer may not be exceeded without prior approval. Manhole covers exposed to grade have an effective locking device (padlock) installed. Piping at the inlet and outlet is of approved material, connected to the tank with watertight fittings, and laid on stable soil to prevent settling or sagging. The force main is sleeved with 4" Sch. 40 PVC to bridge the tank excavation and the sleeve is sealed watertight. Electrical service complies with NEC 300 and Comm 16.28 WAC. 02/0 5 U Page - of TOTAL DYNAMIC HEAD/CAPACITY PER VINU, ITE EFFLUENT AND DE -WATERING M 0 de- 11 5 3 1'5 5 7 / 5 9 Meters ,'D 4,./ 163 A 10 ` �� 29 wk 6 1 19 72 S'-,jt—off Hecd 1 19-25 ft. 15.9rr,' 3 15 6 5 /32 LITERS a 1 0 160 0 FLOW PER MINUTE 009897 A Variable level float switches available. Variable level long cycle systems available. Available with special cord lengths of 15' 5 25j, 35' and 50'. Alarm systems available. 10 Duplex systems available. / 1 6 16 3 31/32 SK858 Single Seal Control Selection Listings CSA [UL SA tot". 1. Integral float operated mechanical switch, no external control required. Model Volts PhaseMode 1 Auto Amps 9.7 Simplex _�Duplex 1 y y 2. Single -variable level float switch or double piggyback variable level M53/55 & M57/59 N53/55 & N57/59 115 Non 9.7 2 �j 3or4&5 y �1 piggyback float switch. Refer to FM04T7. BN53 _115- 115 Auto 9.7 y y 3. Mechanical alternator W -Pak" 10-0072 or 10-0075. BN57 115 Auto i 9.7 N y 4. See FM0712 for correct model of Electrical Alternator. BE53157 230 Auto 4.8 y y 5. Variable level control switch 10-0225 used as a control activato', with ElectnGa D53/55 & D57/59 E53155 & E57159 230 230 1 Auto 0 .. I Non 1 4.8 4.8 ___2 3 or 4 & 5 1 Y Alternator (3) or (4) float system.- * Single piggyback switch included. k:U::T=10N For information on add Zoeller products refer to catalog on Piggyback Variable Level Float Switches, FMO477; Electrical Alternator, FMO486; Mechanical Alternator, FM0495; Sump/Sewage Basins, FM0487; and Single Phase _7 Simplex Pump Control/Alarm Systems, FM0732. k s V E For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL TO: P.O. 130X:1&217 "W -Q. Louisville, KY 40266r-Lice-.- Manufacturers of SHIP TO: 3649 Cane Run Road nZ17 Louisville, KY 40211-1961 A Flh CE �g"UTY JUIJMPS (502) 778-2731 o 1 787(00)W4-3624dt- -eum 9W)7 http.-Ilwww.zoeller.com Z6 FAX (502) C Copyright 2002 Zoeller Co. All rights reserved. ==1025.0 1=1029.0 LOT 5 90400 S.F. 2.08 Ac. LOT 4 96595 S.F. 2.22 Ac. 10.29' ► S 89*34 18 E 206.48' (o kli { _-_ . 01ST AVENUE— CD N 898134'18" W 206.48 c?_ 776 6 7' \ 7c) 81 LOT 1 96621 S.F. 2-22 Ac. '" s HVVE=11025-89 LBO= 1028.00 2 49.5 6 S 89*54'261' F 653.81' 00' 100TH AVENL S 8905426 E 653.687 SOUTH 1 '4 CORNER E -INE OF THE UNPLATTED LAND S SEC. 8, T29N, R17W —LOT 1— F SECTION 8 (FOUND 1" COUNTY SURVEY NAIL) p L A T ������1111 aAt Al SO i 4 ts•r s•Iff r•r lr•r 0 T•7IA' 4'-9 FOUMDAT IOW STEPPE D M I TO WAtX OUT f + M I � A 1 T� x OUT STEPPED QED WALL UNE U.I r6% OPACM reMAFWD ____---- __ -___^" -_-- -- ...---_--_ M% SUP" D Wr2 O PAWLS f �--- --- -- ---- -- I __..ti__---------__ vrDeaafo '.'-----� I I Ili � a �I I I I 0 � �° I 13 � II¢� 12I I y b I I �ti � I i � P ! I !r s•.s Ir•r I I { I I ENTIRE LOWE R LEVEL ON RNISHE 0. ONLY b �2 1 1 ! SHtA17,iO WALLS INSIAUED 6 �_ ----- -- ---� IW IHITUIL eLna-D+. r- _________� I I FOUNDATX)N T i O �^ ID ! �_ ( LLOOKOLfr � r • 1 A R I FOUNDAnw+ N STEPPED TO LOOK oUrT B f BEAM POCKET I UP I I I i •' I - ---- - gn,wty n I L------------_.--- I -- - -- - -- I sR, s -- _J r �_--- ---- - t�L-------- �I- -' J ^`I I L ..J L j wy ►YH nw,! El r ! 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BRACIl1l1 REDIiII€Ea 1 €9%S€1PPUED W Er HEADE nI t4 I II I fj{ I II j � f I I 1 BRACED WALL LINE 6'•ou,r r-s1ls+la 3'-a a.ar €1.p 1,'-a s-o a °� PANEL DETAILS n `. �.� €4,-Q G r� 40 ST€VJCTUnAL Pm*k 6NE#SHIq xz • tr - �p `L1 E][Y'E+�E4 trEAf!%ii tSE E M1 t 1 1396 SCE. FT. SPI Ri MAIN LEVEL 1 MHIN LE-IfEI_ 1�a• . ti•. 40 Wisconsin Depaftment of Commerce SOIL EVALUATION REPORT Page of 3 Division of Safety and Buildings in accordance with Comm 85, Ws. Adm. Code County " c Attach complete site plan on paper not less than 8 1/2 X II inches in size. Plan must <54rol include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. 0 / V -,- 3 -0�b j percent Wope, scale or dimensions, north arrow, and location and distance to nearest road. A Please print all information. Revie by Date Personal inforrnation you provide may be used for secondary purposes (Privacy Law. s. 15-04 (1) (m)). 7 Property Owner Property Location Govt. Lot 114Z. JL/1/4 S T2 7m N R �E (o W. Property Ownees Ma' Address Lot Block # / 7� j MISOMM Subd. Narne or CSW Z State -- 7jP ocle one Number i City State PhNbC3 C El Viltage Town Near ad ZOLL r0New Construction Use *k� Residential /Number of bedrooms Code derived design flow rate GPD Replacernent. C3 PuWic or commercial - 0 scribe: ""27 - � #-%, - Parent material r- i I vautx if applicable C*Nww dents w-W recoffa*ndabons: 4ft. 2007 System Type k"L, System Elevation, 9 1 Y # Boring factor in. Pit Ground surface elev. Depth to limit-019 �nil Annlit-=tinn Rita Horizon Depth in. Dominant Color MunseH Redox Descripbon Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPDM *Eff#1 *-;:ff#2 '7 Iq /f ///) .+�, . , /",,,/'"�/�' {///,7 �' /)y /�j//ter -Y -7 -0) Boeing # Boring Z-0 pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont Color Texture Structure Gr, Sz. Sh. Consistence Boundary Roots GPD/ff *Eff#1 "'Eff#2 10tAr r omfr 9W n Ia- 4lp(4 Z-1 10,14 Y- '%.Wv Ia- .41 I lgl- 7 - tM"T M = LSUL) > W < Z?0 mg/L and TSS >30 < 150 mgA- Effluent #2 = BOD < 30 ffxj& and TSS < 30 mg/L CST Name (Plem Print) Sig CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, W1 54@4 715-246-4516 0 1 Property Owner Boring Parcel ID # Page Of 2 Boring # Ground surface Pit' elev. Depth to limiting factOr in. oication e Soil Ap Rat Horizon Depth Dominant Color Redox Description Texture ; Structure ConsistenceBoundary Roots GPD Kf Eff#1 *Eff#2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. C 0,9 r-�r S�2k t6 UD Boring Boring # pit Ground surface elev. ft. Depth to limifing, factor in. Soil Application Rate -7 D/ff Texture Structure Consistence Boundary Roots ",GP n Depth Dominant Color Redox Description *Eff#1 *Eff#2 I tau. Sz. Cont. Color Gr. Sz. Sh. in. Munsell 1 Boring # Boring pit Ground surface elev. ft. Depth to limiting factor in. Effluent #1 = BODE > 30 1220 mg(L and TSS >30 1150 mgA- Effluent #2 = B01)6:S 30 mgA- and TSS:S 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. SOD4330 (R-&W) Soil Test Plot Plan Project Name Oevering Homes LLC Shaun B Address P.O. Box 179 _A Now Rirhmnnrl Wi �dni 7 CSTNV#226900 Lot 3 Subdivision Hammond Hills Estates Date 6/2/07 SE 1/4 S W 1/4S $ T 29 N/R1 7 W Township Hammond Boring Q Well PL Property Line County ST. CROIX BM or VRP ' Assume Elevation 100 ft. Top of Survey Iron System Elevation 91.8/91.7 *HRpSame as Benchmark 101 st. Ave Please note: survey was not complete at the time of testing, installer must check all setbacks 383' Property Line prior to installation. Scale is 1" = 40' unless otherwise noted [a 45' 30' 30' 2% Slope "B-3 FP 1301 I 45' B-1 I please note: install 96 ' system as far upslope 37' as possible, soil tend to get poorer downslope of tested area SkB.M. 250 Property Line