HomeMy WebLinkAboutSAN-2024-036 648431 026-1306-00-035PRIVATE SEWAGE SYSTEM
INSPECTION REPORT
(ATTACH TO PERMIT)
Wisconsin Department of Commerce
Safety and Building Division
GENERAL INFORMATION
TANK INFORMATION
TANK SETBACK INFORMATION
PUMP/SIPHON INFORMATION
SOIL ABSORPTION SYSTEM
DISTRIBUTION SYSTEM
SOIL COVER
COMMENTS:
ELEVATION DATA
Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)].
Permit Holder's Name:
CST BM Elev:Insp. BM Elev:BM Description:
County:
Sanitary Permit No:
State Plan ID No:
Parcel Tax No:
TYPE MANUFACTURER CAPACITY
Septic
Dosing
Aeration
Holding
TANK TO P/L WELL BLDG.Vent to Air Intake ROAD
Septic
Dosing
Aeration
Holding
Manufacturer
Model Number
TDH Lift Friction Loss System Head TDH Ft
Forcemain Length Dia.Dist. to Well
Demand
GPM
STATION BS HI FS ELEV.
Benchmark
Alt. BM
Bldg. Sewer
St/Ht Inlet
St/Ht Outlet
Dt Inlet
Dt Bottom
Header/Man.
Dist. Pipe
Bot. System
Final Grade
St Cover
BED/TRENCH
DIMENSIONS
Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia.Liquid Depth
SETBACK
INFORMATION SYSTEM TO P/L BLDG WELL
Type Of System:
LAKE/STREAM LEACHING
CHAMBER OR
UNIT
Manufacturer:
Model Number:
Header/Manifold
Length________ Dia________
Distribution
Pipe(s)
Length_________ Dia_________ Spacing_________
x Hole Size x Hole Spacing Vent to Air Intake
x Pressure Systems Only xx Mound Or At-Grade Systems Only
Depth Over
Bed/Trench Center
Depth Over
Bed/Trench Edges
xx Depth of
Topsoil
xx Seeded/Sodded xx Mulched
Yes No NoYes
(Include code discrepencies, persons present, etc.)
Location:
1.) Alt BM Description =
2.) Bldg sewer length =
- amount of cover =
Inspection #1:Inspection #2:
City Village Township
Section/Town/Range/Map No:
Plan revision Required?Yes No
Use other side for additional information.
Date Insepctor's Signature Cert. No.SBD-6710 (R.3/97)
IH[V rEIr=L7 -0tf_
be filled in by Co.)Sanitary Permit NuAPR 0 7 ?023
Sl. Crorx CountY
lndustry Services Division
4822 Madison Yards Way
Ir4adison, WI 53705
P.O. Box 7162
Madison, Wl53707-7162
State Transaction Numb:r
In accordance with SPS 383.21(2), Wis, Adm. Code, submission of this form to tlre appropriate govemmeutal unit
is required prior to obtaining a sanitary perrnit. Note: Application forms for state-owned POWTS are submitted to
the Department of Safety and Professional Services. Personal information you provide may be used for secondary
purposes irr accordance with the Privacy Law, s. 15.04(l)(rn), Stats,
ermit Applicationtaryanl
Please
Project Address (if diffe:ent than mailing address)
lg't tsoh Aw-
C rB f,rOtner ISaJix ID,lfnIOwner's Name Parcel#r
5r: s -Unen ft'ru WProperty Ownei's Mailing eaaress
'vJt
Ciw. State
tVmtc,clrrnod
Zip Codc
Stlorl
Phone Number
ztq-f116'fr*1 Nw tl_Section
R
ameon
t-
IGs"l
T
S
own of
illage of
Properry Location
Govt, Lot
Lot ll Zs
Block #
. IL Jype of Building (check all:.that apply)
Ir "t 2 Farnily Dwelling - Nurnber of Bedroorns
npuUti.lComrnercial - Describe Usel-J
l-lstu,, Owned - Describe Usel-t
,.f
CSM Number
Iine .B. Complete,line C ifi
3
e on line A; Check one box,oIII. Type 'POWTS Per:mit:of CI and(Check ther ttNetvt'or other'tReplacement"applicabl
A.
m** Svstern [naaitioral Pretreatment Unit (explain)System I-lO,n., Modification to Existing Systern (explain)
B,
[Hotains Tant []o,n., rype (explain)fifig-c'"u"9(conventtonal)flAt-Grade Mound fl lnaiuiarul site Desigo
C T Renewal Before
Expiration
RevisionT 5' bJ^,, \n'L
List Previous Permit Nunber and Date Issuedof Plurnber [-]T.unsfer to New owner
and rmation:IV.DispersaUTreatment A rea Info
Design FIow (gpd)
{noT)
Design Soil Application Rate(gpd/sf).b Dispersal Area Proposed (sf)tzt3 Svsterr Elevation4t.ail,LDispersal Area Required (sf)l2m
Capacity in
CallonsTarrk Infonnation
Nerv Tanks
g
.-o I.ct o
E5
.qr\-i 5
EE otua .g!i.io
o
tnd
A"
Existing Tanks
Total
Gallons
#of
Units
Manufacturer
Septic or Holding Tank I L61>l1-arh.I \tic#
Dositrg Charnber E IJ/t 7
nderslgned,shown th a ttachcduone
MPA4PRS Number
aLb{m
Bu:iness Phone Number
?re- zqb-rtstto
Plurnber's Name sSiP
PI
I j?_ l1-o l'uu Sf
AddrESS S Code(s CiryIreet,late,
54ot
I.u Use
D Approved E Disapproved
E Owner Given Reason for Denial
Pennit Fee
$
Date Issued SignatureIssuing Agent
Conditions of Approval/Reasons for Disapproval
sBD-6398 (R. 03/21)
Attach to conrplete plans for lhe sl,slcm nnd eubnrll to lhe County only on paper nol less than 8 I/2 x I I lnches ln slze
D
ounW5r x
a
lcity or
l-lneplacernent
X
V.I, the
tIW t/4 NE 1/4S 19 /T 30 N/R 18 w TowN Richmond COUNTY ST. CROIX
SYSTEM ELEVATION 92,2191 .2 417123 BEDROOM 4
DATE
CONVENTIONAL XXX CONVENTIONAL LIFT HOLDING TANK
SEPTIC TANK SIZE 1200 LIFT TANK SIZE DOSE TANK SIZEMOUND
HOLDING TANK SIZE LoAD RATE .5 ABsoRpTIoN AREA 1213 # of chambers 60
BENCHMARK v.R.P. Top of 2" PVC ASSUME ELEVATIoN 100' Filter Lifetime Filter
E "o*r*o*WELL *g.a.p. Same aS benohmark
Vent
pRoJEcT ChristoDher Bsndix
>6"
of Cover
System PLOT PLAN
ADDREss 515 S. Grsen Ave
Quick4 Standard
kaching Chamber
with 20.0 ft2 of Area
6.6ft^?pair of end caps
at System Elevation
98'
150ft Ave 96',B.20'
l8'2-3'X122'cells
B.M.
95'
B-3
94',
l07o Slope
-1
B-4
ents
7
4'Long 12"
Pro 4
Bedroom
House
32',30'20'0'28'
35',
196'
Cover Page
Shaun Bird
Bird Plumbing lnc.
1432 120rh St.
New Richmond Wi 54017
715-246-4516
Datei 0410712023
Owner: Christopher Bendix
Location NW 1/4 NE1/4 S 19 T30 N,R 18W 954 150th Ave, New Richmond
Used: ln-ground absorbtion system (version 2.0)
Page#
1. Cover Page
2. Plot Plan
3. Chamber Cross Section
4-6. Maintance nd Contigency Plan
7. Filter Cross
Signature
License er #226900
tIW t/4 NE 1/4S 19 /T 30 N/R 18 w TowN Richmond COUNTY ST. CROIX
SYSTEM ELEVATION 92,2191 .2 417123 BEDROOM 4
DATE
CONVENTIONAL XXX CONVENTIONAL LIFT HOLDING TANK
SEPTIC TANK SIZE 1200 LIFT TANK SIZE DOSE TANK SIZEMOUND
HOLDING TANK SIZE LoAD RATE .5 ABsoRpTIoN AREA 1213 # of chambers 60
BENCHMARK v.R.P. Top of 2" PVC ASSUME ELEVATIoN 100' Filter Lifetime Filter
E "o*r*o*WELL *g.a.p. Same aS benohmark
Vent
pRoJEcT ChristoDher Bsndix
>6"
of Cover
System PLOT PLAN
ADDREss 515 S. Grsen Ave
Quick4 Standard
kaching Chamber
with 20.0 ft2 of Area
6.6ft^?pair of end caps
at System Elevation
98'
150ft Ave 96',B.20'
l8'2-3'X122'cells
B.M.
95'
B-3
94',
l07o Slope
-1
B-4
ents
7
4'Long 12"
Pro 4
Bedroom
House
32',30'20'0'28'
35',
196'
Cross Section of Infiltrator Quick 4 Leaching Chamber
Typical cross section tor 2 of 2 cells
Quick 4 Standard Leaching Chamber
with 20.0 ftL of Area per Chamber
6.6ft^2 pair of end plates
ent /
To be >1' above grade
/ Finish grade elevation
f gr.2'Typical lnstallation
Grade Vent
3
at System Elevation..1J
Sp acinq 5'
System elevations:
A_92.z',
B_91.2',
Grade at System Elevation
2-3' X 122' Cells
Same on other end Observation tubeA/ent
At end of cell
A
B
30 chambers per cell
\
It-
\Lu
^(SOl34 Septic Tank 3',
5',5' Long 5' Long
Owner ix
Permit #
POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page
SYSTEM SPECIFICATIONS
INA
of
LE INFORMATION
N PARAMETERS
*Values typical for domestic wastewater and septic tank effluent.
Number of Bedrooms
H, lfe
,l(l,9ai/daY
gal/daybut)
5 saUday/d
Monthly average*
s30 mg/L
QzO mg/L n NA
s150 mgll
Monthly average
s30 mg/L
s30 ms/L R NA
(104 cfu/l00m1
Number of Public Facility Units
Estimated flow (average)
Design flow (peak), (Estimated x 1.5)
Standard I nfl uenUEffiuent Quality
Fats, Oil & Grease (FOG)
Biochemical Oxygen Demand (BOD5)
Total Suspended Solids C[SS)
i Pretreated Eftluent Quality
Biochemical Oxygen Demand (BODs)
Total Suspended Solids C|SS)
Fecal Coliform (geometric mean)
Ilvlaximum Effluent Particle Size
SoilApplication Rate
16 in oia,t] NA
iOther:
-t
ENA
Septic Tank Capacity 1 trNA
trNA
\\
Septic Tank Manufacturer
Effluent Filter Model
Effluent Filter Manufucturer trNA
trNA
Pump Tank Capacity gal il }tn
Pump Tank Manufacturer ENn
Pump Manufacturer ilNn
Pump Model EI NA
Pretreatment Unit
tr Sand/Gravel Filter
fl Mechanical Aeration
tr Disinfedion
TI NA
nNAlOther:
tr tlA
tr l.iA
Other:
Other
tr Peat Filter
tr Wetland
tr Other
tl In-Ground (pressuraed)
tr Mound
E Other:
tr At-Grade
tr DripLine
Dispersal Cell(s)
fl tn-Ground (gravity)
NTENANCE SCHEDULE
ServicE Frcquency
(Maximum 3 yearc) il run I
When combined sludge and scum equals one.third (%) of tank volume EI NA
At least once every 3 tr
S (Maximurn3years) trNA
At least once every mo ONAS
s)At least once every tr
ntr
(.nto
,X nro
S
mAt least once every:
At least once every s tr Nrr.S
fl l.lp,
i,iAINTENANCE INSTRUCTIO]{5i
Ilnspec-tione of tanks and dispersel cells shall be made by an individuai carrying one ot the follort lng license6 or oartlfrcations: MasterlPlumber; Ma8tor Plumber RestrictBd Sevrer; POWTS lnsp€c-tor: POWTS Maintainer; Septage ServicirE Operator. Tank inspsc0ons mJsliinclude a visual inspsclion ofthe iank(s) to idantify any missjng or brokan lladw6,e, identifu any cracks or leaks, measuG the volume of
Eombined 3bdge and scum and to 6heck for any bac*. up or ponding ol efiluent on th€ ground suriace. The dispersal cell(6) shall b3
visually inspecied to cfiock the 3ffuent levels in thE observati(:fl pipes fll]d lo cheok for any ponding of efruent on the ground surlace.llhe pording ol 3ffueri on the ground surface may indicari) a fariiFf, srnditio'r and requiree the immsdiate notification of the local
legulatory authoriv.
irvlen th€ combined accumubrJon of sludgs and scum rn any tank equals on+thl;d (16) or more of the tank volume, the entire conte,lk of
l:he lank shall be removed by a Soptage SeMcing Opeial), and disposed of in accordance with cirapter NR 113, Wisconsin
iqdministratilre Cods.
l{l other sorvicas, including but nol limited lo the iervicing ol eiflueal f{ters, medEoical or prsssurized components, prelreEhtant units,
lind any €arvicing at intewaE ot <12 months, shall be p€rfgured h./ a sertitied [JOV,/TS Maintainer.
l\ servics rBport shall b€ providsd to the local rrfrulatcry ailtl.r3ijti "{ithifl l0 days of rrtrpletion of any service event.
Service Event
SAt least once everyllnspect condition of tarrk(s)
illean effluent filter
Itnspect dispersal oell(s)
iPump out contents of tank(s)
rnspect pump, pump controls & alarm
l:lush laterals and pressure test
=.i)ther
l)ther:
Lt I
H, nra
1r
t
tr
P.go
-
of
-,START UP Al{D OPERATION ,-r .^, rha ^Ec.n^r ot oain[no Droducts or othel dlemicals thtit- ;;;; ;$.don, pdor to use of ttre PoA/IS d'eck rr€atme+ 'etP Fi ffi lffilfrflfl'Hll,f,X-n ',Jiii"'-nt"nt" or tni'
;;yffi;. dt; tt""ifient prccess and/or damage the dlspep l call(
i;;'kd ffi;Auta soptase 3nvlcing operator pdorto u88
Systam sta]t up shall no[ occlr when soil conditlons are lruen st he lnfttatiw surface'
uffi r$mlffiffilm,mqpit'#,ffiHpfi :#:$--ffi Fpgffitrft
Ht[i"#::ffvshrdes ovar ranks and dispe$ar cels. Do not &tue or park oror, or orhe i.e dtsfi,rb or compacl' the ar.a withln
Iffi*ji:*Ifi n*[friffi *"[ffi*ruu,r=t#.Um$;m#
""turalca: u"Uv "tpes:
dgEl€ffs btltts: condoms; cotDn sraDB;.oal
;J;;;;;i;;6: tiuit-ano veselrble pealingsi gasoflne; sraar
iealitoLs; iinitary naPkln6: t mpons; and lvat€r toltqlar bnne'
ABANDONMENT
H,'rg*,:3H:#'"'*:;B#Tfrffirffts;1"j.:S',:fr,ffi'mfl,iE[i#lji"T-"n
ro rnsurB that the svEtem is ProPerrv
oAllpiplngtotanksandPltsshallbedbconnedadandthgabandonodplpgopeningssealed.
. The contBnts of aI tanks and pils shall b€ r€mo\rad and plopedy dl6pcasd of by a s€Ptage seNldng opsrator'
. Altef Dumping, all tanlc and plt€ shall b€ excavated and Emoved or th€ir @ve'! tomoved and lho vold space fillBd with soil'
gravei or inother inert solid matElial'
"?tiIj-fSIiJ eiflno **, be Epatred tne rotlowtns maasunes havs bsen, or muat b€ tekan' to provida a code compll nt
replacamenl 6y3tem:
U I *tt Ot. r€placemsnt ar€s has bEen evaluated a$ rFy be ulillzed tror the locagon of a rsPlacamant Eoil absorption sptqm'
r rh6 rsplscsmonr area chould b6 got€cted rorn datultan; l;;ffiiiir.i *o sho{ld. nol be iltfdns€d won bv r'quhled
ssrbacks fom oxtstm and pbpoGed stuau|E, ta flncs ano'[r]dlriir'[ t praaG lgphcet"nt at"a will fssult h the nqeo
for a nerv soll and sliB evatuauon !o sstabtiatr a euttaute rsptErienfi;. "RH;;"nt *stems muet "omply
with lhE rul"l in
ethct at lhal tlms.
EAsuttsble'€placemqltargalsnotavailableduetoselbackand/orsollllmitations.BaEingadvancesinPCIWTStechnologya= 'il;fi;6ffi;tGlnatarred as a taat r€son to rePlaco the hlled Powrs'
El The slte has not b€€n svalu&d !o ldedry a sultBbb rrplacGment a]ra. upon fslluE ot th€ PowTs a soil and Gib snaluallon
must be p€rturmed ro ril#iirEii, [ilaca-menr er€a. iffiffffi;;i;;l;-;*lt"bl3 a holdins trBnk mav bs lnstsllod aB
a taat rosort to replace the faihd POWTS
E Mound and at{rad8 soil abso|ptloB lyslem8 may b6 reconsttuctgd in place iolloring ]€moval of the blomat at the inliltEtivc
- lumce,- cecoriaruct;; ;;";ii;yrdrs mua cirrpty with rhe rule! in 6f€ct st lhat tlm€.
'iIifit',*;tiir
^,D
orHER rREArrsENr rAr{Ks irAy cor{TArir LETHAL oAssEB At{tvoi ll{suFFlclEllr oxYcE ' Do or
EN'ER A sEpnc, purrrp on di-riEiiiiiiiiriirr irtiryuxoqH'aiiv'LiiicUFilnces' -oaru uev neguLr' REscuE oF A
FEnsiiiir-ioii r're tueruonor I mux uev gr otFncuLT oR lMPosslBLE
ADDITIONAL COMMENTS
POWTS I POWTS i/IAINTAINER
LOCAL REGULATORYSE
Name
Phone I -5
23ilru^ilName
-ttPhone
Name -t:I
-vla6-ilkPhone
SNarne
Phone
This documentwas dralted ln compliance with chapterSPS 383.22(2XbX1Xd)&(0 and 383.!{(1), (2) & (3), Wsconsin Adrnlnbmtiw Gode'
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sl SANITARY SYSTEM
OWN ERSHIP/ADDRESS FORM
File #:
Office Use Only
Creoted 2/2021
Community Development Department will utilize this information to provide the property owner with
information regarding operation and maintenance of your new or replacement sanitary systeml 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. lf you would like to view your issued sanitary permit online, you can
do so by using the Property Files Scanned weblink.
I
Owner/Buyer
Mailing Address
City/State/Zip
Phone Number (required)
owN ER/BUYER r NFORMATTON
5- (>rcr4 A
-js
I D
Email Address (required)8x'5
Parcel ldentification Number
(found on the property tax bill)
Qlle-\)O no -0.3
NEW SYSTEM: LEGAL DESCRIPTION
property Location-N-Wr.,XEr, sec. lQ . r ?0u nl6-w, to*n ot ?;ClurytonA
Subdivision Plat:Thr, Cl (rA5 J wi lln,, ibv(/f Lot # 3i
Certified Survey Map
Warranty Deed #
#Volume Page #
b (before 2006)Volume , Pag e#
Spec house o yesfi no Lot lines identifiabte fl Ves E noNumber of bedrooms
This form must be submitted with all Private Onsite Woter Treotment System (POWTS) applicotions.
New System: lnclude with thts form a recorded warronty deed from the Register of Deeds Office ond a copy of the cefttfied
survey map if reference is mode in the warranty deed.
71 5-386-4680
cdd@sccwi.gov
Community Development Department - Land Use Division
St. Croix County Government Center
1101 Carmichael Road, Hudson, Wl 54016
715-245-4250 Fax
www.sccwi.gov
g 5,1 lfl).f{^
OFFICE USE ONLY
Avr,
(Verification of new address required from Community Development Department for new construction.)
(Staff lnitials)(Date)
t )
New Property Address
o-,-fl#L o+!ls!4!r-oIEgFL
@Jlr8Il!.*L o@
6!@.!a!!r--
^r!a!!sllA!!!-!,ao so_ FT. 16& so. FT, 9ra so. Fr,
MAIN LEVEI LOIVER LEVEL GARAGE
I'l
l=l
,l
!0 0E$0r Ltc
(715)218-3010
OTICEI
86ndix
ELEVATIONS
A1
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iliiliii
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30 EESI3I LLE
(715)248-3010
BRACED WAI I.II{E ERACEO WAL LINE
PANEL DETAILS
rsao sQ. Ft.
I'IOTlcE!
:lttm
MAIN LEVEL
A3o++!#r-
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3Il !E3tAX LLC
(715)21&301 0Fr.:=
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NOTICE!
Bendix
SECTIONS
M
State Bar of Wisconsin Form l-2003
WARRANTYDEED
Documqlt Number Docum€nt Namc
TEIS DEED, made betwcqr Witlow Rlver of St. Croix, LLC, 8 WiscoDsln
llmltcd liebility company ( hereinafter "Grantor," whethcf, one or morc), conv€ys
and Warnnts to Chrfutopher A. Bendix rnd Lindsry E. Bendix, husband and
wlfe, 3urvlvorshlp mrrltrl property ( hereinafter "Grantee," whether one or morc),
thc following described roal estate in St Croir County, State of Wisconsin:
Lot 35, County Plat of The Glens of Willow Nver in the Town of Richmond, St Croix
County, Wisconsin.
ExccptioD to narratrties: easements, restrictions and covenants ofrccord; highnsy and
stscet rights ofway; and Municipal and zoning ordinanc€s and 8gr€emerits eDtered
under thern; and firrther exccpt rcal estate taxes accruing in the year ofthis conveyance.
ililtilIiltillililtilililItll874851i
Tx:4641913
LL2L296
BETH PABST
REGISTER OF DEEDS
sr. cRorx co., wr
OLI tglzgzl 12t42 Pt4
EXEMPT#:
REC FEE 3O.OO
TRANS FEE 22O.5O
PAGES: 1
R€cordinS Arca
Namc and Rcturn Address
St, Croix County Absuact & Title Co., Inc.
575 N, Knowles Ave., Suitc #B
New Richmond, WI 540t7
02G1306.00-03 5
Parccl lde ificrtim Numb6 (PIN)
Tbis lS NOT homestead prcpefty.
Datcd Jaauary /l ,202t
r Wlllow River of St. C LLC a Wiscondn llmlted
lie
rMark Fagerland, member
(sEAL)
Signature(s)
AUTIIENTICATION ACKNOWLEDGMENT -.$;li,o"z
4;;;;ffiauthctrticated on Jaruary 15, 2021
STATE OF WISCONSIN
St. Croix COUNTY
Personally came before me on of January. 202 I//4a,"
TITLE: MEMBER STATE BAR OF WISCONSIN
(Ifnot,
authorized by Wis. Stat. $ 706.06)
THIS INSTRLMENT DRAFTED BY: 9f1,i
St. Croix Coutrty Ab,stract & Tide Co., Inc. by Ashley
Bonkoski at the direction ofgrantor. 20-524145
the above-namcd Mark F gerlrnd. mcmber. Willow River
of St. Croir" LLC. r Wisconsh llmlted lirbilitv comDrnv
to m€ known to be the person(s) who cxecuted the foregoing
ln e.
lscollsrtrNotary Public, Strate of
My Commission (is perman ert) (expires o?),,
(SlgMt r.. mry bc.(h.nalcrl.d or l.lnowlcdg.d. Eotb rr. not ne..r.ry.)
NOIE: THIS IS A STANDA.RD FORM. ANY MODTFICATIONS TO Tltls FORM SHOULD BE CLEARLY IDENTIFIED.
WANRANTYT'EEI' @ 2q)3 STATE BAR OF WISCONSIN FORMNO.I'2003
* TyF natnc Hoe iign.tutts.
St. Croix County 1121296 Page 1 of 1
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N%sconsrn SOIL EVALUATION REPORT
in accordance with Comm 85, W'8. Adm. Code
L/f j-Jl ffis,*
-.---satrfrr"--r*Departnent of Commerce
Division of Safety and Buildings
Attach comphle site plan
include, but not limited to:
on paper not less than 8% x 11 incfiee in rize. Plan musl
wrtical and horizontal rebrence point direclion and
percent slope, scale or dimensions, north anow, and to nearest rosd.
Please prtnt
Pereonal information you provire may be
Boring #[] eoring
B pit
Boring f T
E{
s. 1s.o. (1) (m)).
Ground surface elev. 97.19 n. Dopth to limiling fador 98+ in
Ground surfuco elov. 97.19 n. Depth to limiting f,actor 125+ in.
'Effiuent#1 = BODs> 301220 mgA and TSS 1 ' Efflusnt lf2 = BODI:.30 mg/L and TSS :30 mg/L
Boring
Pit
County St. Croix
Parcell.D.
35
By
hr scconday purpoo€s (Pri\racy
VED
q
, 519, T3ON, R18W
Location
NW1 NELotSienna Corporation
Omer
SuM. Name or CSltl#
The Glens Of Willow River
ST. CRO Block #Property Omo/s Mailing Address
4940 Mking Drive Suite 608
E c,tv I vitt"e" K rom
Richmond
Phone NumberCity
Minneapolis MN 55435
Stata Zip
@neralcommontg
and rocomrnendatkrns: Area is suitaHe for a conventional system with a 0.6
1 is (step trenches) high trench 92.50, low trencfi 91
Code d€rived des(;n flow rate GPD450Xtl
na fl.
s@t
.0'.a
sqfl rating. Possible system elevalion for Area
Flood plain elevation, if applicableParsnt materht Outwash
Use: ffi Resklential / Number of bedrooms 3
[] Pruti" or commercial- Describe:
l{ew Conslrudion
Replacement
1 SoilAppllcation Rate
Horizon Depth
in.
Dominant Color
Munsell
Redox Description
Qu. Sz Cont. Color
Texture Structure
Gr. Sz. Sh
Consistence Boundary Rootg GPDIff
.Efrf1 .EflT2
1 0{lOyr3/4 none sl 2msbk mfr as 2Yt .6 1.0
2 &29 LWsl4 none grao6 osg ml as 1vf 7 1.6
3 2vs2 10yr6/4 none s osg ml c5 7 1.6
4 52-U 10yr5/6 none cbcos osg ml
ml
cs 7 1.6
5 64-98 LWt6l4 none @s osg 7 1.6
c,7--5b -
tl4
-4{t4'qL"
2 SoilApplication Rate
GPOItr
'Etll#1 ,8fiY2ConsistenceBoundaryRootsHorizonDopth
in.
Dominant Color
Munsell
Redox Desoiption
Qu. Sz. Cont. Color
Texture
.5 .810-9 mfr AS 1f,lvf1q/r3l3 none 1 2fsbk
.4 .629-t7 ftvrqlZ gw 1vfnonesicl2msbk
.4 .6
mft
mfr 9w3t7-28 t$yr4l4 none sd 3msbk
,4 .6gw428{3 LgyAl6 none sid 3msbk mft
.6 1.0cs543-70 LWil4 none sl 2msbk mvfr
7 1.6ml67Gt?s toc16.l4 none /s osg
7Z'aH qL:tQ ta
A
CST Name (Please Print)
Thomas J. Schmitt
Signature:
227429
Addre-ss Schmitt Soil Testing, lnc.
15S5 72nd Street Neur Richmond, Wl 54017
Date Evaluation
9n1noffi
Telephone Number
71U247-2%1
mg/L
sBrL8330 (RO7/00)
tol*Jss
Itlearest Road
r 95Th St.
Sbucture
Gr. Sz. Sh.
3
Propcrty Orner Sienna C.orporation Parcel lD #35 Page 2ol 3
Boring t Ground surfaca elev. 93.44 ft. D€pth to liniting factor 110+ in
Boring *E aoring
X pir Ground surfaca etev. 92.14 fi. Depth to limiting factor 125+ ;n.
Boring #Ground surface ebv.94.54 fl.Depth to limiting faclor 120+ in.
17 ,.ls
' Effluent #1 = BODs> 30 :220 mg/L and TSS >30 1150 mg/L ' Effluent #2 o BOD' : 30 mg/L and TSS <-30 mg/L
The Departnent of Commerce is an equal opportunity servicc provider and employer. If you need assistance to access scrvices or
necd marcrial in an alternate format ptcase contact the departnent at 6OE-2663151 or TTY fiV2il-8777.
S6rlr33o(Rtnitlo) SffiSotTcslltg, lnc
[_] soringx pir
Tx Boring
Pit
$eilfipplkxtion Rate
Horizon Depth
in.
Dominant Color
Munsell
Redox Description
Qu. Sz Cont. Color
Texture Strucfure
Gr. Sz Sh.
Boundary GPDIff
.Efi#1 ,Efrg2
1 0-11 r0yr3/3 none $l 2fsbk mfr AS lvf .6 .8
2 Lt-22 LWr4l3 none
none
scl 3msbk mfr gw 1W .4 6
3 22-3L LW4l4 sl 2msbk mfr gw 1vf .6 1.0
4 3L42 LOyrT14 none sl lmsbk mfi cs 6 1.0
5 42-98 1Oy16/4 none s osg ml cs 7 1.6
6 98-110 twsl4 none grcos osg rnl 7 1.6
4
GPDItr
.Efi#1 'efir2
BouMary Roc[sHorizonDepth
in.
Dominant Color
Munsell
Redox Description
Ou. Sz Cont. Color
Texture Struc{ure
Gr. Sz Sh
.6 1.0mfrcslvf1G15tw3l2nonesl2RbVlmpl
,6 .89wfvf215-23 1q/6/3 none mfr
4 6gw323-39 LW4l6 none sd 2msbk
2fsbk
7.4mfrgw439-64 tw714 none sl lmsbk
1.6cs756+7r 1q/r5l6 osg mlnones
7 1.66ml7L-Lzs t0ry?6.l4 none cos @
5 SoilApplicatbn Rate
GPDIft'
'Erf#1 .Efi,r2HorizonDepth
in.
Dominant Color
Munsell
Boundary RooBRedox Description
Qu. Sz. Cont. Color
Texture Structure
Gr. Sz. Sh.
1.01Gr0gs1vf1Oyr3/3 none sl 2Ebk/1mpl mfr
.6 1.02LG271q/n4l3 none mfr gw fvfsl3msbk
.4 6327-3L L0yr4l4 none 3msbk mfr gw
.6 1.0431-45 1qrr4/6 2msbk mfr gsnone
sd
sl
.7 1.6545-76 Lolr6l4 none @s osg ml as
1.6677GLaOt0|/6|l4 none sI Osg ml
ilr )-"
I ,,4
n
x
l^aaaialaam Roc{s
I
mft
.6
Conilucted by:
.Schmitt Soil Testing Inc.
Thomas J. Schmitt, CST 227429
I 595 72nd St.
New Richmond, WI. 54017
Phone: 715-247 -2941
Conducted For:
Name:
Address:
City, State, Zip:
SuM.Name:
Lot No.:
l,egal Description:
Township, County:
f 2"?u( Pr€
PageJ of -3
Sienna Corporation
4940 Viking Drive Suite 608
Minneapolis, MN 55435
The Glens of Willow River3f
aatwil E1l4 S17 T3oN RlSW
Richmond, St. Croix
Contour Line /Ur4
:7^*
Date:oa/ 106
H Backhoe pit
A Bench Mark El. 100.00'Top of 2" pvc pipe
A Alt.rnute Bench Mark El. fr' y'?' Top o
Slope:4',o Contour Line El. /U n
4
ry
Scale 1" : 40'
q &'L0o q37'
I tu
d..+$
A\\
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rolL,N
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{o
32/t,,tt4 t
t\
0nt
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, rrn,Lg ro1,if."nt.It m{ or Inay not be in u llrlttlg suitabte for you usc'
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7
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T'his Soil and Site Evaluation was <nmplcted td,irlfill
d,@)@ de
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