Loading...
HomeMy WebLinkAbout648431 026-1306-00-035Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: CHRISTOPHER & LINDSAY BENDIX City Village Township TOWN OF RICHMOND CST BM Elev: Insp. BM Elev: BM Description: TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic Dosing Aeratio H ing PUMP/SIPHON INFORMATION Manufacturer Demand GPM Model Number TDH LiftZ Friction oss ystem Head H t For ain Length Lf ia. Dist. to ell I SOIL ABSORPTION SYSTEM ELEVATION DATA County: St. Croix Sanitary Permit No: 648431 State Plan ID No: Parcel Tax No: 026-1306-00-035 Section/Town/Range/Map No: 19.30.18.1642 STATION BS HI FS ELEV. Benchmark Alt. BM Bldg. Sewer 3 3 SUHt Inlet St/Ht Outlet D"Wet" Bt�ntterxi Header/Man. U2- q 12 � Dist. Pipe Bot. System Tl T2 q.2�o q/- Final Grade o q5-3 St Cover BED/TRENCH Width Length No. Of Trenches PIT DIMENS S No. Of Pits Inside Dia. Liquid Depth DIMENSIONS I iZ2 SETBACK INFORMATION SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING CHAMBER OR Manufacturer: 1 - �� qT Type Of System: Model Number: I f _ I I I� UNIT DISTRIBUTION SYSTEM wl -� ra9d Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Length lb Pipe(s) Length D�'Spacing SOIL COVER x Pressure Svstems Only xx Mound Or At -Grade Svstems Only Depth Over Depth Over xx of xx Seeded/Sodd xx Mulched Bed/Trench Center Be /Tre ges opsoil Yes ❑ No Yes 0 No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2: Location: 954 150TH AVE 1.) Alt BM Description = 6vdev is $7.5' 4op, its va a� s�i r qa 4. b� �­ 6,k z 4 s ei+. aP o6.. 3- fQ JqA+ 2.) Bldg sewer length = W-u ad skUed d t"° .r - amount of cover = Plan revision Required? ❑ Yes ❑ No Use other side for additional information. �O 2 c° I ] 5 Date Insepctor' Signature Cert. No. �n e '75�,% 1�- ID S,4"AI- 20 2-3 -09 Industry Services Division Coun n ry 7 A rf� R W s 2ftUL3 11 4522 Madison Yards Way Sanitary Permit Number (to be lilted in by Co.) Madison, W1 53745 ''"°+� ` • P.O. Box 7162 fi2. w -' Madison, WI 53747-71 anitary Permit Application Stole Transaction Alumbyr In accordance wilh SPS 383.21(2), Wis, Adm. Code, submission of this form to the appropriate governmental unit Project Address (if diffe-en I than mailing address) is rcquired prior to obtaining a sanitary permit. Note: Application farms for state-owned POWTS are submitted to the Department of Safety and Professional Services. Personal information you provide may be used for secondary purposes in accordance with the Privacy Law, s. 15,04(I)(m). Stals. q,5l 50 I. Application Information Please Print All Information - 1 Property Owner's Name 1 b 1urg5A Y p 1 C - �iac Parcel N wA I D26-13D6-b5 - D35 Property Owner's Mailing Address If n P Property Localion Gq�th Ave, Govt, Lot 1 ' ■ 'h, N 1= 1A, Section 4 � City, stare �r ,`1V r f Zip Code + -ZI Phona Number - � lU TA t T _ N R + U R orAJN 11, Type of Building (check that Lot a all apply) r { +"�l Subdivision Name ar 2 Family Dwelling- Numbcr ofk3edrooms [� ++ jy�� ��W plmkH �PuhliclCommers:ial - Describe Use r� �� y} l'�iv 't �'✓ QIkA5 ]� lYl ❑City of �- ❑State Owned - Describe Use it lage of CSM Number G� 6wn of R 1 JAIV% Ill, Type of PCWTS Permit: (Check elther "New" or "Replacement" and other applicable online A. Check one box ox IineB. Complete line C If u plicable. A' ew System Y Re Ncernent System � P Y then Modification to Fxisnn $ stem (explain) � g Y ( P )❑ Additional Prctnalment Unit (explain) f P ) B' Holding TankFCd round �t-Grade Mound ❑ Individual Site Design Dlher Type (explain) nventional C• ❑ Renewai Before ❑Revision OChangc of Plumber OTransfer to New Owner List Previous Permit Nurr bet sid Date Issued ✓ ► Expiration r 1V. Dispersau'rreatmentArea and Tank Information:. 3. )[ 2.2 n ---- E6 t,ti ?WWW �'Cpvc(•8►s.r. Design Flow (gpd) Design Soil Application Rete(gpolsf ispersai Area Required (sf) Disperssa Area Proposed (sf) SysttJen hlevvation Capacity in Total 0 of Manufacturer u a Tank Information Gallons Gallons Units 11__ s�2T� �-" QQ u � r u _ Ncw Tanks ExistingTanks a U in w yr S e;lric or Holding Tank '�-L { x�, chamber ltr. ponsibility Stateme t- 1, the undersigned, mssunne respn for Installation of the.POW`f S shown on the attached plans I ,-:� Naine (PT in 0 Plumber's Signn MPl"M]PRS Number Buainess fhoric Numbcr Plu�Im7ber's Address (Street. City, State, Zip Ctwlc) �'✓1 1y � �r/C�'7yJ 4�� .JI ✓��� VI. county{Dc artment Use Only Approved G �D.ni. Permit Fee S [atee Issued ( 2,3 issuin Agent Signtlture < i7 Owner Given n Conditions of pprov -3 SYSTEM OWNER: K �- 9. Septic tank, rviceeffluentI filter and dispersal cell fnservicedL,(,� `�•� al� must be serviced maintained as per Lt ,Jl management plan provided bey plumher. J t 2. All setback requirements must be maintained as per applicable code I ordinances Amami to complete plans for the system nd submit to the County only on paper not less than 8 W x 1 t inch s in size r� 7 /.I'a s i e cQ.tSE tne�e aQ-Q6eare l � r i s SAI?-6398 (R, 03121) PROJECT Christopher Bendix NW 1/4 NE I/4S 19 /T 30 SYSTEM ELEVATION 92.2/91.2 CONVENTIONAL XXX System PLOT PLAN ADDRESS 515 S. Green Ave N/R 18 W TOWN Richmond COUNTY ST. CROIX DATE4/7/23 BEDROOM 4 CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1200 LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 1213 # of chambers 60 hk BENCHMARK V.R.P. Top of 2" PVC ASSUME ELEVATION 100' Filter Lifetime Filter ❑ BOREHOLE O WELL *H.R.P. same as benchmark �PyALo Vent Quick4 Standard Leaching Chamber with 20.0 ft2 of Area 6.6ft^2/pair of end caps " Grade at System Elevation 34" Shaun Bird Bird Plumbing Inc. 1432 120th St. New Richmond Wi 54017 715-246-4516 Date: 04/07/2023 Owner: Christopher Bendix Location NW 1/4 NE1/4 S 19 T30 N,R 18W 954 150th Ave, New Richmond Used: In -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 n Signature License ntinaber #226900 PROJECT Christopher Bendix NW 1/4 NE I/4S 19 /T 30 SYSTEM ELEVATION 92.2/91.2 CONVENTIONAL XXX System PLOT PLAN ADDRESS 515 S. Green Ave N/R 18 W TOWN Richmond COUNTY ST. CROIX DATE4/7/23 BEDROOM 4 CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1200 LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 1213 # of chambers 60 hk BENCHMARK V.R.P. Top of 2" PVC ASSUME ELEVATION 100' Filter Lifetime Filter ❑ BOREHOLE O WELL *H.R.P. same as benchmark Vent >6" Quick4 Standard of Cover Leaching Chamber with 20.0 ft2 of Area 6.6ft^2/pair of end caps 4' Long l2" Grade at System Elevation 34" Crass Section of Infiltrator Quick 4 Leaching Chamber Typical cross section for 2 of 2 cells Ouick 4 Standard Leaching Chamber with 20.0 ft2 of Area per Chamber 6.6ft^2 pair of end plates Typical Installation Vent G rade 4„ AA 30/34 Septic Tank -1 jon 3 6" Grade at System Elevation Spacing System elevations; A 92.2' B 91.2' To be >1' above grade / Finish grade elevation �( 97.2' Xcnt I" at System Elevation. 2-3' x 122' Cells Same on other end Observation tube/Vent At end of cell A B 30 chambers per cell POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of dWILE INFORMATION Permit# DESIGN PARAMETERS Number of Bedrooms L1 NA Number of public Facility Units NA Estimated flow (average) QT ual/day Design flow (peak), (Estimated x 1-5) allda IE Soil Application Bate �_ gaildar Standard Influent/Effluent Quality Monthly average" Fats, Oil & Grease (FOG) 530 mg/L Biochemical Oxygen Demand (13005) !�220 mg1L NA Total Suspended Solids (TSS) c150 mg/L Pretreated Effluent Quality Monthly average --- — Biochemical Oxygen Demand (BOD5) 530 mg/L Total Suspended Solids (TSS) 530 mg/L 1 NA Fecal Coliform (geometric mean) 5104 cfu/100ml !Maximum Effluent Particle Size ;6 in dia. ❑ NA !Other: � ❑ NA 'Values typical for domestic wastewater and septic tank effluent. SYSTEM SPECIFICATIONS Septic rank Capacity , �..�_ p N�,4 Septic Tank Manufacturer - ❑ Effluent Filter Manufacturer ❑ NA Effluent Filter Model I�� , ❑ NA Pump Tank Capacity —dal I' i NA Pump Tank Manufacturer NA Pump Manufacturer It NA Pump Model C4 NA Pretreatment . Unit Z$[ NA ❑ Sand/Gravel Fitter ❑ Peat Filter ❑ Mechanical Aeration ❑ Wetland s O Disinfection ❑ Other: Dispersal Cell(s) --......___—..-- ❑ NIA N In -Ground (gravity) ❑ In -Ground (pressurized) ❑ At -Grade ❑ Mound Drip -Line ❑ Qther Other: -�_ _. -- ❑ ?JA Other. ❑NA Other ❑ NA MAINTENANCE SCHEDULE Service Event Service Frequency !Inspect condition of tavk(s) At least once ever y' "�, I ❑ month(s) Maximum 3 ears ( years) ❑ NA >$� year(s) ,Pump out contents of tank(s) When combined sludge and scum equals one-third (X) of tank volume ❑ NA Inspect dispersal cell(s) ; At least once every: 0 month(s) (Maximum 3 years) ❑ NA Clean effluent filter At least once e . _ _ every: • 4 ❑ man IX year(s) [Ince NA raped pump, pump controls & alarm A least once every: ❑ month(s)t ❑year(s) --- QNH :=1usn laterals and pressure test i At least once every: ❑ month(s) ❑ year(s) NA Other. At least once every: ❑ month(s) ❑ year(s) ❑ NA_ Nher: 0 NA-1 MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be mace by an Odividuai cant' pig one of the following licenses or certifications: Ma.,t+.r Plumber; Master Plumber Restricted Sewer; POWTS inspector POWTS Nlairla:;jer; Septage Servicing Operator, Tank inspectons vast iincfude a visual inspection of the tank(s) to identify any missing o-broken hardwr' ec , identify any cracks or leaks, measure the volirrrre of ...ombined sludge and scum and to check for any back up or `,nr dirt,. C�� effluer!i on the ground surface. The dispersal cell(s) shal be visually inspected to check the effluent !evels in the observetiL 4.,i a ,, -,d to check for any ponding of effluent on the ground surtace. The ponding of effluent on the ground surface may indica!-: and requires the immediate notification of the local I-egulatory authority. When the combined accumulation of sludge and scum w any tat ii egr,als une-third (]3) or more of the tank volume, 'he entire contents of be tank shall be removed by a Septage Servicing Opera;ar aruo disposer of in accordance with chapter ,INR 113, Wisconsin Administrative Cade. I II other services, including but not limited to the senriciry )I NvIt.;, or pressurized components, pretreatment units, land any servicing at intervals of 512 months, shall be rerforme M ht,t a PO ,7,3 Maintainer. A servi a report shall be provided to the local regulatc ry uayy of wr,7pletion of any service event. Page of START UP AND OPERATION eck treatment tank(s) for the presence of painting products or other chemicals t For new construction, prior to use of the POWTS cls�l may impede the treatment process and/or damage the dispersal ce11(s}, if high concentrations are detected have the contents of thi: tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltratit/e surface. bp During power outages pump tanks n omay ne largabove normal e a dose, overloading he cell(s)ter ls, VvInen power is restored the excess and may rests t In the baGc p r surface discharge wastewater will discharged to the dispersal aell(s) gtage rotor prior To restoring power to the To effluent` pump or contact a Plumb r or POWTS Ma n ainer to assist in manuremoved by a ally llyy operating Servicing the pump cotrols to restore normal levels wtthln the pump tank. Do not drive or parts vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within i 5 feet down slope of any mound or at -grade soil absorption area. the performance and prolong Reduction or elimination of the following from the wastewater stream may improve the life of the PQWT f ; fat; foundation drain antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants (sump pump) water; fruit and vegetable peelings, gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails andbr is permanently taken out of service the following steps shall be taken to insure that the system is propel y and safely 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 property disposed of by a Septage Servicing (perator. After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with still, 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-iynt replacement system: A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption systelm. r' The replacement area should be protected from disturbance and compaction and should not be infringed upon by requliled setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rule;i in effect at that time. 13 A suitable replacement area is not available due to setback and/or soil limitations. $aping advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. 1:1 The site has not must be performed to locate a suitable ren evaluated to p areplacement a suitable replacementi cement area. If ono replacemeafailure area is available a holding tank may be installed! as a last resort to replace the flailed POWTS. 0 Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. <<WARNI NG» SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO f�iOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT, RESCUE O1 A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER Name _ Phone POWTS MAINTAINER !lame Phone SEPTAGE SERVICING OPERATOR PUMPER LOCAL REGULATORY AUTHORITY Ck NamelTorr n n NaMe , ., rl 1 i Ci ' Z�' ' f V l Phone Phone This document was dratted in compliance with chapter SPS 383.22(2)(b)(%d)&(f, and 383.54(1), (2) & (3), Wisconsin Administrative Code of 2_0140048A SECTION A -A 00 9 1921 ST. CRO ,. -- iJNTY SANITARY SYSTEM File #:Office use Only "` ••� OWNERSHIP/ADDRESS FORM Created 21202 7 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 INFORMATION Owner/Buyer Iv Mailing Address 'y<.'� City/State/Zip Phone Number (required Email Address (required) I i( J� �� '`�Y"J Q,�i 1�ILU k • C [70 )tf�1 Parcel Identification Number10" (found on the property tax bill) NEW SYSTEM: LEGAL DESCRIPTION Property Location IV �'Ia , lV '/a , Sec. T �N R_` W, Town of ��'Yl� Subdivision Plat' (771 VAs \AL 1I1)W I VW Lot # , r Certified Survey Map # Volume Page # Warranty Deed # _(before 2006}Volume Page # Number of bedrooms Spec house ❑ yesl no Lot lines identifiable yes ❑ 110 New Property Address (Staff Initials) OFFI7SE ONLY (Verificat'on of new address required from Community Development Department for new construction.) (Date) This form must be submitted with all Private Onsite Water Treatment System (POWTS) applications. New System: Intrude with this form a recorded warranty deed from the Register of Deeds Office free 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 cddC)sccwi.gov 1101 Carmichael Road, Hudson, WI 54016 www�wigpy Ulm 30 DESIGN LLC Atch tectnst Services Ell (715)248-3010 ©Ja .ELFATION 2 REARE�VATgN DRIB F� ATION NOTICE! BUR R TO VERIFY ALL DMAEN510NS, L i , SIZES, ANO LOCATIONS AR0 REPoRT r ERRORSFNIORTOP EwD I 1 !Ll INSFAiTED 34, ©MiSERT ED �03 _� -. ..-_ O ROOF DETNL I I I hristopher & Lindsa Bendix j Sin le story ELEVATIONS T.xazz en FRONT FAEVATIOp „`• • ,•'P t 880 SO. FT. 1880 SO. FT. 948 SO. FT. Al MAIN LEVEL LOWER LEVEL GARAGE II.tl..R.114 1/II.R/I�il.11 30 DES [ON LLC b Arch loci. -At Services b (715)248-3010 I I I 1 «ti t I I I----------- -------- ( ------------------------ — --------- ------------------- 1 .m. I ; I I i I �+ I 1 I 1 1 I I b I b ; k b NOTICE! II BINDER TOYER" NL OWENSb115. S(ZES.11eO LOCATp16 AM IE T b ERRORSP TOMOCEMM. IT I I oil I I I Nm �vo Ot¢EYU I 1 I 1 I I I 1 b 6 hristopher & Lindsa Bendix Single Story FOUNDATION netru �v+. R-IM4L*. > A33 BR /;MOWER LEVFI A2 17— I i i b ...... _...... ...... _ ..........I... ..... ._ ........... ....... ..... _ ......... HIT ..... 1 I I I j � I I SIT . _ eoHusrroow �sovE aIEAWRN I"t C TltU55Es aolo w z.toeonoNcam 44KNEEWNLS��r___F--------------- __ _ ___ 1SQfdEtl t ' Y / \ o b A 9 b R F 7 b b t90%1610 i ! i I I• 11 1 1 1 I I I i r u c i ,� I i I � c' i I i l i 1 i I 1 i i 4V,CEow.utxE u-] rawCwa[at.Eo BRACED WALL LINE PANEL DETAILS C� I I j I I BRACED WALL LINE PANEL DETAILS 1880 SO. FT. MAIN LEVEL 30 DESIGN LLC Arceitectetel Stfoces (715)248-3010 NOTICE! hristopher & bndsa Bandix Sin le St MAIN LEVEL 7 ze 2z to A3 w- r ro- 0 % IMP� DETAO— L-- — 9 ;'Il - i rl jtpAGE PARTY .Kt MT- A VG 42-2 — 7 T �3e`s I r 4i c —S 2 6-T E I-T ts3L E w 1pBL— LOVVE 1BD i 311 DESIGN LLC Arthittetsfal Services (715)248-3010 NOTICEI ai A4 Document Number State Bar of Wisconsin Form 1-2003 WARRANTY DEED Document Name THIS DEED, made between Willow River of St. Croix, LLC, a Wisconsin limited liability company ( hereinafter "Grantor," whether one or more), conveys and Warrants to Christopher A. Bendix and Lindsay E. Bendix, husband and wife, survivorship marital property ( hereinafter "Grantee," whether one or more), the following described real estate in St. Croix County, State of Wisconsin: Lot 35, County Plat of The GIens of Willow River in the Town of Richmond, St. Croix County, Wisconsin. Exception to warranties: easements, restrictions and covenants of record; highway and street rights of way; and Municipal and zoning ordinances and agreements entered under them; and further except real estate taxes accruing in the year of this conveyance. 1121296 BETH PABST REGISTER OF DEEDS ST. CROIX CO., WI 01/19/2021 12:42 PM EXEMPT#: REC FEE 30.00 TRANS FEE 220.50 PAGES: 1 Recording Area Name and Return Address St. Croix County Abstract & Title Co., Inc. 575 N. Knowles Ave., Suite #B New Richmond, WI 54017 026-1306-00-035 Parcel Identification Number (PIN) This 1S NOT homestead property. * Willow River of St. Croix, LLC, a Wisconsin limited Dated January 1 2021 liabi ' �1 In y� (SEAL) *Mark Fagerland, member AUTHENTICATION Signature(s) authenticated on January I5, 2021 TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by Wis. Stat. § 706.06) THIS INSTRUMENT DRAFTED BY: St. Croix County Abstract & Title Co., Inc. by Ashley Bonkoski at the direction of grantor. 20-S24I45 \\\�\ilB tp ACKNOWLEDGMENT= Q. \\OTARy STATE OF WISCONSIN pug\-\G ��icJ1�.•r5 •��` St. Croix COUNTY ''���F OF'NI�SG8��``� Personally came before me on day of January, 2021 the above -named Mark Fagerland, member, Willow River of St. Croix, LLC, a Wisconsin limited liability company to me known to be the person(s) who executed the foregoing in�ean le Athe Notary Public, State of Wisconsin My Commission (is permanent) (expires: (Signatures may be authenticated or acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DEED © 2003 STATE BAR OF WISCONSIN FORM NO. 1-2003 * Type name below signatures. St. Croix County 1121296 Page 1 of 1 AREA TO OHYN r 139 q 4.1:k ACRES 41*31'33'w LBO-932.0 b, JO' WOE U77t1rY Z LY897l �47 11 66AP, 149.t 155,3,* 54.87, 4 LOT 35 10 e AREA TOTRAIL EASLWEN OF PJ VER SEE EASEMENT 13± ACRES rA&LF 'r FOR AREA TO OHWM rA DIAICV-V�WS Z9± ACRES LF*-932-0 FROM 75' SETBACKr. z 0M.W.M. E La 54, By rft 96 942.9" 76 x &131 f 0-.; —36,tB. J� In J CD 'LOT 34 -1201 1 411 cd AREA TO THREAD OF RI Ii -- I 1.5t ACRES k, AREA TO CHWW ai 1.4± ACRES of f LBO-932 err -255.34- Sa325 W E 344 # 2-95- LOT 33 ARVA* Tn TWPFAn rlr CfVrD CA I ,A■isconSin SOIL EVALUATION REPORT Department of Commerce in accordance with Comm 85, Wts, Adm. Code Division of Safety and Buildings Attach complete site plan on paper not less than 8% x 11 Indies in size. Plan must County include, but not limited to: vertical and horizontal reference point (BM), diredion and percent slope, scale or dimensions, north arrow, and location to nearest road. Parcel I.D. Please prfnt 11 in WED Re e hX Personal wftrmatkm yW provide may by p�'Pus" (Privacy s. 16,04 (1) (m)). Property Owner C1 Ep Pr party Location -7i #1534 Page 1 of _ 3 Schmitt Soil Testing. Inc. St. Croix Sienna Corporation :Luot#5 ot NW1141NE174, 519, T30N, R1BW Property Owner's Mailing Address4Zip ST, CROIX C Ni Block # Subd, Name or CSM0 4940 Viking Drive Suite 608 The Glens Of Willow River City - umbaY Stateode Phone Number C' f �I Town Nearest Road Minneapolis MN 1 55435 1 Richmond 95Th St - New Construction use Residential 1 Number of bedrooms 3 Code derived design flow rate 450 —GPD Replacement U Public or commercial - Describe, - Parent material Outwash Flood plain elevation, if applicable na ft. General comments and recommendations: Area is suitable for a conventional system vrith a 0.6 gpol sgft rating. Possible system elevation for Area 1 is (step trenches) high trench 92.50', low trench 91.0'. f I Boring Boring # j Pit Ground surface elev. _97.19 R. Depth to limiting factor - ' 9$+ in. ISoil Application Rate Horizon Depth Dominant Color Redox Description Texture ! Structure lConsisterice Boundary f Roots GPD_tW — in, Munsell Qu- Sz Cont- Color Gr. Sz. Sh. E1rM1 'EflM2 1 0-6 10yr3/4 none sl 2msbk Dsg mfr ml as as 2vf 1vf .6 7 1.0 1.6 1.6 1.6 2 6-29 10yr5/4 none grcb6 3 29-52 10yr6/4 none S Dsg ml. Cs .7 4 52-64_ 10yr5/6 none cbcos _,_- - --------- Ds9 ml Cs — .7 5 64--98 1.0yr6/4 node ms -- Qsg ml n .-- .7 1.6 5a 0 wr ZA ,�.z1 Sy 9sg� B(Xing e U Bourg — �•";Pit Ground surface ekrv, 97.19 ft. Depth to limning factor 125+ in, Soil Application Rate Horizon Depth In, Dominant Color Redox Description Munsell Qu. Sz. Cont. Color Texture Structure Consisten Gr. Sz. Sh. Boundary Roots GPDJff 'EfrMt 'Eff#2 - 1 0-9 10yr3/3 n011e none I sid 2fsbk 2msbk mfr mfr mfr as gW gW lf,lvf lvf .6 .4 .8 .6 .6 2 3 9-17 17-28 10yr4/3 10yr4/4 none Sri 3msbk ---- .4 4 2843 5 43-7Q 10yr4/6 none sid none 51 none s 3msbk 2msbk Dsg I mfr mvfr ml rglrrt Cs -- ---- --- — .4 6 .7 .6 1.0 1.6 10yr7/4 6 70-125 10yr6/4 ' Effluent #1 = BOD? 30 c 220 rng/L and TSS Rio , 15d w2 ' EAuent 02 = BODS S.30 mglL and TSS 30 mg/L CST Name (Please Print) Signature: CST Number Thomas J. Schmitt 227429 �- Address Schmitt Soil Testing, Inc- Date Evaluation Conducted Telephone Number 1595 72nd Street New Richmond, WI 54017 9/21/2006 715-247-2941 Sei1-$330 (KO7100) Property Owner Sienna 9ArpOMbOn Parcel ID # 35 Page 2 of 3 Borin Boring 9 # ' pit Ground surface elev. 93.44 ft. Depth to ran+ling fador 110+ In. Soil Appticatlan Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu- Sz. Cont. Color Texture Structure :Consistence Gr. Sz. Sh. 8aundary Rooffi GPDMV •Enat `EW 1 0-11 10yr3/3 crone Sil 2fsbk mfr as 1Vf .6 .8 2 11-22 10yr4/3 none none sd 3rrrsbk mfr gw 1Vf .4 .6 3 22-31 10yr4/4 sl 2msbk mfr gw 1►rf .6 1.0 4 31-42 42-98 10yr7/4 10yr6/4 none 5$ lmsbk mfi CS -- - .6 1.0 5 none s OSg ml C5 - -- .7 1.6 6 198-110 10yr5/4 none grcos 0sg ml - - .7 1.6 Baring # Boring �• � pi( Ground surface eleV. 92.14 ft. Depth to limiting factor 125+ in. Bail Application Rate Horizon Depth in. Dominant Color Munsell Rsdox Description Qu. Sz- Cont. Color Texture Structure Consistence Gr. Sz- Sh. Boundary Roots GPDMt' 'Efp/i -E 1 0-15 2 15-23 10yr3/2 10yr5/3 none none St. 2fsbk/1mp1 mfr CS 1Vf .6 1.0 I 2fsbk mfr gw 1Vf .6 .8 3 23-39 10yr4/6 none 5d 2msbk mfr gw 4 3xJ-64 10yr7/4 none S1 lmsbk mfr gw ---f�4 4 .7 5 64-71 10yr5/6 none s 0sg ml Cs --7 1.6 6 71-125 10yr6/4 none Cos Osx3 ml - - 7 1.6 E� Boring * J Boring E Pit Ground surface aiev 94.54 fl. Depth to limiting factor 120+ in. Soil Application Rate Horizon Depth in. Dominant Color Redox Description Texture Munself Qu. Sz. Cont- Color Structure Consistence Gr, Sz. Sh. Boundary Roots GPD/fe 'Ef xl 'EAM2 1 0-10 1Dyr3/3 none 51 2fsbk/lmp4 mfr gs 1Vf .6 1.0 2 ID-27 10yr4/3 none 51 3msbk mfr gw 1Vf --- -- .6 1.0 3 27-31 10yr4/4 nacre none sd s1 cos 3msbk 2msbk OS9 mfr gw .4 .6 4 5 31-45 10yr4/6 mfr gs .6 1.0 45-76 10yr6/4 none ml m1 as --- ----- --- .7 .7 L 1.6 1.6 6 76-120 10yr6/4 none s 41 Osg LIt Effluent #1 = 8005> 30 E 220 mglL and TSS ;-30 c 150 mg/L ` Effluent #2 = 8005 -i 30 mg/L and T5S � 30 mg& The Department of Commerce is an equal opportunity service provider and employer, If you need assistance to access services or need material in an altemate fomsat, please contact the department at 608-266-3151 or TTY 608-264-8777. son-9310 (A07") SdWW W Twit.. FY. Page J of-3 Conducted by: Conducted For: -Schmitt Sail Testing Inc. Name: Sienna Corporation Thomas I Schmitt, CST 227429 Address: 4940 Viking Drive Suite 608 1595 72nd St. City, State, `Lip: Minneapolis, MN 55435 New Richmond, W1. 54017 Phone: 715-247-2941 Suhd.Ntune: ens of Willow Fiver The Gl— Signature: /ham- -- `r Lot No.: 3s Date: /qr 1 d1 j06 Legal Description: %7IG.II14N 1 l'4 5l9 T30N R18W (� Backhoe pit Township, County: RichnimiJ, St. Croix A Bench Mark El. 100.00' Top oft" pvc pipe Q Alternate Bench Mark El. lY- V9 Top of Slope= Scab This Soil and Site Evaluation was WmPI4-t 1 tt lu1011 a 7onikg ruyui rncnf. It n* car may not be in a TMVU tt1 mutable for you use. (E) 5-r. C901x COUNTY 9.5-/0 ' At. 1 ____.l OWNER C HP-1STDftleQ � L,[ N No. 6Yg931 PREVIOUS NO. �aDNE x PLUMBER .! �2j+Aq&) F>jg.�, . • OF SEC T r Nq ' � AND/OR • —BLOCK LeWS Z)F-- \tJ[Wb\1v Ew6L SUBDIVISION AUTHORIZED ISSUING OFFICER 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 sanitary 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. `flt3/zo23 ISIBLE FROM THE ROAD FRONTING THE L! DURING CONSTRUCTION &49 1